Talk:Post-stroke depression

need help

i have started this but i need help with the layout. i have taken it from my thesis simplified a lot. but maybe still too academical?

When bad things happen to people, they tend to be depressed. In case of a stroke, cancer and other severely life-threatening diseases, the blast comes "from within" and creates a big deal of anxiety and depression, with a severity depending on a million things of which none have anything to do with a mental disorder. Especially not a mental disorder entirely made up, pulled out of noses and voted for and against by the makers of the DSM in order to promote medication, which is more or less the sole purpose of the DSM - to monetize perfectly normal human conditions and reactions by conceptualizing, marketing and exploiting an ever skyrocketing number of "mental disorders" that allegedly need medication. Pretty much nothing of that is based on real science (but it has tricked real science to swallow the BS in many places), so the article can't really be "too academic" or something. It's just a new label for an already existing and well-known kind of human reaction and like all made-up BS, it does not have any encyclopedic value or meaning. Sorry, but IMHO the article should be deleted and the term should redirect to "disease mongering". --80.171.134.192 (talk) 11:14, 6 November 2011 (UTC)

Additional sources for future use

I may work on improving this article in the near future. This is a working list of WP:MEDRS I might use. —Shelley V. Adams ‹blame
credit› 03:04, 8 June 2020 (UTC)

• Khan, Fary (October 2004). "Poststroke Depression" (PDF). Australian Family Physician. 33 (10): 831–834. PMID 15532160.
• Robinson, Robert G.; Spalletta, Gianfranco (June 2010). "Poststroke Depression: A Review". Canadian Journal of Psychiatry. 55 (6): 341–349. doi:10.1177/070674371005500602. PMC 3647458. PMID 20540828.
• Sun, Yefei; Liang, Yifan; Jiao, Yang; Lin, Jueying; Qu, Huiling; Xu, Junjie; Zhao, Chuansheng (3 August 2017). "Comparative Efficacy and Acceptability of Antidepressant Treatment in Poststroke Depression: A Multiple-Treatments Meta-Analysis". BMJ Open. 7 (8): e016499. doi:10.1136/bmjopen-2017-016499. PMC 5629745. PMID 28775189.

Full re-write

I am going to do a full rewrite of this article, as it is not up to standard, and editing would likely be more difficult than starting from scratch. Just-a-can-of-beans (talk) 19:13, 4 November 2024 (UTC)

Rewrite complete. Further edits are welcomed. Just-a-can-of-beans (talk) 20:47, 4 November 2024 (UTC)

GA Review

This review is transcluded from Talk:Post-stroke depression/GA1. The edit link for this section can be used to add comments to the review.

Nominator: Just-a-can-of-beans (talk · contribs) 18:40, 18 November 2024 (UTC)

Reviewer: IntentionallyDense (talk · contribs) 19:21, 18 November 2024 (UTC)

A medical GAN that's also a disorder???? My favourite! I'll get around to reviewing this within the next 2-3 days but expect some initial comments at some point today (hopefully). IntentionallyDense ^(Contribs) 19:21, 18 November 2024 (UTC)

Thank you very much! Just-a-can-of-beans (talk) 19:42, 18 November 2024 (UTC)

Rate	Attribute	Review Comment
1. Well-written:
	1a. the prose is clear, concise, and understandable to an appropriately broad audience; spelling and grammar are correct.
	1b. it complies with the Manual of Style guidelines for lead sections, layout, words to watch, fiction, and list incorporation.
2. Verifiable with no original research, as shown by a source spot-check:
	2a. it contains a list of all references (sources of information), presented in accordance with the layout style guideline.	IntentionallyDense (Contribs) 21:33, 18 November 2024 (UTC)
	2b. reliable sources are cited inline. All content that could reasonably be challenged, except for plot summaries and that which summarizes cited content elsewhere in the article, must be cited no later than the end of the paragraph (or line if the content is not in prose).	IntentionallyDense (Contribs) 20:01, 20 November 2024 (UTC)
	2c. it contains no original research.	IntentionallyDense (Contribs) 20:01, 20 November 2024 (UTC)
	2d. it contains no copyright violations or plagiarism.	IntentionallyDense (Contribs) 20:01, 20 November 2024 (UTC)
3. Broad in its coverage:
	3a. it addresses the main aspects of the topic.
	3b. it stays focused on the topic without going into unnecessary detail (see summary style).
	4. Neutral: it represents viewpoints fairly and without editorial bias, giving due weight to each.
	5. Stable: it does not change significantly from day to day because of an ongoing edit war or content dispute.	IntentionallyDense (Contribs) 21:33, 18 November 2024 (UTC)
6. Illustrated, if possible, by media such as images, video, or audio:
	6a. media are tagged with their copyright statuses, and valid non-free use rationales are provided for non-free content.	IntentionallyDense (Contribs) 21:33, 18 November 2024 (UTC)
	6b. media are relevant to the topic, and have suitable captions.	IntentionallyDense (Contribs) 21:33, 18 November 2024 (UTC)
	7. Overall assessment.

