Best Practices for the Interdisciplinary Rehabilitation Team: A Review of Mental Health Issues in Mild Stroke Survivors

• Type of Material: Article
• Authors: Alexandra L. Terrill, University of Utah; Jaclyn K. Schwartz, Florida International University; Samir R Belagaje, Emory University
• Language: English
• Date: 2018-06-04
• Publisher: Hindawi Publishing Corporation
• Publication Version: Final Published Version
• Copyright Statement: © 2018 Alexandra L. Terrill et al.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1155/2018/6187328
• Title of Journal or Parent Work: Stroke Research and Treatment
• ISSN: 2090-8105
• Volume: 2018
• Start Page: 6187328
• End Page: 6187328
• Grant/Funding Information: This work was supported by the Utah StrokeNet Research Training and Career Development Program [NIH NINDS #5U10NS086606-03].
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Occupational Health and Safety; Health Sciences, Rehabilitation and Therapy

Abstract

Individuals with mild strokes are generally considered fully functional and do not traditionally receive rehabilitation services. Because patients with mild stroke are assumed to have a good recovery, they may have deficits in other areas, including mental health, that are not addressed. As a result, patients with mild stroke are unable to meet quality of life standards. In addition, healthcare professionals are likely unaware of the potential mental health issues that may arise in mild stroke. To address this gap in knowledge, we review the evidence supporting mental health evaluation and intervention in mild stroke. Specifically, we review comorbid diagnoses including depression, anxiety, fatigue, and sleep disturbances and their potential effects on health and function. Finally, we conclude with general recommendations describing best practice derived from current evidence.