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Screening for mood disorders after stroke: feasibility of a community-based pathway

Title: Screening for mood disorders after stroke: feasibility of a community-based pathway
Authors: Garcia Silva, Octavio; Marsden, Dianne Lesley; Rajan, Shalini; Raveendran, Vinodkumar; Chew, Beng Lim Alvin; Hasnain, Md Golam; Levi, Christopher R; Parsons, Mark W; Spratt, Neil; Garcia Esperon, Carlos
Source: BMJ Neurology Open ; volume 8, issue 1, page e001495 ; ISSN 2632-6140
Publisher Information: BMJ
Publication Year: 2026
Description: Objective To assess the prevalence of anxiety and depression 4–6 months poststroke, examine whether demographic factors were associated with response status, and evaluate feasibility outcomes, including acceptability and utility, of a poststroke mood disorder screening programme. Methods This prospective cohort study included patients aged ≥18 years discharged with ischaemic stroke, transient ischaemic attack or intracerebral haemorrhage between October 2022 and February 2024 from a comprehensive stroke centre in New South Wales, Australia. Exclusion criteria were (a) current or recent patient of a multidisciplinary rehabilitation team, (b) receipt of postdischarge mental health services, (c) discharge to a residential aged care facility, (d) end-of-life care or (e) residence outside the health district. Eligible patients were mailed validated mood screening tools. High-scoring patients meeting predefined criteria were referred to a rapid-access psychiatry clinic. Results Of 825 patients identified, 485 were eligible and 236 (49%) responded. Responders were older than non-responders (median 75 vs 71 years, p
Document Type: article in journal/newspaper
Language: English
DOI: 10.1136/bmjno-2025-001495
Availability: https://doi.org/10.1136/bmjno-2025-001495; https://syndication.highwire.org/content/doi/10.1136/bmjno-2025-001495
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.6666FFBF
Database: BASE