A recent preliminary study presented at the American Stroke Association's International Stroke Conference 2025 reveals that children who have suffered an ischemic stroke may experience significantly higher rates of mental health challenges compared to their peers. Researchers from The Hospital for Sick Children in Toronto conducted a retrospective analysis of 161 school-age children who experienced an ischemic stroke between 2002 and 2020, uncovering concerning patterns in psychological outcomes among this vulnerable population.
The comprehensive analysis found that 13% of childhood stroke survivors showed signs of depression, 13.7% exhibited anxiety, and 17.4% experienced somatization—physical symptoms like stomach aches and headaches that often stem from psychological distress. The median age of greatest vulnerability for mental health disorders was identified between 8.5 and 9.6 years old, providing crucial information for timing interventions. Children who were older than 2 at the time of stroke onset were more likely to show signs of somatization, suggesting age at stroke may influence the type of mental health challenges that emerge.
Study coauthor Nomazulu Dlamini emphasized that psychological symptoms are often underrecognized in children, making this research particularly valuable for identifying at-risk populations. The research aims to identify which children are at higher risk and develop interventions to support their mental health and improve their quality of life. Jennifer Crosbie, another study coauthor, noted that while significant progress has been made in managing physical outcomes of childhood stroke, the long-term mental health effects are now becoming more apparent through studies like this one presented at the American Stroke Association's International Stroke Conference 2025.
Heather J. Fullerton, who was not involved in the study, highlighted the novel finding of high somatization prevalence in young stroke survivors. She recommended proactive mental health screenings for all childhood stroke survivors older than 2 years, suggesting that early detection could significantly improve outcomes. The study's limitations include its single-site nature and reliance on questionnaire-based assessments rather than clinical evaluations, indicating the need for broader, more comprehensive research. However, the findings underscore the critical need for comprehensive mental health monitoring in children who have experienced a stroke, potentially changing how healthcare providers approach long-term care for these patients.
