Prevalence of Cognitive Impairment and Mood Disorder six Months Post Ischaemic Stroke.

Abstract

Background: Psychological problems are common post-stroke, including emotional distress, behavioural change and cognitive impairment. Stroke rehabilitation typically focuses on restoration of physical and language function. Methods: The ASPIRE-S (Action on Secondary Prevention Interventions and Rehabilitation in Stroke) study assessed secondary prevention, rehabilitation and stroke outcomes in a cohort of patients admitted with acute ischaemic stroke over one year from October 2011. Assessments were conducted at six months post stroke, including assessments of psychological distress and cognition. Results: 302 patients (58% male) participated. Mean age was 69 years (range 22-95). Over half (52%) of patients reported being emotionally distressed by the stroke. Over half (57%) also scored below the cut-off for cognitive impairment. Of those needing support from psychological services, a majority (63%) did not receive any. Conclusion: Significant levels of emotional challenges and cognitive impairment post-stroke were evident from the ASPIRE-S cohort. Provision of psychological services post-stroke is identified as a significant unmet rehabilitative need.