TY - JOUR A1 - Ladwig, Simon A1 - Zhou, Zien A1 - Xu, Ying A1 - Wang, Xia A1 - Chow, Clara K. A1 - Werheid, Katja A1 - Hackett, Maree L. T1 - Comparison of treatment rates of depression after stroke versus myocardial infarction BT - a systematic review and meta-analysis of observational data JF - Psychosomatic medicine N2 - Objective Depression after stroke and myocardial infarction (MI) is common but often assumed to be undertreated without reliable evidence being available. Thus, we aimed to determine treatment rates and investigate the application of guidelines in these conditions. Methods Databases MEDLINE, EMBASE, PsycInfo, Web of Science, CINAHL, and Scopus were systematically searched without language restriction from inception to June 30, 2017. Prospective observational studies with consecutive recruitment reporting any antidepressant treatment in adults with depression after stroke or MI were included. Random-effects models were used to calculate pooled estimates of treatment rates. Results Fifty-five studies reported 32 stroke cohorts (n = 8938; pooled frequency of depression = 34%, 95% confidence interval [CI] = 29%-38%) and 17 MI cohorts (n = 10,767; pooled frequency of depression = 24%, 95% CI = 20%-28%). In 29 stroke cohorts, 24% (95% CI = 20%-27%) of 2280 depressed people used antidepressant medication. In 15 MI cohorts, 14% (95% CI = 8%-19%) of 2381 depressed people used antidepressant medication indicating a lower treatment rate than in stroke. Two studies reported use of psychosocial interventions, indicating that less than 10% of participants were treated. Conclusions Despite the high frequency of depression after stroke and MI and the existence of efficacious treatment strategies, people often remain untreated. Innovative strategies are needed to increase the use of effective antidepressive interventions in patients with cardiovascular disease. KW - depression KW - myocardial infarction KW - pharmacoepidemiology KW - stroke KW - treatment Y1 - 2018 U6 - https://doi.org/10.1097/PSY.0000000000000632 SN - 0033-3174 SN - 1534-7796 VL - 80 IS - 8 SP - 754 EP - 763 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Ladwig, Simon A1 - Volz, Matthias A1 - Werheid, Katja T1 - Depression ist weiblich – auch nach Schlaganfall? T1 - Depression is female - even after stroke? BT - Geschlechtervergleich von Diagnosehäufigkeit und depressiver Symptomatik im Quer- und Längsschnitt BT - Cross-sectional and longitudinal comparisons of gender effects in prevalence and depressive symptoms JF - Zeitschrift für Neuropsychologie N2 - Während Frauen in der Allgemeinbevölkerung ein höheres Depressionsrisiko aufweisen als Männer, ist die Forschungslage zu Geschlechterunterschieden nach Schlaganfall heterogen. Die vorliegende Längsschnittstudie untersucht Geschlechterunterschiede in der Häufigkeit von depressiven Störungen und Symptomen nach Schlaganfall. An zwei deutschen Rehabilitationszentren wurden N = 174 Schlaganfallpatienten und -patientinnen1 (n = 72 weiblich) rekrutiert und etablierte Risikofaktoren erfasst. Nacherhebungen fanden nach acht und 15 Monaten statt. Depressive Störungen und Symptome waren häufiger bei Frauen (48.2 %) als bei Männern (28.3 %) während der stationären Rehabilitation, jedoch nicht in den Folgeuntersuchungen. Etablierte Risikofaktoren beeinflussten geschlechtsunabhängig die Ausprägung depressiver Symptomatik. In Übereinstimmung mit aktuellen Meta-Analysen zeigten sich keine dauerhaften Geschlechterunterschiede bei Depression nach Schlaganfall. In der klinischen Praxis sollte die Affektlage von Schlaganfallpatienten geschlechtsunabhängig betrachtet werden. N2 - Depression in the general population is more frequent in women than in men. In depression after stroke however, evidence regarding gender differences is heterogeneous. This study