engleski

Emotional disorders in patients after ischemic stroke

The aim of the study was to assess the prevalence of emotional disturbances and their characteristics in our stroke patients, according to hemispheric lateralization of cerebral lesion (as recorded by CT), patients' sex and grade of neurological deficit (as assessed by Rankin scale). The study included 50 patients (29 men and 21 women, mean age 65.52 ± 7.07 and 64.62 ± 11.83 years, respectively) who had suffered ischemic stroke 3 weeks to 6 months before the study. The Crown-Crisp experience index which consists of six scales: scale of anxiety, phobia, obsession, somatization, depression and hysteria, was used for detection of emotional disturbances. Results showed a high prevalence of emotional disturbances in the study group. Depression was the most common (36 of study patients), followed by generalized anxiety (29) and phobic disturbances (33). According to hemispheric lateralization of the cerebral lesion, a more intense emotional response was found in case of right hemispheric lesions, however, the difference was statistically significant only on the scale of somatized anxiety (p<0.05). According to sex, a more intense emotional response was recorded in women, the difference being statistically significant on the scales of anxiety (p<0.05), depression (p<0.05) and phobia (p<0.01). According to neurologic deficit severity, an increasing tendency in the prevalence of emotional disturbances was observed with the increasing severity of neurologic deficit (p<0.05). Study results showed a high prevalence of emotional disturbances after ischemic stroke, among which the most common is depression.

stroke ; emotional sisoreers ; cerebral ischemia

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