Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis
Background and Purpose. Anxiety affects 25% of stroke survivors. There are no effective treatments. Poststroke depression, prestroke anxiety and depression, locus of control, coping, confidence, fatigue, and sleep are factors that may be associated with poststroke anxiety and can potentially be targ...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2017/2124743 |
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| _version_ | 1849685788028043264 |
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| author | Francesca Wright Simiao Wu Ho-Yan Yvonne Chun Gillian Mead |
| author_facet | Francesca Wright Simiao Wu Ho-Yan Yvonne Chun Gillian Mead |
| author_sort | Francesca Wright |
| collection | DOAJ |
| description | Background and Purpose. Anxiety affects 25% of stroke survivors. There are no effective treatments. Poststroke depression, prestroke anxiety and depression, locus of control, coping, confidence, fatigue, and sleep are factors that may be associated with poststroke anxiety and can potentially be targeted by therapy. We systematically reviewed the literature and performed a meta-analysis to identify associations with these factors. Methods. We searched electronic databases from January 2014 to July 2015 to complement a literature search performed from inception to May 2014. Study quality was assessed using an internationally endorsed checklist. We used odds ratios (ORs) to estimate the strength of associations and random-effects modelling to calculate summary effect sizes. Results. There were 24 studies recruiting 15448 patients. Quality of reporting was satisfactory. 13 studies with 2408 patients reported associations between poststroke anxiety and poststroke depression (OR=4.66, 95% confidence interval: 2.23, 9.74). One study reported association with prestroke anxiety, three with prestroke depression, one with fatigue, and two with sleep. No studies reported on locus of control, coping, or confidence. Conclusion. Poststroke anxiety was associated with depression but there are limited data on other modifiable associations. Further research is needed to identify potential targets for treatment. |
| format | Article |
| id | doaj-art-c73f8db4b6c344ba8f63aec6b447c2ba |
| institution | DOAJ |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-c73f8db4b6c344ba8f63aec6b447c2ba2025-08-20T03:22:58ZengWileyStroke Research and Treatment2090-81052042-00562017-01-01201710.1155/2017/21247432124743Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-AnalysisFrancesca Wright0Simiao Wu1Ho-Yan Yvonne Chun2Gillian Mead3University of Edinburgh, Edinburgh, UKCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UKCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UKCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UKBackground and Purpose. Anxiety affects 25% of stroke survivors. There are no effective treatments. Poststroke depression, prestroke anxiety and depression, locus of control, coping, confidence, fatigue, and sleep are factors that may be associated with poststroke anxiety and can potentially be targeted by therapy. We systematically reviewed the literature and performed a meta-analysis to identify associations with these factors. Methods. We searched electronic databases from January 2014 to July 2015 to complement a literature search performed from inception to May 2014. Study quality was assessed using an internationally endorsed checklist. We used odds ratios (ORs) to estimate the strength of associations and random-effects modelling to calculate summary effect sizes. Results. There were 24 studies recruiting 15448 patients. Quality of reporting was satisfactory. 13 studies with 2408 patients reported associations between poststroke anxiety and poststroke depression (OR=4.66, 95% confidence interval: 2.23, 9.74). One study reported association with prestroke anxiety, three with prestroke depression, one with fatigue, and two with sleep. No studies reported on locus of control, coping, or confidence. Conclusion. Poststroke anxiety was associated with depression but there are limited data on other modifiable associations. Further research is needed to identify potential targets for treatment.http://dx.doi.org/10.1155/2017/2124743 |
| spellingShingle | Francesca Wright Simiao Wu Ho-Yan Yvonne Chun Gillian Mead Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis Stroke Research and Treatment |
| title | Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis |
| title_full | Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis |
| title_fullStr | Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis |
| title_short | Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis |
| title_sort | factors associated with poststroke anxiety a systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2017/2124743 |
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