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Authors studied 198 patients with first-ever cerebral stroke. Affective disorders, including depression, generalized anxiety disorder (GAD) and phobias, were identified in 71.2% of patients. The study demonstrated that the anxiety syndrome developed in the post-stroke period may be regarded as relatively independent. Some post-stroke anxiety disorders had different risk and pathogenetic factors. GAD is associated with young age and phobias are associated with female sex and inherited predisposition. In contrast to post stroke depression, anxiety-phobic disorders develop more frequently in patients with mild stroke.

Different types of depression in patients who survived cerebral stroke and their influence on the rehabilitation process were studied. One hundred and fifteen patients were examined. The clinical heterogeneity of post-stroke depression was shown. A clinical analysis allowed to find different nosological and psychopathological forms of depressive disorders. Two main nosological forms of depression--reactive and endoreactive--were found. The liability to affective disorders exerts the influence on the development of depression; reactive depression is related with more severe functional damage. Depression, in particular reactive one, has an unfavorable effect on the rehabilitation of neurological deficit and ability to self-service.