Review
Copyright ©The Author(s) 2025.
World J Psychiatry. Jul 19, 2025; 15(7): 107598
Published online Jul 19, 2025. doi: 10.5498/wjp.v15.i7.107598
Table 3 Comparison of etiology for poststroke depression

Inflammation
Abnormal neurotrophic response, glutamate excitotoxicity
Brain network dysfunction, lesion location
Cerebral small vessel disease
Decreased levels of monoamines
Psychosocial factors
MechanismExtracellular, intracellularExtracellular, intracellularExtracellularExtracellularExtracellularEnvironmental, interpersonal
Main study subjectsAnimalsAnimalsHumanHumanHumanHuman
Study samplesSmallerSmallerLargerLargerLargerLarger
Study designExperimental, comparativeExperimental, comparativeComparative, systematic reviewComparative, cohort studyComparative, cross sectionalCohort study, systematic review
Linked to depressive symptoms in studyNot yetNot yetYesNot yetYesYes
Role in major depressionSignificantSignificantLess significantSignificantSignificantSignificant
Role in poststroke depressionSignificant, within 6 months after strokeSignificant, within 6 months after strokeSignificant, within 6 months after strokeSignificant, within 6 months after strokeSignificant, within 6 months after strokeSignificant, impact is greater after 6 months