ATTEST-Depress: ATtention Test and Executive Functions After STroke to Predict Depression.
Study Details
Study Description
Brief Summary
The purpose of this study is to determine whether cognitive function evaluation (sustained attention, executive functions, working memory) during acute post-stroke is predictive of a 3 months post-stroke depression.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
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Baseline visit: after neurologic stability, 14 days or less after stroke and before discharge.
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First assessment :
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Neurologic data: morphologic data (MRI of the brain), stroke severity (NIHSScore), aphasia assessment (Boston Diagnostic Aphasia Examination) if NIHS verbal score ≥1, hemineglect assessment (Bells test).
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Personal data assessment :
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Socio demographic : age, gender, marital status, employment, level of education ii. Medical history: medical treatments, psychiatric and non psychiatric history.
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Psychiatric assessment i. Mini International Neuropsychiatric Interview - depression
- Beck Depression Inventory iii. Clinical Global Impression iv. Standardized Assessment of Personality - Abbreviated Scale (SAPAS) v. Fageström-C vi. Alcohol Use
Disorders Identification Test (AUDIT-C) d. Cognitive assessment: i. Verbal memory :
Dubois's five words ii. Clock drawing test iii. D2test (computerized) iv. Verbal fluency (Cardebat) v. Working memory (digit span WAIS 3) vi. Brixton (computerized)
- Assessment 3 months after the first assessment. Phone call and psychiatric assessment: MINI depression, Beck Depression Inventory. Barthel index and Quality of Life assessment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Patients Assessments are made by a psychiatrist |
Other: Thymic history
This interview concerns mainly the nature of the previous psychiatric and psychological care
Other: Evaluation of the psychiatric disorders
Mini International Neuropsychiatric Interview for the positive diagnosis of depression - under the MINI score of depression.
Other: Cognitive evaluation
They will be held consecutively to the patient's bedside interview on the same day. Some tests will be computerized, others will be in paper form.
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Outcome Measures
Primary Outcome Measures
- Post stroke depression [3 months]
Whether or not a post-stroke depression occurs. occurrence of post-stroke depression assessed with Mini International Neuropsychiatric Interview (MINI), subscale depression .
Secondary Outcome Measures
- Post-stroke depression population characterization [1 day]
Age, gender, marital status, occupation, level of education, laterality of stroke,and medical and psychiatric history will be collected during the inclusion interview and cognitive tests
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 18 or more
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Ischemic or hemorragic stroke, diagnosed with radiology : cerebral CT or MRI, 14 days or less after stroke
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Signed Consent
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Social insurance regime affiliation
Exclusion Criteria:
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Death
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No possibility of follow-up
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No French-speaker : insufficient command of French
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Deprivation of liberty : judicial or administrative decision
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D2 test assessment impossibility
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Aphasia with major disorder of the understanding (Boston <8)
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Antidepressant treatment during stroke
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Depression during stroke
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protected people
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Neurology service | Paris | France | 75014 |
Sponsors and Collaborators
- Centre Hospitalier St Anne
Investigators
- Study Director: Philip GORWOOD, MD, PhD, CHSA
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- D17-P02