{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:14:42Z","timestamp":1790392482384,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T00:00:00Z","timestamp":1172707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p>Objective: Sparse information is currently available about the incidence of the major psychiatric syndromes following a stroke and their long-term contribution to morbidity and mortality. This study was designed to determine: (1) the incidence of first ever mental health disorder in amongst stroke patients; (2) the 10-year mortality associated with incident post-stroke mental health disorders.<\/jats:p>\n                  <jats:p>Methods: Design: Retrospective cohort study. Setting: Entire Western Australian community. Participants: First-ever stroke in 1990. Subjects with a prior recorded history of any mental health disorder were excluded from the study. Main outcomes of interest: Incident mental health diagnoses and 10-year mortality.<\/jats:p>\n                  <jats:p>Results: 1,129 hospital stroke contacts were recorded in 1990, with 21 people dying on the same day of contact. Between 1990-2002 36.6% of the survivors received a mental health diagnosis (6.1 per 1,000 person-years): alcohol-related disorders (16.2%), dementia (12.1%), delirium (7.6%), psychotic disorders (6.7%), and depression (5.5%). Mental health disorder onset was usually within 6 months of the stroke. Patients with an incident psychotic disorder were twice as likely to die during the subsequent 10 years as post-stroke controls with no mental health disorder (risk ratio = 2.03, 95%CI = 1.39-2.95). Being a widow (HR = 1.61, 95%CI = 1.13-2.30) or having been born in \u2018other countries\u2019 as opposed to Australia (HR = 1.56, 95%CI = 1.15-2.11) was also associated with increased death hazard.<\/jats:p>\n                  <jats:p>Conclusions: Approximately 1 in 3 patients develop a mental health disorder after stroke, although incidence estimates are relatively low. Post-stroke psychosis is associated with greater 10-year mortality, but the mechanisms underlying such an association are yet to be determined.<\/jats:p>","DOI":"10.1080\/00048670601172772","type":"journal-article","created":{"date-parts":[[2007,3,30]],"date-time":"2007-03-30T00:28:58Z","timestamp":1175214538000},"page":"274-281","source":"Crossref","is-referenced-by-count":71,"title":["Mortality Associated with Incident Mental Health Disorders After Stroke"],"prefix":"10.1177","volume":"41","author":[{"given":"Osvaldo P.","family":"Almeida","sequence":"first","affiliation":[{"name":"WA Centre for Health and Aging, University of Western Australia, 35 Stirling Highway, Crawley, WA, 6009, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianguo","family":"Xiao","sequence":"additional","affiliation":[{"name":"Epidemiology Branch, Department of Health, Perth, Western Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,3,1]]},"reference":[{"key":"bibr1-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.9.2080"},{"key":"bibr2-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2004.00297.x"},{"key":"bibr3-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000127810.92616.78"},{"key":"bibr4-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.5.581"},{"key":"bibr5-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000017285.73172.91"},{"key":"bibr6-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.10.1133"},{"key":"bibr7-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.1999.tb01299.x"},{"key":"bibr8-00048670601172772","volume-title":"Social Indicators for Regional Australia","author":"Bray RB","year":"2001"},{"key":"bibr9-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.6.858"},{"key":"bibr10-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.3.320"},{"key":"bibr11-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(03)00423-2"},{"key":"bibr12-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.3.1.6"},{"key":"bibr13-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1097\/00019052-200202000-00009"},{"key":"bibr14-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.14.1753"},{"key":"bibr15-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(91)91284-X"},{"key":"bibr16-00048670601172772","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v64n0205"},{"key":"bibr17-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1159\/000080770"},{"key":"bibr18-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(86)90064-2"},{"key":"bibr19-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)00149-N"},{"key":"bibr20-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2741"},{"key":"bibr21-00048670601172772","volume-title":"The impact of migration on Western Australia's population","author":"Australian Bureau of Statistics","year":"2004"},{"key":"bibr22-00048670601172772","volume-title":"Australia's health 2006","author":"Australian Institute of Health and Welfare","year":"2006"},{"key":"bibr23-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799002391"},{"key":"bibr24-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.1.79"},{"key":"bibr25-00048670601172772","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00602.x"}],"container-title":["Australian &amp; 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