脑卒中是神经内科常见病、多发病,病死率及致残率很高,幸存者中的3/4不同程度丧失劳动能力,给病人的心理、社会功能,物质生活等方面带来很大的不良影响[1]。有报道脑卒中后抑郁的发生率为35%[2]。由于抑郁患者大都悲观失望,丧失信心,明显影响康复效果,因此了解这类患者的心理变 Stroke is a common disease in neurology, frequently-occurring disease, high mortality and disability, 3/4 of the survivors in varying degrees of incapacity, to the patient’s psychological, social function, material life and so bring a lot of Adverse effects [1]. It has been reported that the incidence of post-stroke depression is 35% [2]. Since depression patients are mostly disappointed, lose confidence, and significantly affect the rehabilitation effect, so understand the psychological changes in such patients