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March 13, 2026European Journal of Preventive Cardiology1 citationsOpen Access

Depression following stroke and myocardial infarction: effective strategies and evidence gaps. A systematic review

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APArissa J PoostchiGCGeorge CollettAGAjay K Gupta

Key Result

Combined pharmacological and non-pharmacological interventions effectively reduce depression severity in recent stroke patients, but long-term efficacy in recent MI is unproven.

Key Points

  • To evaluate effective strategies for reducing depression following stroke and myocardial infarction.
  • Conducted a systematic review of existing interventions
  • Included pharmacological and non-pharmacological strategies
  • Assessed outcomes related to depression severity and risk
  • Holistic interventions are effective for reducing depression after stroke
  • Evidence is lacking for long-term effects of these strategies on myocardial infarction
  • Multidisciplinary approaches show promise in immediate post-stroke care

Structured PICO

Does a holistic, multidisciplinary approach encompassing pharmacological and non-pharmacological interventions reduce depression severity or risk in patients with recent stroke or myocardial infarction?

P
Population
Patients with recent stroke or recent myocardial infarction
I
Intervention
Holistic, multidisciplinary, and tailored approach encompassing pharmacological treatments together with non-pharmacological interventions (psychological therapy, device-based stimulation, and physical activity/exercise)
O
Outcome
Depression severity or riskpatient reported

Multidisciplinary interventions reduce depression after stroke, but evidence for long-term efficacy after myocardial infarction remains lacking.

Abstract

A holistic, multidisciplinary, and tailored approach encompassing pharmacological treatments together with non-pharmacological interventions (psychological therapy, device-based stimulation, and physical activity/exercise) is beneficial in reducing depression severity or risk amongst those with recent stroke, but there is a lack evidence for the long-term efficacy amongst those with recent MI.

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Cite This Study

Poostchi et al. (2026) studied this question. Combined pharmacological and non-pharmacological interventions effectively reduce depression severity in recent stroke patients, but long-term efficacy in recent MI is unproven.

synapsesocial.com/papers/69b3ace502a1e69014ccf063https://doi.org/10.1093/eurjpc/zwag144
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