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Related Experiment Videos

Personality change after stroke: some preliminary observations.

J Stone1, E Townend, J Kwan

  • 1Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK. jstone@skull.dcn.ed.ac.uk

Journal of Neurology, Neurosurgery, and Psychiatry
|November 19, 2004
PubMed
Summary

Stroke survivors often experience personality changes, impacting carers. These changes, like increased frustration, are linked to carer distress and patient disability, highlighting the need for further research.

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Area of Science:

  • Neurology
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Stroke is a leading cause of long-term disability, often resulting in significant changes to a patient's personality.
  • The impact of these personality changes on family members and caregivers is substantial but not fully understood.
  • Understanding perceived personality shifts is crucial for comprehensive stroke care and support systems.

Purpose of the Study:

  • To document personality alterations observed in stroke patients from the perspective of their primary caregivers.
  • To investigate the relationship between perceived personality changes and factors such as emotional distress in patients and carers, stroke severity, and neurological characteristics.

Main Methods:

  • A cohort of stroke patients was assessed nine months post-stroke using a novel questionnaire administered to their main carer.

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  • Carers rated patients' pre-stroke and post-stroke personalities to identify changes.
  • Associations between personality change and emotional disorder (using the Hospital Anxiety and Depression Scale and psychiatric interviews), stroke classification, disability (Barthel Index, Nottingham Extended Activities of Daily Living Scale), and CT lesion characteristics were explored.

    • Main Results:

    • Carers reported significant personality changes in 35 stroke patients, including reduced patience, increased frustration, decreased confidence, and a less easy-going nature.
    • Greater perceived personality change correlated with interviewer-rated patient anxiety/depression, carer emotional disorder, and higher patient disability.
    • No significant association was found between personality change and self-rated patient emotional distress or CT lesion characteristics.

    Conclusions:

    • Caregivers frequently perceive significant personality changes in individuals following a stroke.
    • Perceived personality changes are linked to the emotional distress experienced by the caregiver.
    • Further research is essential to define 'personality change' in this context and identify contributing factors.