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Emotions after stroke: A narrative update.

José M Ferro1,2, Ana C Santos3

  • 1Serviço de Neurologia, Departamento de Neurociências e Saúde Mental, Hospital Santa Maria-,Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.

International Journal of Stroke : Official Journal of the International Stroke Society
|October 5, 2019
PubMed
Summary
This summary is machine-generated.

Stroke significantly impacts emotions, causing disturbances like fear and anger. While management evidence is weak, antidepressants show promise for emotional expression control issues in stroke survivors.

Keywords:
Strokeangerapathyemotionemotional expressionemotionalismempathyfearindifferencesadness

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Area of Science:

  • Neurology
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Stroke frequently leads to emotional disturbances, affecting patient well-being and social reintegration.
  • Understanding post-stroke emotional changes is crucial for effective patient care and support.

Purpose of the Study:

  • To review and describe the emotional effects of stroke.
  • To update knowledge on emotional disturbances following stroke.

Main Methods:

  • Narrative review of literature.
  • Searched Medline (2013-2019), personal files, and references.
  • Included systematic reviews, randomized controlled trials, and relevant publications.

Main Results:

  • Post-stroke emotional responses can be dissociated from cognitive and affective experiences.
  • Common disturbances include fear, anger, indifference, and impaired emotional control.
  • Evidence for managing most emotional disorders post-stroke is weak, except for emotional expression control, where antidepressants are beneficial.

Conclusions:

  • Current understanding of post-stroke emotional disorders is limited and heterogeneous.
  • Multidisciplinary research is needed to improve management strategies.
  • Addressing emotional disturbances is vital for social reintegration and reducing caregiver burden.