Effects of cortical lesion location on psychiatric consultation referral for depressed stroke inpatients

Int J Psychiatry Med. 1985;15(4):311-20. doi: 10.2190/c1d1-e4nk-dluh-8hvv.


Although post-stroke depression occurs with lesions to either cortical hemisphere, increasing evidence supports the view that depression is more prevalent after left hemispheric damage. This retrospective study of depressed post-stroke inpatients referred for psychiatric consultation shows a significantly higher referral rate for patients with right-hemispheric lesions. The results suggest an underutilization of psychiatric consultation to patients with left-sided lesions, and perhaps underrecognition of affective disorders in these patients. Various reasons for this underutilization are proposed, including the greater likelihood of speech impairment in left-sided brain-damaged stroke patients, who may have greater difficulty verbally communicating their psychic distress. Increased physician awareness of the clinical presentations of post-stroke depression will result in more patients benefitting from available treatments.

MeSH terms

  • Adult
  • Aged
  • Brain / pathology*
  • Cerebrovascular Disorders / complications*
  • Cerebrovascular Disorders / pathology
  • Cerebrovascular Disorders / therapy
  • Depressive Disorder / complications*
  • Depressive Disorder / pathology
  • Depressive Disorder / therapy
  • Dominance, Cerebral
  • Humans
  • Male
  • Middle Aged
  • Psychiatry*
  • Referral and Consultation*
  • Tomography, X-Ray Computed