- Almost 1 in 3 patients had an anxiety disorder within 1 year of suffering a stroke.
Why this matters
- Anxiety after a stroke gets less attention than other mental health disorders, and patients with stroke often express dissatisfaction with mental health services.
- Anxiety affects QoL and could put patients at greater risk of developing depression.
- It may be worth considering screening of patients with stroke for anxiety disorders.
- This systematic review (37 studies; n=13,756) and meta-analysis (31 studies) assessed patients during the first year after stroke.
- Funding: None disclosed.
- The overall pooled prevalence of anxiety during the first year of stroke was 29.3% (95% CI, 25.1%-33.5%; heterogeneity [I2], 97%; P<.00001>
- Pooling studies using Hospital Anxiety and Depression Scale-Anxiety showed a prevalence of 27.4% (95% CI, 22.5%-32.3%; I2, 97%; P <.00001>
- Prevalence of anxiety after:
- 0-2 weeks, 32.3% (95% CI, 22%-42.5%);
- 2 weeks-3 months, 24.1% (95% CI, 16.7%-31.4%); and
- 3-12 months, 23.8% (95% CI, 12.9%-34.7%).
- High heterogeneity.
- Most of the studies had a small sample size.
Coauthored with Chitra Ravi, MPharm