Ferro José M, Caeiro Lara, Santos Catarina
Department of Neurosciences, Hospital de Santa Maria, University of Lisboa, Lisboa, Portugal.
Cerebrovasc Dis. 2009;27 Suppl 1:197-203. doi: 10.1159/000200460. Epub 2009 Apr 3.
Emotional and behavioral disturbances are a frequent complication in stroke survivors. They are underdiagnosed, have a high impact on quality of life and are often a precipitant of institutionalization. For the caregivers of stroke survivors, these disturbances are a main cause of exhaustion. Health professionals have an insufficient training in their diagnosis and management which demands qualified skills and dedication of a multiprofessional team. In this article, we update some of the most common or relevant poststroke emotional and behavioral disturbances, including poststroke mania and poststroke depression, poststroke anxiety disorders, posttraumatic stress disorder, personality changes with focus on apathy and disturbances of emotional expression control. Significant advances in the management of poststroke emotional and behavioral disturbances will need the use of comparable instruments and methods and multicenter collaboration.
情绪和行为障碍是中风幸存者常见的并发症。它们常被漏诊，对生活质量有很大影响，且往往是住院治疗的诱因。对于中风幸存者的照料者来说，这些障碍是疲惫的主要原因。卫生专业人员在其诊断和管理方面培训不足，这需要多专业团队具备合格的技能和奉献精神。在本文中，我们更新了一些最常见或相关的中风后情绪和行为障碍，包括中风后躁狂和中风后抑郁、中风后焦虑症、创伤后应激障碍、以冷漠和情绪表达控制障碍为重点的人格改变。中风后情绪和行为障碍管理方面的重大进展将需要使用可比的工具和方法以及多中心合作。
