Long-Term Changes in Post-Stroke Depression, Emotional Incontinence, and Anger

Autor: Boseong Kwon, Eun-Jae Lee, Seongho Park, Ji Sung Lee, Min Hwan Lee, Daeun Jeong, Dongwhane Lee, Hyuk Sung Kwon, Dae-Il Chang, Jong-Ho Park, Jae-Kwan Cha, Ji Hoe Heo, Sung-Il Sohn, Dong-Eog Kim, Smi Choi-Kwon, Jong S. Kim
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Stroke, Vol 23, Iss 2, Pp 263-272 (2021)
Druh dokumentu: article
ISSN: 2287-6391
2287-6405
DOI: 10.5853/jos.2020.04637
Popis: Background and Purpose Long-term changes in post-stroke depression (PSD), post-stroke emotional incontinence (PSEI), and post-stroke anger (PSA) have rarely been studied. Methods This is a sub-study of EMOTION, a randomized, placebo-controlled trial, that examined the efficacy of escitalopram on PSD, PSEI, and PSA in patients with stroke. We interviewed patients at the long-term period (LTP) using predefined questionnaires: Montgomery-Åsberg depression rating scale (MADRS) for PSD, modified Kim’s criteria for PSEI, and Spielberger trait anger scale for PSA. Additionally, the ENRICHD Social Support Instrument (ESSI) for the social support state and the modified Rankin Scale (mRS) were measured. We investigated the changes in and factors behind PSD, PSEI, and PSA at LTP. Results A total of 222 patients were included, and the median follow-up duration was 59.5 months (interquartile range, 50 to 70). Compared to the data at 6 months post-stroke, the prevalence of PSEI (11.7% at 6 months, 6.3% at LTP; P=0.05) and mean anger score (21.62, 16.24; P
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