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Post-stroke depression and lesion location: a systematic review
Wei, Na1; Yong, Wu2; Li, Xinyan1; Zhou, Yafan1; Deng, Manfei1; Zhu, Houze1; Jin, Huijuan1; Huijuan Jin
2015
发表期刊JOURNAL OF NEUROLOGY
ISSN0340-5354
文章类型Review
卷号262期号:1页码:81-90
产权排序2
摘要Post-stroke depression (PSD) is a frequent problem in stroke rehabilitation. Several studies have evaluated association between the lesion location and the risk of depression. Different conclusions and contradictory findings have been published. The aim of the present study was to perform a systematic meta-analysis to evaluate the relationship between PSD and lesion location. We researched PubMed, ISI Web of Science, EMBASE, and systematically reviewed available publications reporting investigations on stroke location and risk of PSD. Subgroup analyses were performed according to the time since stroke onset to assessment for PSD or the source of patients. Odds ratios (ORs) and 95 % confidence intervals (CIs) were used for pooled analyses. Heterogeneity was assessed with Cochran’s Q test and I 2 test. Begg’s funnel plot and Egger’s test were used to examine the publication bias. A total of 43 studies involving 5,507 patients suffering from stroke were included in this meta-analysis. The pooled OR with 95 % CI for the overall association of stroke location and depression risk was 0.99 (0.88–1.11). Subgroups analyses highlighted that only studies with subacute post-stroke group (1–6 months) showed a statistical association between right hemisphere stroke and risk of depression (OR = 0.79, 95 % CI 0.66–0.93). This systematic review offered no support for the hypothesis that lesion of the left hemisphere was associated with an increased risk of depression after stroke. We only find significant association between right hemisphere stroke and incidence of depression for studies within subacute post-stroke phase.; Post-stroke depression (PSD) is a frequent problem in stroke rehabilitation. Several studies have evaluated association between the lesion location and the risk of depression. Different conclusions and contradictory findings have been published. The aim of the present study was to perform a systematic meta-analysis to evaluate the relationship between PSD and lesion location. We researched PubMed, ISI Web of Science, EMBASE, and systematically reviewed available publications reporting investigations on stroke location and risk of PSD. Subgroup analyses were performed according to the time since stroke onset to assessment for PSD or the source of patients. Odds ratios (ORs) and 95 % confidence intervals (CIs) were used for pooled analyses. Heterogeneity was assessed with Cochran's Q test and I (2) test. Begg's funnel plot and Egger's test were used to examine the publication bias. A total of 43 studies involving 5,507 patients suffering from stroke were included in this meta-analysis. The pooled OR with 95 % CI for the overall association of stroke location and depression risk was 0.99 (0.88-1.11). Subgroups analyses highlighted that only studies with subacute post-stroke group (1-6 months) showed a statistical association between right hemisphere stroke and risk of depression (OR = 0.79, 95 % CI 0.66-0.93). This systematic review offered no support for the hypothesis that lesion of the left hemisphere was associated with an increased risk of depression after stroke. We only find significant association between right hemisphere stroke and incidence of depression for studies within subacute post-stroke phase.
关键词Post-stroke depression Lesion location Meta-analysis
学科领域变态心理学
DOI10.1007/s00415-014-7534-1
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收录类别SCI
语种英语
项目资助者National Natural Science Foundation of China ; Natural Science Fund of Hubei Province ; China Postdoctoral Science Foundation
资助项目National Natural Science Foundation of China(81301165 ) ; Natural Science Fund of Hubei Province (2012FFB03706 ) ; China Postdoctoral Science Foundation (2014M552047 )
WOS记录号WOS:000348216000010
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文献类型期刊论文
条目标识符http://ir.psych.ac.cn/handle/311026/10203
专题管理系统
通讯作者Huijuan Jin
作者单位1.Huazhong Univ Sci & Technol, Inst Brain Res, Wuhan 430030, Peoples R China
2.Chinese Acad Sci, Inst Psychol, Beijing 100015, Peoples R China
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GB/T 7714
Wei, Na,Yong, Wu,Li, Xinyan,et al. Post-stroke depression and lesion location: a systematic review[J]. JOURNAL OF NEUROLOGY,2015,262(1):81-90.
APA Wei, Na.,Yong, Wu.,Li, Xinyan.,Zhou, Yafan.,Deng, Manfei.,...&Huijuan Jin.(2015).Post-stroke depression and lesion location: a systematic review.JOURNAL OF NEUROLOGY,262(1),81-90.
MLA Wei, Na,et al."Post-stroke depression and lesion location: a systematic review".JOURNAL OF NEUROLOGY 262.1(2015):81-90.
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