Published online May 19, 2023. doi: 10.5498/wjp.v13.i5.226
Peer-review started: March 8, 2023
First decision: March 28, 2023
Revised: April 8, 2023
Accepted: April 12, 2023
Article in press: April 12, 2023
Published online: May 19, 2023
Processing time: 72 Days and 7.2 Hours
Core Tip: Post stroke depression is one of the common complications of stroke patients. It affects stroke patients in the acute phase and also occurs in the rehabilitation phase, with an incidence rate of about 33%. However, many patients with post-stroke depression may still not be diagnosed and treated. It is currently believed that biological and psychological factors are involved in the occurrence and development of post-stroke depression. Risk factors of post-stroke depression include gender, psychiatric history, size and location of stroke, poor social support and degree of physical injury. Post-stroke depression may not only affect the emotional state and quality of life of patients, but also hinder the recovery of neurological function, and even increase the mortality of patients. Studies have shown that changes in ischemic hypoxia and brain cell damage are common mechanisms of stroke and post-stroke depression, so improving ischemic hypoxia may be an effective treatment. Diabetes is a chronic disease characterized by elevated blood sugar and other metabolic disorders. diabetes is associated with an increased risk of stroke and post-stroke depression.