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Emotions after stroke: a narrative update

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dc.contributor.authorFerro, José
dc.contributor.authorSantos, Anabela Caetano
dc.date.accessioned2021-10-14T13:42:41Z
dc.date.available2021-10-14T13:42:41Z
dc.date.issued2019
dc.description© 2019 World Stroke Organizationpt_PT
dc.description.abstractAim: In this narrative review we aimed to describe how stroke affects emotions and update the readers on the emotional disturbances that occur after stroke. Methods: We searched Medline from 1.1.2013 to 1.7.2019, personal files and references of selected publications. All retrieved systematic reviews and randomized controlled trials were included. Other references were selected by relevance. Summary of review: The emotional response includes a reactive behavior with arousal, somatic, motivational and motor components, and a distinctive cognitive and subjective affective experience. Emotional category responses and experiences after stroke can show dissociations between the behavioral response and the cognitive and affective experiences. Emotional disturbances that often occur after stroke include fear, anger, emotional indifference, lack of understanding of other emotions, and lack of control of emotional expression. Emotional disturbances limit social reintegration of the persons with stroke and are a source of caregiver burnout. The evidence to support the management of the majority of emotional disorders in stroke survivors is currently weak and of low or very low methodologic quality. An exception are the disorders of emotional expression control where antidepressants can have a strong beneficial effect, by reducing the number and duration of the uncontrollable episodes of crying or laughing. Conclusion: Our current knowledge of the emotional disorders that occurs in acute stroke patients and in stroke survivors is heterogeneous and limited. Joint efforts of different research approaches, methodologies and disciplines will improve our current understanding on emotional disorder after stroke and indicate rational pathways to manage them.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Stroke. 2020 Apr;15(3):256-267pt_PT
dc.identifier.doi10.1177/1747493019879662pt_PT
dc.identifier.eissn1747-4949
dc.identifier.issn1747-4930
dc.identifier.urihttp://hdl.handle.net/10451/49890
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGEpt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/home/wsopt_PT
dc.subjectStrokept_PT
dc.subjectAngerpt_PT
dc.subjectApathypt_PT
dc.subjectEmotionpt_PT
dc.subjectEmotional expressionpt_PT
dc.subjectEmotionalismpt_PT
dc.subjectEmpathypt_PT
dc.subjectIndifferencept_PT
dc.subjectSadnesspt_PT
dc.titleEmotions after stroke: a narrative updatept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage267pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage256pt_PT
oaire.citation.titleInternational Journal of Strokept_PT
oaire.citation.volume15pt_PT
person.familyNameMorão Cabral Ferro
person.givenNameJosé Manuel
person.identifier.ciencia-id6F16-7E25-7AAF
person.identifier.ciencia-idF114-640E-E870
person.identifier.orcid0000-0002-2343-9097
person.identifier.orcid0000-0001-7963-8397
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9a568ce6-d218-44fc-982c-0ffe7bffc197
relation.isAuthorOfPublication25f7de92-5b67-43c2-8ebc-22c76f12dea7
relation.isAuthorOfPublication.latestForDiscovery9a568ce6-d218-44fc-982c-0ffe7bffc197

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