{
  "abstract": "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<0.01), and there was a trend towards fewer males (58% vs 66%, p=0.052). Among responders, 84 (35%) scored above thresholds for anxiety and/or depression. Of these, 18 (21%) were referred to psychiatry; 14 attended, and 10 (71%) received interventions, including initiation of medication and/or referral to psychology.Conclusions Anxiety and depression were highly prevalent after stroke in our population. This pilot poststroke mood disorder screening was feasible, identified one in three responders with symptoms and led to targeted psychiatric interventions in the majority of those reviewed.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia"
      ],
      "name": "Octavio Garcia Silva"
    },
    {
      "affiliations": [
        "Hunter Stroke Services, Hunter New England Local Health District, New Lambton, New South Wales, Australia",
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Dianne Lesley Marsden"
    },
    {
      "affiliations": [
        "Liaison Psychiatry, John Hunter Hospital, New Lambton Heights, New South Wales, Australia"
      ],
      "name": "Shalini Rajan"
    },
    {
      "affiliations": [
        "Liaison Psychiatry, John Hunter Hospital, New Lambton Heights, New South Wales, Australia"
      ],
      "name": "Vinodkumar Raveendran"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia"
      ],
      "name": "Beng Lim Alvin Chew"
    },
    {
      "affiliations": [
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Md Golam Hasnain"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia",
        "Hunter Stroke Services, Hunter New England Local Health District, New Lambton, New South Wales, Australia",
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Christopher R Levi"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia",
        "Hunter Stroke Services, Hunter New England Local Health District, New Lambton, New South Wales, Australia",
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia",
        "Department of Neurology and Neurophysiology, Liverpool Hospital, Liverpool, New South Wales, Australia",
        "Sydney Brain Centre, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia"
      ],
      "name": "Mark W Parsons"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia",
        "Hunter Stroke Services, Hunter New England Local Health District, New Lambton, New South Wales, Australia",
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Neil Spratt"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia",
        "Hunter Stroke Services, Hunter New England Local Health District, New Lambton, New South Wales, Australia",
        "Hunter Medical Research Institute, New Lambton, New South Wales, Australia",
        "College of Health Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Carlos Garcia Esperon"
    }
  ],
  "title": "Screening for mood disorders after stroke: feasibility of a community-based pathway",
  "uid": "dc71e548-07fa-5284-9c13-c466c693558d"
}