Post-Stroke Depression in Persons With Chronic Aphasia Depression, a negative emotional state that undermines maintenance of positive psychosocial well-being, may occur in up to 70% of individuals with adult aphasia (Stern, 1999). Post-stroke depression (PSD) may follow left or right hemisphere stroke (Spencer, Tompkins, & Schulz, 1997). In persons with aphasia, PSD has been described as ... Article
Article  |   August 01, 2002
Post-Stroke Depression in Persons With Chronic Aphasia
Author Affiliations & Notes
  • Janet P. Patterson
    Department of Communication Disorders, Central Michigan University, Kalamazoo, MI
Article Information
Special Populations / Older Adults & Aging / Language Disorders / Aphasia / Articles
Article   |   August 01, 2002
Post-Stroke Depression in Persons With Chronic Aphasia
SIG 15 Perspectives on Gerontology, August 2002, Vol. 7, 5-9. doi:10.1044/gero7.2.5
SIG 15 Perspectives on Gerontology, August 2002, Vol. 7, 5-9. doi:10.1044/gero7.2.5
Depression, a negative emotional state that undermines maintenance of positive psychosocial well-being, may occur in up to 70% of individuals with adult aphasia (Stern, 1999).
Post-stroke depression (PSD) may follow left or right hemisphere stroke (Spencer, Tompkins, & Schulz, 1997). In persons with aphasia, PSD has been described as situational depression (Lyon, 1998), mood disorder (Code, Hemsley, & Herrmann, 1999), grief response (Tanner & Gerstenberger, 1988), and a reactive response (Währborg, 1991). Hermann and Wallesch (1993)  identified three stages of PSD that occur as the rehabilitation process unfolds: primary depression resulting from structural neural change; secondary depression from neuropsychological sequelae of stroke; and tertiary depression arising from maladaptive coping strategies for long-term social change. The variation in these descriptions alludes to the importance of careful assessment and description of depression in persons with aphasia.
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