Emotional behavior disorders in acute ischemic stroke

Background. Neuropsychiatric disorders are common after stroke. They decrease patients’ quality of life and have negative impact on the disease outcomes.The objective: to analyze the reliability of the Russian Version of Emotional Behavior Index and assess the frequency and characteristics of the disorders detected by this scale in patients in acute phase of ischemic stroke.Material and methods. Fifty-nine patients were recruited. The reliability of the tool was assessed. Along with the disorders of emotional behavior stroke severity, degree of disability, presence of delirium, symptoms of depression and cognitive functions were assessed.Results. Changes in at least one category of the “Emotional Behavior Index” were observed in 40% of patients. Emotional behavior problems were associated with the severity of cognitive decline and depressive symptoms in acute stage of stroke.Conclusion. “Emotional Behavior Index” is a reliable instrument for the assessment of the state of mood of the patients with acute stroke. The results of this scale could be used as predictors of the development of cognitive and aff ective disorders.

[1]  P. Langhorne,et al.  Using the Barthel Index and modified Rankin Scale as Outcome Measures for Stroke Rehabilitation Trials; A Comparison of Minimum Sample Size Requirements. , 2021, Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.

[2]  Susan Paketci Interpretation of the Montgomery–Åsberg Depression Rating Scale (MADRS) , 2021, The British Journal of Psychiatry.

[3]  S. Kotov,et al.  Post-stroke depression and the abilities of antidepressants to enhance the effectiveness of neurorehabilitation , 2020, Neurology, Neuropsychiatry, Psychosomatics.

[4]  Zheng Li,et al.  Diagnostic test accuracy of the Montreal Cognitive Assessment in the detection of post-stroke cognitive impairment under different stages and cutoffs: a systematic review and meta-analysis , 2018, Neurological Sciences.

[5]  A. Forsberg,et al.  Modified Rivermead Mobility Index: a reliable measure in people within 14 days post-stroke , 2015, Physiotherapy theory and practice.

[6]  S. Inouye,et al.  Concordance between DSM-IV and DSM-5 criteria for delirium diagnosis in a pooled database of 768 prospectively evaluated patients using the delirium rating scale-revised-98 , 2014, BMC Medicine.

[7]  J. Bogousslavsky,et al.  Emotional Behavior in Acute Stroke: The Lausanne Emotion in Stroke Study , 2005, Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology.

[8]  A. Arboix [Stroke and depression]. , 1997, Medicina clinica.

[9]  Marshall Godwin,et al.  Health measurement scales , 1991 .

[10]  A. Bogolepova The role of neurotrophic factors in development of post-stroke depression , 2019, Consilium Medicum.

[11]  O. Levin,et al.  [Clinical significance and possibilities of therapy of post-stroke depression]. , 2019, Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova.