Medula
Vol 11 No 1 (2021): Medula

Diagnosis, Tatalaksana, Pencegahan, dan Diagnosis Defensial Depresi Pasca Stroke

Ilhamsyah Putra Sinaga (Fakultas Kedokteran Universitas Lampung)
Evi Kurniawati (Fakultas Kedokteran Universitas Lampung)



Article Info

Publish Date
19 Apr 2021

Abstract

Post-Stroke Depression (PSD) is a common psychiatric symptom after stroke. PSD is a condition in which stroke patientsexperience traumatic events that damage their physical and mental integrity, autonomy and self-esteem, and social values.Lack of psychological coping mechanisms, as well as premorbid personality, are determinants of PSD. PSD patients mostlypresent with fluctuation in mood, retardation, irritability, or apathy. PSD is a major factor that can inhibit the recovery ofneurological function and daily activities in stroke patients, and is associated with increased mortality. A recent meta-analysisshowedthattheprevalenceofPost-StrokeDepression(PSD)was29%.PSDdealswiththedisruptionofmonoamine circuits either directly or indirectly. In cytokine theory, inflammation of PSD may be related to the production of“depressogenic” cytokines by the inflammatory response to ischemia. This may be related given that inflammatorycytokines, such as IL-1, IL-6, IL-18, and tumor necrosis factor (TNF) -alpha increase significantly after stroke. Biological andpsychological conditions cause PSD either due to lesions, biogenic amines, inflammatory cytokines, or geneticpolymorphisms. PSD must be distinguishable from post-stroke apathy, post-stroke anxiety (PSA), post-stroke fatigue (PSF),and post-stroke psychotic disorder (PSPD). The goal of PSD treatment is to achieve complete remission of the symptoms ofa depressive episode, which may have a beneficial impact on the recovery of neurological deficits. Management can bedone with pharmacological and non-pharmacological interventions in the form of neuromodulation and psychosocial. TheThe purpose of this article is to provide information regarding the Post-Stroke Depression (PSD).

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Journal Info

Abbrev

medula

Publisher

Subject

Education Medicine & Pharmacology Neuroscience Public Health

Description

Medical Profession Journal of Lampung didirkan pada tahun 2013. Medula hadir memenuhi kebutuhan publikasi jurnal bagi mahasiswa Fakultas Kedokteran, Dosen ataupun klinisi dan profesi lain dibidang kedokteran. Medula diterbitkan dengan frekuensi 4 kali dalam setahun yang tiap nomornya mencakup 30 ...