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Post-stroke emotionalism (PSE): a qualitative longitudinal study exploring individuals' experience with PSE.
Sophie Fitzgerald1, Fergus Gracey1, Niall Broomfield1
1Department of Clinical Psychology, University of East Anglia, Norwich, UK.
Disability and Rehabilitation
|November 17, 2021
Summary
Post-stroke emotionalism (PSE) involves crying or laughing episodes after a stroke. This study explored PSE experiences to develop a framework for psychological interventions, identifying coping strategies and impacts.
Area of Science:
- Neurology
- Psychology
- Rehabilitation
Background:
- Post-stroke emotionalism (PSE) is a frequent condition following stroke.
- Existing qualitative research on PSE experiences is limited.
- Understanding PSE is crucial for effective patient support and rehabilitation.
Purpose of the Study:
- To explore the lived experiences of individuals with post-stroke emotionalism.
- To develop a client-derived theoretical framework for PSE.
- To inform the design of future psychological interventions for PSE.
Main Methods:
- Analysis of qualitative, semi-structured interview data from the TEARS study.
- Participants were recruited from nine acute stroke units in Scotland.
- Interviews were conducted at two weeks, six months, and 12 months post-stroke.
Main Results:
- Three key themes emerged: 'In the moment' (triggers and characteristics), 'Ways of coping' (avoidance, acceptance), and 'Impact' (long-term effects on beliefs).
- Data analyzed from 52 participants at two weeks, 25 at six months, and 23 at 12 months.
- Identified psychological aspects of PSE suitable for intervention targets.
Conclusions:
- Findings suggest interventions should focus on adaptive coping strategies and challenging negative beliefs.
- Developing insight into PSE triggers can enhance understanding and anticipation.
- Promoting acceptance and control can mitigate emotional distress associated with PSE.
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