WSC 2025 | Best practices for screening and early identification of post-stroke mood disorders
Maria Epifania V. Collantes, MD, University of the Philippines, Manila, Philippines, discusses the best practices for screening and early identification of post-stroke mood disorders. Dr Collantes highlights the need for regular screening using validated tools, especially in hospital-based settings where the prevalence of depression is higher due to more severe strokes. This interview took place at the 17th World Stroke Congress (WSC) in Barcelona, Spain.
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Transcript
So this is really important to identify, even early on, to identify if the patient has post-stroke depressive symptoms like feelings of sadness, loneliness, loss of energy, or eating or sleeping disorders. So these are the symptoms. So even they can have suicidal thoughts, so if you detect, you have to screen early on, and sometimes it occurs at one month and even three months, so you have to, if there’s initially no condition or depressive symptoms, you have to follow up and screen again during the succeeding months...
So this is really important to identify, even early on, to identify if the patient has post-stroke depressive symptoms like feelings of sadness, loneliness, loss of energy, or eating or sleeping disorders. So these are the symptoms. So even they can have suicidal thoughts, so if you detect, you have to screen early on, and sometimes it occurs at one month and even three months, so you have to, if there’s initially no condition or depressive symptoms, you have to follow up and screen again during the succeeding months. So best practices, you have to do a screening tool, a validated screening tool, and the most commonly used is the Hamilton Depression Scale, also the Hospital Anxiety and Depression Scale. These are sensitive tools in detecting, but as I said, if you don’t detect at the first few weeks, maybe during follow-up, you have to screen again the patient, but you know the prevalence differs, whether it’s a hospital-based screening or community-based screening, because in hospital-based or rehabilitation hospital, naturally, these are the more severe strokes, so the depression is higher, but if the patients are in the community-based, they’re back to their old self, they’re back to their old work, the depression is lower, so it depends on where you survey.
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