Evidence map›Paper›PMID 42088930›Full record

ReviewPatient preference and adherence2026

Person-Centered Approaches for Identifying Subgroups of Post-Stroke Depression: A Systematic Review of Observational Studies.

Dan Shi, Min Zhou, Li Zou

Abstract readReview
In one paragraph

Review in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Dan Shi *School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu, People's Republic of China.ORCID 0000-0003-1570-2008
Min Zhou *Nursing Department, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China.ORCID 0009-0006-0582-7885
Li ZouNursing Department, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China.ORCID 0009-0009-2556-1369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Current management for post-stroke depression (PSD) mainly relies on the severity of depression, insufficiently capturing PSD's clinical heterogeneity. No previous systematic review has jointly synthesized cross-sectional and longitudinal observational studies using person-centered approaches to identify PSD subgroups. This systematic review synthesizes evidence from these studies employing person-centered approaches to characterize PSD subgroups. Methods: Comprehensive searches were conducted in nine databases from the inception to September 2025. Observational studies using person-centered approaches to subgroup PSD were included. Two reviewers independently performed data extraction and study quality assessment using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: Eleven articles (9 unique cohorts; N = 6729) were included. Cross-sectional studies (4 studies; N = 1400) identified four symptom-based subgroups: low depressive symptoms (46.6%), emotional depressive symptoms (9.4%), atypical depressive symptoms (23.2%), and widespread depressive symptoms (20.8%). Longitudinal studies (5 studies; N = 5329) revealed four trajectory-based subgroups: low and stable/decreasing (59.7%), low but increasing (17.8%), high and stable/increasing (13.6%), and initially high/moderate but declining (8.9%). Latent transition analysis (2 studies; N = 886) showed greater subgroup fluidity within 6-month post-stroke, followed by increasing stability. Predictors of more severe/persistent subgroups included social-demographic, clinical and physiological factors. One study found that all non-low-stable trajectories were associated with significantly increased 10-year mortality (hazard ratios: 1.38-2.62). Conclusion: Person-centered approaches can effectively delineate latent subgroups of PSD characterized by distinct symptom manifestations and trajectories. Findings of this review support a shift away from one-size-fits-all, total-score-based management toward a more nuanced, symptom- and trajectory-informed framework for PSD. Systematic Review Registration: CRD420251273568.

Indexed as

heterogeneitylatent class analysisperson-centered analysispost-stroke depressionprecision psychiatrysymptom trajectories

Identifiers

PMID42088930
PMCPMC13138262

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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.