Subjective Experience After Stroke

To assess subjective experience after stroke, 214 patients completed the 63-item European Brain Injury Questionnaire. The same questionnaire was also completed by a close relative of each patient and by 214 control participants matched for gender and age. A principal component analysis showed 3 factors: depressive mood, cognitive difficulties, and difficulties in social interactions. In self-assessment, whereas the first 2 factors were scored higher by patients than by controls, the level of difficulty in social interactions did not differ between these 2 groups. In hetero-assessment, relatives scored patients' difficulties higher than patients did, especially for items suggesting the impact of stroke on themselves. Psychological difficulties of stroke patients and the consequences on their relatives need to be taken into account in rehabilitation programs.

[1]  M. Sliwinski,et al.  Awareness of disability in patients following stroke. , 1992 .

[2]  S. Galderisi,et al.  Depression and cerebral stroke. , 1990, The Journal of clinical psychiatry.

[3]  F Angeleri,et al.  The Influence of Depression, Social Activity, and Family Stress on Functional Outcome After Stroke , 1993, Stroke.

[4]  P. Ingrand,et al.  Functional Recovery and Social Outcome after Cerebral Infarction in Young Adults , 1998, Cerebrovascular Diseases.

[5]  P Sandercock,et al.  Are the modified “simple questions” a valid and reliable measure of health related quality of life after stroke? , 2000, Journal of neurology, neurosurgery, and psychiatry.

[6]  I. V. Thomsen,et al.  Late outcome of very severe blunt head trauma: a 10-15 year second follow-up. , 1984, Journal of neurology, neurosurgery, and psychiatry.

[7]  C. Wallesch,et al.  Poststroke depression. Is there a pathoanatomic correlate for depression in the postacute stage of stroke? , 1995, Stroke.

[8]  S. Paolucci,et al.  Functional Outcome in Stroke Inpatient Rehabilitation: Predicting No, Low and High Response Patients , 1998, Cerebrovascular Diseases.

[9]  An examination of depression in the spouses of stroke patients. , 1992 .

[10]  R. Ramasubbu,et al.  Functional impairment associated with acute poststroke depression: the Stroke Data Bank Study. , 1998, The Journal of neuropsychiatry and clinical neurosciences.

[11]  C. Warlow,et al.  A quantitative study of the emotional outcome of people caring for stroke survivors. , 1998, Stroke.

[12]  R G Robinson,et al.  The relationship between social impairment and recovery from stroke. , 1998, Psychiatry.

[13]  Morton B. Brown,et al.  Depression in stroke rehabilitation , 1993, Biological Psychiatry.

[14]  J. Foster.  Practical Management of Stroke , 1985 .

[15]  C. Wallesch,et al.  Depressive changes in stroke patients. , 1993, Disability and rehabilitation.

[16]  N. Cremel,et al.  Le handicap des adultes cérébrolésés: le point de vue des patients et de leur entourage , 1996 .

[17]  T. Hosaka,et al.  Correlations for Social Support with Depression in the Chronic Poststroke Period , 1997, Perceptual and motor skills.

[18]  K. Willmes,et al.  Subjective experience in brain-injured patients and their close relatives: a European Brain Injury Questionnaire study. , 1997, Brain injury.

[19]  A. Jacoby,et al.  Evaluation of measures used to assess quality of life after stroke. , 2000, Stroke.

[20]  C. Counsell,et al.  Assessment of clinical outcomes in acute stroke trials. , 1998, Stroke.

[21]  M. Kaste,et al.  Frequency and clinical determinants of poststroke depression. , 1998, Stroke.

[22]  R. Robinson,et al.  Apathy Following Cerebrovascular Lesions , 1993, Stroke.

[23]  Pei-NingWang,et al.  Poststroke Depression Among the Chinese Elderly in a Rural Community , 1997 .

[24]  K. Asplund,et al.  Psychosocial Function and Life Satisfaction After Stroke , 1992, Stroke.

[25]  H. C. Hanger,et al.  What do patients and their carers want to know about stroke? A two-year follow-up study , 1998, Clinical rehabilitation.

[26]  Salvatore Giaquinto,et al.  Depression after stroke: an investigation through catamnesis. , 1997, The Journal of clinical psychiatry.

[27]  A. House,et al.  Mood disorders after stroke and their relation to lesion location. A CT scan study. , 1990, Brain : a journal of neurology.

[28]  G. Hogarty,et al.  Norms of adjustment and social behavior. , 1971, Archives of general psychiatry.

[29]  G. Dellatolas,et al.  Subjective experience after traumatic brain injury , 2001, Brain injury.

[30]  J. Fuh,et al.  Poststroke depression among the Chinese elderly in a rural community. , 1997, Stroke.

[31]  S. Paradiso,et al.  Gender differences in poststroke depression. , 1998, The Journal of neuropsychiatry and clinical neurosciences.

[32]  C. Marra,et al.  Relation of lesion location to verbal and nonverbal mood measures in stroke patients. , 1997, Stroke.

[33]  R. Robinson,et al.  Neuropsychiatric consequences of stroke. , 1997, Annual review of medicine.

[34]  H. Mononen,et al.  Aphasia, Depression, and Non-Verbal Cognitive Impairment in Ischaemic Stroke , 2000, Cerebrovascular Diseases.

[35]  N. Mayo,et al.  Inferring quality of life from performance-based assessments , 2000, Disability and rehabilitation.

[36]  A. Castro-Caldas,et al.  Problems of patients with chronic aphasia: different perspectives of husbands and wives? , 1999, Brain injury.

[37]  D. Wade,et al.  Family support for stroke: a randomised controlled trial , 2000, The Lancet.