Evidence map›Paper›PMID 34184539›Full record

ArticleJournal of the American Heart Association2021

Prevalence and Course of Depression During the First Year After Mild to Moderate Stroke.

Liming Dong, Linda S Williams, Devin L Brown, Erin Case, Lewis B Morgenstern, Lynda D Lisabeth

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Functional and Cognitive Occupational Therapy (FaCInternational journal of environmental research and public health · 2023
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  10. Comparative Study on the Neuroprotective Effects of Perindopril and Benazepril in Experimentally-induced Chronic Mild Stress in Rats.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Liming DongDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI.
Linda S WilliamsHealth Services Research and Development Center for Health Information and Communication Roudebush VA Medical Center Indianapolis IN.
Devin L BrownStroke Program University of Michigan Medical School Ann Arbor MI.
Erin CaseDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI.
Lewis B MorgensternDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI.
Lynda D LisabethDepartment of Epidemiology University of Michigan School of Public Health Ann Arbor MI.

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
University of Michigan Regional Coordinating Stroke CenterU24NS107214 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DEVIN L BROWN, PHILLIP SCOTT · 2018 to 2026
$2.7M
Sleep apnea health disparities in Mexican American stroke patientsR01NS070941 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2011 to 2015
$2.6M
NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS070941NINDS NIH HHS U24 NS107214
6 · The paper itself

Abstract

Background This study examined the prevalence and longitudinal course of depression during the first year after mild to moderate stroke. Methods and Results We identified patients with mild to moderate ischemic stroke or intracerebral hemorrhage (National Institutes of Health Stroke Scale score <16) and at least 1 depression assessment at 3, 6, or 12 months after stroke (n=648, 542, and 533, respectively) from the Brain Attack Surveillance in Corpus Christi project (2014-2016). Latent transition analysis was used to examine temporal profiles of depressive symptoms assessed by the 8-item Patient Health Questionnaire between 3 and 12 months after stroke. Mean age was 65.6 years, 49.4% were women, and 56.7% were Mexican Americans. The prevalence of depression after stroke was 35.3% at 3 months, decreased to 24.9% at 6 months, and remained stable at 25.7% at 12 months. Approximately half of the participants classified as having depression at 3 or 6 months showed clinical improvement at the next assessment. Subgroups with distinct patterns of depressive symptoms were identified, including mild/no symptoms, predominant sleep disturbance and fatigue symptoms, affective symptoms, and severe/all symptoms. A majority of participants with mild/no symptoms retained this symptom pattern over time. The probability of transitioning to mild/no symptoms was higher before 6 months compared with the later period, and severe symptoms were more likely to persist after 6 months compared with the earlier period. Conclusions The observed dynamics of depressive symptoms suggest that depression after stroke tends to persist after 6 months among patients with mild to moderate stroke and should be continually monitored and appropriately managed.

Indexed as

AgedDepressionFemaleHumansMaleMiddle AgedPrevalencePrognosisRisk AssessmentRisk FactorsSeverity of Illness IndexStrokeTexasTime Factorsdepressionepidemiologystroke

Identifiers

PMID34184539
PMCPMC8403325

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.