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Publication Name World Journal of Psychiatry
Manuscript ID 115996
Country China
Received
2025-10-31 05:41
Peer-Review Started
2025-10-31 05:41
First Decision by Editorial Office Director
2025-11-14 02:02
Return for Revision
2025-11-14 02:02
Revised
2026-01-09 18:18
Publication Fee Transferred
Second Decision by Editor
2026-02-02 03:01
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-02 04:58
Articles in Press
2026-02-02 04:58
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-15 10:28
Publish the Manuscript Online
2026-05-28 08:52
ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychology, Multidisciplinary
Manuscript Type Review
Article Title Post-stroke depression update 2025: Mechanisms, prediction, and management
Manuscript Source Invited Manuscript
All Author List Jia-Xi Gu, Chao-Qiang Liu, Guang-Xi Chen, Tao Yao, Zhao-Xia Sun and Yong Wang
ORCID
Author(s) ORCID Number
Yong Wang http://orcid.org/0009-0001-0953-5824
Funding Agency and Grant Number
Corresponding Author Yong Wang, Researcher, Department of Internal Medicine, Yanbian University Hospital, No. 1327 Juzi Road, Yanji 133000, Jilin Province, China. wangyong0327ybu@163.com
Key Words Post-stroke depression; Risk factors; Neuroinflammation; Gut-brain axis; Precision medicine
Core Tip Post-stroke depression risk is refined by emerging biomarkers like vitamin D deficiency, hyperhomocysteinemia, and insulin resistance, alongside traditional factors. Multi-omics and artificial intelligence-driven models integrating clinical, neuroimaging, and inflammatory data show high predictive potential for precision stratification. Mechanistically, microglial/astrocytic polarization-driven neuroinflammation and gut-brain axis dysregulation are key therapeutic targets. Beyond first-line selective serotonin reuptake inhibitors, agomelatine, vitamin D supplementation, anti-inflammatory strategies, and evidence-based traditional Chinese medicine formulations that modulate neuro-immune crosstalk offer promising adjunctive treatments. A “predict-mechanism-intervene” paradigm is advocated to translate these advances into personalized management and improve long-term outcomes.
Publish Date 2026-05-28 08:52
Citation

Gu JX, Liu CQ, Chen GX, Yao T, Sun ZX, Wang Y. Post-stroke depression update 2025: Mechanisms, prediction, and management. World J Psychiatry 2026; 16(6): 115996

URL https://www.wjgnet.com/2220-3206/full/v16/i6/115996.htm
DOI https://dx.doi.org/10.5498/wjp.v16.i6.115996
Full Article (PDF) WJP-16-115996-with-cover.pdf
Manuscript File 115996_Auto_Edited_112811-YJP.docx
Answering Reviewers 115996-answering-reviewers.pdf
Audio Core Tip 115996-audio.mp3
Conflict-of-Interest Disclosure Form 115996-conflict-of-interest-statement.pdf
Copyright License Agreement 115996-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 115996-non-native-speakers.pdf
Supplementary Material 115996-supplementary-material.pdf
Peer-review Report 115996-peer-reviews.pdf
Scientific Misconduct Check 115996-scientific-misconduct-check.png
Scientific Editor Work List 115996-scientific-editor-work-list.pdf
CrossCheck Report 115996-crosscheck-report.pdf