Cermin Dunia Kedokteran
Vol 41, No 12 (2014): Endokrin

Depresi Pasca-Stroke: Diagnosis dan Tatalaksana

Susilawati, Ayu (Unknown)
N, Ratep (Unknown)
Putera, Kusuma (Unknown)



Article Info

Publish Date
01 Dec 2014

Abstract

Depresi pasca-stroke (PSD) merupakan salah satu komplikasi stroke dengan prevalensi 9-60%. Patofisiologi PSD yaitu: hipotesis lokasi lesi, ukuran infark, depresi vaskuler, faktor biokimia neuronal seperti hipotesis neurotransmiter, disfungsi imun, aktivasi aksis hipotalamik-pituitari-adrenal dan hipotesis neurogenesis. Diagnosis depresi berdasarkan DSM IV TR. Alat skrining diagnosis depresi yang digunakan adalah: Patient Health Questionnaire (PHQ) 2, PHQ 9, geriatric depression scale, hospital anxiety and depression scale, stroke aphasia depression quetionnnaire-10, aphasia depression rating scale, visual analog mood scale (VAMS). Penatalaksanaan PSD meliputi cara non farmakologi dan farmakologi.Post stroke depression (PSD) is one of stroke complications with prevalence of 9-60%. Theories of pathophysiology involved : the hypothesis of infarct location, infarct size, vascular depression, biochemical neuronal factor such as hypothesis of neurotransmitter, immune dysfunction, hypothalamic-pituitary-adrenal axis activation and neurogenesis hypothesis. Diagnosis is based on DSM IV TR using diagnostic screening tools. Screening diagnose of depression that is used: Patient Health Questionnaire (PHQ) 2, PHQ 9, geriatric depression scale, hospital anxiety and depression scale, stroke aphasia depression quetionnnaire-10, aphasia depression rating scale, visual analog mood scale (VAMS). Treatment consist of pharmacological and non-pharmacological methods.

Copyrights © 2014






Journal Info

Abbrev

CDK

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Cermin Dunia Kedokteran (e-ISSN: 2503-2720, p-ISSN: 0125-913X), merupakan jurnal kedokteran dengan akses terbuka dan review sejawat yang menerbitkan artikel penelitian maupun tinjauan pustaka dari bidang kedokteran dan kesehatan masyarakat baik ilmu dasar, klinis serta epidemiologis yang menyangkut ...