Mental Health Disorders Post-Stroke: A Scenario in India

Abhilash Patra*, Sureshkumar Kamalakannan, Hira B. Pant, Varun Agiwal, Nirupama A.Y., Sirshendu Chaudhuri, Gudlavalleti Venkata Satyanarayana Murthy

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Mental health disorders were reported in more than 33% of stroke survivors, which lead to increased comorbidities, delayed care, affect recovery, and impact physical and social functioning. Furthermore, it diminishes the quality of life and has impact on the well-being of both their families and caregivers. However, existing screening tools available for diagnosis of mental health disorders post-stroke detect many undiagnosed and underreported stroke survivors. Globally and in India, there has been a significant prevalence of post-stroke depression and anxiety. Pseudobulbar affect (PBA) ranged from 11% to 34%, worldwide. However, in India, only few case reports were reported for post-stroke psychosis, mania, and PBA. Although guidelines exist in developed countries for screening, referral, and rehabilitation of mental health disorders, there are lack of such resources in India. Also, the District Mental Health Program (DMHP) has received conflicting evaluations regarding its successes and shortcomings. Hence, this situation highlights the need for robust evidence-based strategies to develop effective screening, referral, and rehabilitation guidelines tailored to the Indian context. Also, by leveraging existing resources and collaborating with experts in the field, India can develop a comprehensive and effective approach to addressing post-stroke mental health disorders.
Original languageEnglish
Pages (from-to)100-107
Number of pages8
JournalJournal of Stroke Medicine
Volume6
Issue number2
Early online date28 Jul 2023
DOIs
Publication statusPublished - 1 Dec 2023

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