investigates gender differences in frequencies of depressive disorders and symptoms after stroke. Patients (N = 174, n = 72 female) were recruited from two German rehabilitation clinics, assessed for established risk factors seven weeks post-ictus, and followed up eight and 15 months later. Depressive disorders and symptoms were more frequent in women (48.2%) than in men (28.3%) during rehabilitation, but not in follow-up assessments. Established risk factors influenced depressive symptoms irrespectively of gender. In accordance with current meta-analyses, no stable gender differences were found in depression after stroke. In clinical practice, emotional state should be monitored independently from gender. KW - Stroke KW - depression KW - gender KW - prospective longitudinal Y1 - 2018 U6 - https://doi.org/10.1024/1016-264X/a000225 SN - 1016-264X SN - 1664-2902 VL - 29 IS - 3 SP - 141 EP - 147 PB - Hogrefe CY - Bern ER - TY - JOUR A1 - Czerwon, Beate A1 - Hohlfeld, Annette A1 - Wiese, Heike A1 - Werheid, Katja T1 - Poster 185 : Facilitated processing of positive emotional information by verbal structural parallelisms ; an ERP study Y1 - 2009 UR - http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291469-8986 U6 - https://doi.org/10.1111/j.1469-8986.2009.00920.x SN - 0048-5772 ER - TY - CHAP A1 - Czerwon, Beate A1 - Hohlfeld, Annette A1 - Wiese, Heike A1 - Werheid, Katja T1 - The influence of complex verbal stimuli on emotion processing in youngerand older adults investigated by a cross-modal priming task - an ERP study T2 - Psychophysiology : journal of the Society for Psychophysiological Research KW - ERP KW - emotion KW - priming Y1 - 2011 SN - 0048-5772 VL - 48 SP - S59 EP - S59 PB - Wiley-Blackwell CY - Malden ER - TY - JOUR A1 - Czerwon, Beate A1 - Hohlfeld, Annette A1 - Wiese, Heike A1 - Werheid, Katja T1 - Syntactic structural parallelisms influence processing of positive stimuli evidence from cross-modal ERP priming JF - International journal of psychophysiology N2 - Language can strongly influence the emotional state of the recipient. In contrast to the broad body of experimental and neuroscientific research on semantic information and prosodic speech, the emotional impact of grammatical structure has rarely been investigated. One reason for this might be, that measuring effects of syntactic structure involves the use of complex stimuli, for which the emotional impact of grammar is difficult to isolate. In the present experiment we examined the emotional impact of structural parallelisms, that is, repetitions of syntactic features, on the emotion-sensitive "late positive potential" (LPP) with a cross-modal priming paradigm. Primes were auditory presented nonsense sentences which included grammatical-syntactic parallelisms. Visual targets were positive, neutral, and negative faces, to be classified as emotional or non-emotional by the participants. Electrophysiology revealed diminished LPP amplitudes for positive faces following parallel primes. Thus, our findings suggest that grammatical structure creates an emotional context that facilitates processing of positive emotional information. KW - Language KW - Emotion KW - Priming KW - ERP KW - Late positive potential KW - Structural parallelisms Y1 - 2013 U6 - https://doi.org/10.1016/j.ijpsycho.2012.10.014 SN - 0167-8760 SN - 1872-7697 VL - 87 IS - 1 SP - 28 EP - 34 PB - Elsevier CY - Amsterdam ER - TY - CHAP A1 - Czerwon, Beate A1 - Köhncke, Ylva A1 - Hohlfeld, Annette A1 - Wiese, Heike A1 - Werheid, Katja T1 - Parallelisms in grammatical structure modulate LPP AND N400 in an affecive priming paradigm with emotional faces and words T2 - Psychophysiology : journal of the Society for Psychophysiological Research Y1 - 2012 SN - 0048-5772 VL - 49 SP - S26 EP - S26 PB - Wiley-Blackwell CY - Hoboken ER -