EXECUTIVE FUNCTION AND DEPRESSIVE SYMPTOMS IN PATIENTS WITH ISCHEMIC STROKE

Previous research has demonstrated impairment following stroke, including depressive symptoms (Herrmann et al., 2011; O'Brien et al., 2003; Robinson, 2006; Robinson & Spalletta, 2010; Teper & O'Brien, 2008) and cognitive impairment, particularly in executive function (Canning, Leach, Stuss, Ngo, & Black, 2004; Carew, Lamar, Cloud, Grossman, & Libon, 1997; Garrett et al., 2004; Kertesz & Clydesdale, 1994; Lafosse et al., 1997; Madureira, Guerreiro, & Ferro, 2001; Padovani et al., 1995; Su, Lin, Kwan, & Guo, 2008). Current research is limited by the use of primarily patients in the hospital with multiple types of stroke and physical impairment. Additionally, a conceptualization of executive function by Stuss and colleagues (Stuss, Shallice, Alexander, & Picton, 1995) has not been thoroughly investigated utilizing factor analytic techniques. The current study attempted to expand research on executive function and depressive symptoms in individuals with ischemic stroke. This study examined performance on measures of executive function, memory, language, and visuospatial ability, along with measurement of depressive symptoms in participants with ischemic stroke and healthy matched control participants. Results revealed that participants with stroke performed significantly worse in all cognitive domains than control participants. More specifically, in participants with stroke, executive function was more impaired than memory, language, and visuospatial ability. A regression analysis did not find that depressive symptoms accounted for additional variance in executive function above x demographic factors. Two and three factor models of executive function were not supported; the data more closely resembled a one factor model of executive function.PH.D in Psychology, July 201