CLINICAL-PSYCHOLOGICAL ANALYSIS OF PSYCHOEMOTIONAL DISORDERS AFTER ISCHEMIC STROKE
DOI:
https://doi.org/10.37547/Keywords:
Ischemic stroke, post-stroke syndrome, psychoemotional disorders, depression, anxiety, apathy, affective lability, neurological damage, the role of the cerebral hemispheres, psychodiagnostics, psychocorrection.Abstract
This article is devoted to the study of the clinical and psychological characteristics of psychoemotional disorders observed in patients after ischemic stroke based on an extensive literature review. The available scientific data on the correlation of post-stroke conditions such as depression, anxiety, apathy, and affective instability with specific manifestations of neurological damage (damaged brain area, extent of damage, type of stroke) are systematically analyzed. As noted in the literature, the effectiveness and limitations of psychodiagnostic tools used to identify these disorders are considered. Also, based on existing research, the aim is to synthesize knowledge about cost-effective and patient-adapted psychocorrection methods for psychoemotional disorders after ischemic stroke. This article aims to expand the theoretical knowledge base in this area and create a basis for future research.
Downloads
References
1.World Health Organization. (2021). Stroke Fact Sheet. World Health Organization. (https://www.who.int/news-room/fact-sheets/detail/stroke)
2.GBD 2019 Stroke Collaborators. (2021). Global, regional, and national burden of stroke, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 793-841.
3.Feigin, V. L., et al. (2022). Global, regional, and national burden of stroke, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 793-841.
4.Robinson, R. G., & Starkstein, S. E. (1998). Mood disorders following stroke. In R. G. Robinson & S. E. Starkstein (Eds.), Handbook of affective disorders (pp. 133-151). American Psychiatric Press.
5.Parikh, N. S., Shah, R. B., Camacho, A., et al. (2019). Neuropsychiatric aspects of stroke. Neurocritical Care, 30(4), 827-838.
6.Hackett, M. L., & Anderson, C. S. (2011). Depression in stroke survivors: a systematic review of the prevalence, incidence, and risk factors. Age and Ageing, 40(3), 295-305.
7.Dennis, M., et al. (2017). Anxiety and depression after stroke: a systematic review and meta-analysis. Stroke, 48(3), 551-557.
8.Naess, H., et al. (2014). Depression and anxiety after stroke: a systematic review. Acta Neurologica Scandinavica, 129(4), 231-241.
9.Starkstein, S. E., & Robinson, R. G. (1993). Affective disorders following cerebrovascular disease. Brain, 116(1), 165-187.
10.Roma, P. S., et al. (2019). Neuropsychiatric complications of stroke. Current Opinion in Neurology, 32(1), 31-37.
11.Jorge, R. E., et al. (2009). Apathy and depression after stroke: a longitudinal study. Stroke, 40(10), 3136-3141.
12.Spitzer, R. L., et al. (1999). Utility of a self-administered scale for screening of anxiety and depression: the Hospital Anxiety and Depression Scale. The British Journal of Psychiatry, 174(2), 147-151.
13.Vranceanu, A. M., et al. (2011). Fear of falling and anxiety in patients with stroke. Journal of Stroke and Cerebrovascular Diseases, 20(1), 54-60.
14.Robert, P. H., et al. (2002). Apathy: a review of clinical manifestations, pathophysiology and treatment. International Journal of Neuropsychopharmacology, 5(2), 161-169.
15.Adjali, K., et al. (2000). Frontal lobe lesions and apathy: clinical and neuroimaging data. Journal of Neurology, Neurosurgery & Psychiatry, 68(5), 633-637.
16.Gainotti, G. (2007). What is the role of emotion in the neuropsychology of stroke? Journal of Neurology, Neurosurgery & Psychiatry, 78(5), 437-445.
17.Benton, A. L., et al. (1994). Neuropsychological assessment. Oxford University Press.
18.Fure, B., et al. (2009). Cerebral infarction and depression: relationship between lesion location and depression. Acta Neurologica Scandinavica, 119(3), 177-182.
19.Kumral, E., et al. (2003). Depression and anxiety in stroke patients: a prospective study. Journal of Stroke and Cerebrovascular Diseases, 12(5), 207-212.
20.Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.
21.Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
22.Whybrow, P. C., et al. (1997). Depression and stroke. The Lancet, 349(9049), 413-417.
23.First, M. B., et al. (2015). Structured clinical interview for DSM-5 personality disorders (SCID-5-PV). American Psychiatric Association Publishing.
24.Nasreddine, Z. S., et al. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695-699.
25.Ribeiro, F. M., et al. (2012). Pharmacological treatment of depression in stroke patients: a systematic review. The Journal of Neuropsychiatry and Clinical Neurosciences, 24(4), 409-417.
26.Klu- Klu, V., et al. (2017). Cognitive behavioral therapy for post-stroke depression: a systematic review and meta-analysis. Journal of Stroke and Cerebrovascular Diseases, 26(6), 1345-1354.
27.Pohjasvaara, T., et al. (2001). Depression, neurological deficits and premorbid personality in stroke patients. Acta Neurologica Scandinavica, 103(4), 209-216.
28.Cauraugh, J. H., & Sheridan, J. F. (2008). Motor imagery in neurorehabilitation. Physical Therapy, 88(10), 1204-1218.
29.Janssen, S., et al. (2017). Stress management interventions for stroke survivors: a systematic review and meta-analysis. International Journal of Stroke, 12(7), 702-711.
30.Rinaldi, L. A., et al. (2016). Patient-centered care in stroke rehabilitation: a systematic review. Topics in Stroke Rehabilitation, 23(3), 185-194.
