Thursday, June 28, 2007
Recognition of Depression in Aphasic Stroke Patients
A.C. Laskaa, B. MÃ¥rtenssonc, T. Kahanb, M. von Arbina, V. Murraya
Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital,
aDivision of Internal Medicine,
bDivision of Cardiology, and
cDepartment of Clinical Neuroscience, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Address of Corresponding Author
Cerebrovascular Diseases 2007;24:74-79 (DOI: 10.1159/000103119)
- Aphasia, depression
- Acute stroke
- Validity, assessment of depression
Background: Data on post-stroke depression in aphasia are scarce. Methods: Eighty-nine acute stroke patients with aphasia of all types were followed for 6 months to investigate if depression can be reliably diagnosed (DSM-IV criteria) and validly assessed by the verbal Montgomery-Ã…sberg Depression Rating Scale (MADRS) and a global technique (Clinical Global Impressions Rating Scale for Severity). A standard aphasia test was performed. Results: In 60 patients (67%) at baseline and in 100% at 6 months, comprehension allowed a reliable DSM-IV diagnosis. Among these patients MADRS was feasible in 95% at baseline and in 100% at 6 months. The assistance of relatives and staff increases the feasibility and decreases the validity. Depression was identified in 24% during the 6 months. Conclusion: Depression diagnosis and severity rating can reliably be made in the acute phase in at least two thirds of aphasic patients, and feasibility increases over time.
Copyright © 2007 S. Karger AG, Basel
Ann Charlotte Laska, MD
Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital
Division of Internal Medicine
SE-182 88 Stockholm (Sweden)
Tel. +46 8 655 6409, Fax +46 8 622 6810, E-Mail ann-charlotte.laska@ds.se
Received: August 22, 2006
Accepted: January 3, 2007
Published online: May 23, 2007
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 3, Number of References : 23
Posted by iRDMuni at 3:34 PM 1 comments
Monday, June 4, 2007
Help for Dyslexics
Posted by iRDMuni at 5:59 PM 0 comments
We are blessed for help with hearing
Kathryn Byrd, Ph.D., CCC-SLP
Tuscaloosa
Dear Editor: May is Better Hearing and Speech Month, during which the services and accomplishments of speech-language pathologists and audiologists are recognized. As a speech-language pathologist, I am proud of those in our profession who serve children with communication impairments in schools, and, for preschoolers, in their natural environment, as well as those who serve the adult population who experience communication deficits because of strokes, accidents, disease, etc. Through their services, these individuals can lead more productive lives. Audiologists, of course, deal with hearing impairment, whose services, with our graying population, will be needed more and more.
I am a fan of the comic strip “For Better or Worse" by Lynn Patterson. How appropriate it is that in May, Better Hearing and Speech Month, there is a series on treating the grandfather Jim’s aphasia by a speech-language pathologist, and the frustrations Jim and his wife Iris experience when Jim wants to say one thing and something entirely different comes out. Patterson presents an excellent and compassionate depiction.
I hope those who experience hearing or speech/language difficulties seek help. So much can be done. We are blessed to have many excellent resources in West Alabama, with the public schools, the University of Alabama Speech and Hearing Center, Early Intervention, Easter Seals, the VA, the hospitals, etc. The phone book lists all these resources.
Posted by iRDMuni at 5:53 PM 0 comments
Saturday, June 2, 2007
www.aphasiatoolbox.com .
Please visit our website and let us know what you think. We are eager for feedback so we can continue traveling that pathway of improvement. Thanks to all of you who have helped us to develop the innovative and effective treatment and self-help protocols and materials. I have had the wonderful experience of working with the best patients and caregivers ever. Thanks you all so much. What a great beginning.
Posted by iRDMuni at 3:16 PM 0 comments