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Mental health
Resilience protects against depression in people affected by stroke
  1. Melissa Diaz1,
  2. Myriam Cadet1,
  3. Cindy Etienne2
  1. 1 Nursing, State University of New York Downstate Medical Center, Brooklyn, New York, USA
  2. 2 Nursing, SUNY Downstate Health Sciences University, Brooklyn, New York, USA
  1. Correspondence to Myriam Cadet, Nursing, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA; myriamjeancadet{at}

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Commentary on: Zhou X, Liu Z, Zhang W, et al. Resilience is associated with post-stroke depression in Chinese stroke survivors: a longitudinal study. J Affect Disord 2020.

Implications for research and practice

  • Future research needs to investigate the relationship between resilience and post-stroke depression, how it affects patient care and coping mechanisms during a crisis.

  • In clinical practice, nurses need to better understand how psychological resilience contributes to emotional distress, stress and poststroke anxiety and depression and be prepared to assess a patient's resilience to facilitate early and effective management of poststroke depression.


The Centers for Disease Control and Prevention (2020) acknowledged that after a stroke patients might present with long-term or lifelong disabilities that can take weeks, months or even years to develop.1 One of the long-term conditions associated with stroke is depression.1 Patients may need treatment, therapy and care poststroke depression (PSD) …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.