Anxiety and depression may interfere with the recovery efforts of those who have suffered a subarachnoid hemorrhage stroke, according to new research.

A Dutch study found that nearly one-third of people who survived this type of stroke – in which a blood vessel in the brain ruptures and bleeds into the area between the skull and brain – felt anxiety during the first few years following the incident.

Meanwhile, 23 percent of respondents reported feeling depressed and 67 percent said they experienced fatigue.

The findings, published in the journal Stroke, suggested that it is important to look beyond physical aspects of recovery and include those related to mental health as well.

“These characteristics are important to planning rehabilitation and targeting an intervention to help improve quality of life,” said lead author Dr. Anne Visser-Meily, according to HealthDay News.

Anxiety can, on occasion, afflict many different people at various stages of life. To respond to anxiety, some people use breathing exercises such as meditation, while others turn to herbal supplements including passionflower and kava.