Initial comments

• This article looks a little short and I was able to find quite a few extra sources not used upon a quick google search. I'm not saying that this article doesn't go into enough depth, since I haven't fully assessed that yet, however I'm wondering if there is some information missing here? I'll list the other sources I found in case you want to see if they can add to the article:
  • Robinson, Robert G.; Jorge, Ricardo E. (2016-03-01). "Post-Stroke Depression: A Review". American Journal of Psychiatry. 173 (3): 221–231. doi:10.1176/appi.ajp.2015.15030363. ISSN 0002-953X.
  • Towfighi, Amytis; Ovbiagele, Bruce; El Husseini, Nada; Hackett, Maree L.; Jorge, Ricardo E.; Kissela, Brett M.; Mitchell, Pamela H.; Skolarus, Lesli E.; Whooley, Mary A.; Williams, Linda S. (2017). "Poststroke Depression: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke. 48 (2). doi:10.1161/STR.0000000000000113. ISSN 0039-2499.
  • Guo, Jianglong; Wang, Jinjing; Sun, Wen; Liu, Xinfeng (2022). "The advances of post-stroke depression: 2021 update". Journal of Neurology. 269 (3): 1236–1249. doi:10.1007/s00415-021-10597-4. ISSN 0340-5354.
  • Espárrago Llorca, G.; Castilla-Guerra, L.; Fernández Moreno, M.C.; Ruiz Doblado, S.; Jiménez Hernández, M.D. (2015). "Post-stroke depression: an update". Neurología (English Edition). 30 (1): 23–31. doi:10.1016/j.nrleng.2012.06.006.
  • Villa, Roberto Federico; Ferrari, Federica; Moretti, Antonio (2018). "Post-stroke depression: Mechanisms and pharmacological treatment". Pharmacology & Therapeutics. 184: 131–144. doi:10.1016/j.pharmthera.2017.11.005.
  • Wei, Na; Yong, Wu; Li, Xinyan; Zhou, Yafan; Deng, Manfei; Zhu, Houze; Jin, Huijuan (2015). "Post-stroke depression and lesion location: a systematic review". Journal of Neurology. 262 (1): 81–90. doi:10.1007/s00415-014-7534-1. ISSN 0340-5354.
• I noticed you didn't stick with the typically used Template:Article templates/Medical condition. There's no issue with this I'm just a bit curious as to why? IntentionallyDense ^(Contribs) 21:33, 18 November 2024 (UTC)

  Thank you. I'll go through these tonight and try to expand the page with them. As for not sticking with the template, I simply organized it in a way that felt natural to me, probably following some mental map of the academic medical sources I'm always studying as a medical student. Just-a-can-of-beans (talk) 20:47, 20 November 2024 (UTC)

  I have incorporated several of these and expanded the page considerably, adding two new sections. I do wonder if the symptoms section is appropriate for this page, though, given that a much more thorough breakdown is provided on the major depressive disorder page. Do you feel that the new section is appropriate? Relevant: WP:DETAIL Just-a-can-of-beans (talk) 22:50, 20 November 2024 (UTC)

  I think it's appropriate but I would have been happy with just one paragraph. Thanks for adding in some info, the article looks more thorough now. As I mentioned, no issues with the format, just curious! I'll continue with my review now. IntentionallyDense ^(Contribs) 03:16, 21 November 2024 (UTC)

Source review

• PSD has a reported incidence of 18% to 33%,[1] though it is commonly underdiagnosed due to overlapping symptoms between stroke and depression. I would move the ref to the end of this sentence unless there is some reason you haven't. IntentionallyDense ^(Contribs) 20:01, 20 November 2024 (UTC)

  Fixed this and the female gender change Just-a-can-of-beans (talk) 20:50, 20 November 2024 (UTC)

• Female gender -> Female sex as the source says sex not gender. IntentionallyDense ^(Contribs) 20:01, 20 November 2024 (UTC)
• This influx can lead to neuronal death, contributing to brain damage of the emotional regulation and reward pathways, leading to the development of depression. appears to be unsourced. IntentionallyDense ^(Contribs) 20:01, 20 November 2024 (UTC)

  Fixed. I tried to find a non-textbook source completely covering this topic, but figure 451-3 and the associated section in Harrison's Internal Med really is the best overview I can find. Just-a-can-of-beans (talk) 21:15, 20 November 2024 (UTC)

• Checked [1], [2], [3], and [4] and found no issues aside from what I have mentioned above. IntentionallyDense ^(Contribs) 20:01, 20 November 2024 (UTC)

Prose and depth

• In the lead I would suggest you include that the symptoms mimic those of depression as well as a bit about diagnosis, epidemiology and outlook (if that is well studied). One sentence for each of those topics should be good. I would also mention that the mechanism isn't fully known as that's the kind of info someone reading the lead may want to know. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• You repeat yourself quite a bit in the signs and symptoms section. Specifically with The severity and symptoms vary from person to person and which may be present in varying severity and number as well as most commonly involve a depressed mood and/or an overall loss of interest or pleasure in activities and 1. Down, sad, or depressed mood 2. Anhedonia (loss of interest or pleasure) I would be fine with you cutting this section to just Symptoms of post-stroke depression are the same as those of major depression.[1] The severity and symptoms vary from person to person, but definitionally and most commonly involve a depressed mood and/or an overall loss of interest or pleasure in activities. but it is up to you. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• though it is commonly underdiagnosed due to overlapping symptoms between stroke and depression could you expand on this? to a layperson I don't really see how the symptoms of stroke and depression overlap although I'm assuming you mean that the recovery from a disorder such as a stroke can be mentally challenging. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• include glutamate toxicity, HPA axis dysfunction, abnormal neurotrophic response, decreased monoamine levels I would spell out the full acronym for HPA in the first time it's used for clarity and wikilink the terms here instead of in the subsections but the wikilink part is more of a nitpick. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• Screening for PSD should be a standard, routine I know that medical literature often gives recommendations but in Wikipedia it sort of looks unneutral. If specific organizations or guidelines suggest this then I'd recommend rewording it to reflect that. Otherwise I'd suggest rewording so it doesn't include "should". IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• It is essential to differentiate PSD from post-stroke apathy (PSA). similar issue to above. Maybe word as "PSA can present similarly to PSD and is at risk for misdiagnosis" or something like that. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)
• I'm not sure that medication or CBT need to be bolded although that may be a bit of a nitpick. IntentionallyDense ^(Contribs) 03:32, 21 November 2024 (UTC)