Anger, hostility and aggression in the first days of acute stroke

European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
C O SantosM Luísa Figueira

Abstract

In acute stroke patients, anger can disturb management and rehabilitation and creates a stressful situation for family, health-care providers and other patients. We aim to describe the presence of anger and its association with demographic, clinical, psychiatric, lesion variables and functional outcome in acute stroke patients. We screened anger prospectively in 202 consecutive acute stroke patients (< or =4 days) using eight items from three psychiatric scales (Catastrophic Reaction Scale, Mania Rating Scale and Comprehensive Psychopathological Rating Scale). Anger was present if the patient scored in at least one item. Anger was detected in 71 (35%) patients and 26 of these were severely angry (> or =4 points). There was no association between anger and the considered variables. Analysis of the items extracted two factors: (i) the emotional-cognitive and (ii) the behavioural components of anger. These components were independent of each other in 26 patients. In 38 patients we found a dissociation between clinical observation and patients' subjective expression. Anger was frequent in acute stroke patients. Anger was probably triggered by the brain lesion, which interfered with the emotional control. The lack of an association ...Continue Reading

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Citations

Jan 1, 2011·Aphasiology·Dalia Cahana-AmitayMallory Finley
Dec 9, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·L CaeiroM L Figueira
May 23, 2013·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S Choi-KwonJ S Kim
Apr 12, 2016·Nature Reviews. Neurology·José M FerroMaria Luísa Figueira
Nov 16, 2011·Topics in Stroke Rehabilitation·Kyle ChangChuansheng Chen
Nov 3, 2016·Acta Neuropsychiatrica·Pedro Banho RosaYara Dadalti Fragoso
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Nov 22, 2018·The Journal of Neuropsychiatry and Clinical Neurosciences·A Catarina Santos, José M Ferro
Aug 5, 2017·Journal of Neurology·A Catarina Santos, José M Ferro
Oct 5, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·José M Ferro, Ana C Santos
Aug 28, 2020·Frontiers in Neurology·Grant L Iverson, Andrew J Gardner

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Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.