Emotional reactions in patients after frontal lobe stroke
Background/Aim. Emotional reactions have been documented after tumor lesions and the other damages of the brain. The aim of this paper was to examine the correlation between frontal lobe lesions and emotional reactions in patients with stroke. Methods. The research included 118 patients aft...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500066S.pdf |
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| _version_ | 1850219267291611136 |
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| author | Stojanović Zlatan Vukadinović-Stojanović Sanja |
| author_facet | Stojanović Zlatan Vukadinović-Stojanović Sanja |
| author_sort | Stojanović Zlatan |
| collection | DOAJ |
| description | Background/Aim. Emotional reactions have been documented after tumor lesions
and the other damages of the brain. The aim of this paper was to examine the
correlation between frontal lobe lesions and emotional reactions in patients
with stroke. Methods. The research included 118 patients after stroke.
Lesion localization was defined on computed axial tomography records,
whereas the area and perimeter of lesion were measured by AutoCAD 2004
software. Examinations by means of the Hamilton Rating Scale for Anxiety and
Depression (HRSA and HRSD) were carried out 11-40 days after stroke.
Statistic data were processed by simple linear/nonlinear regression, Cox's
and the generalized linear model. Results. A higher frequency of emotional
reactions, i.e. anxiety, was determined in women after stroke (p = 0.024). A
negative correlation between the lesion size and the intensity of anxiety
manifestations was determined (Spearman’s r = -0.297; p = 0.001). Anxiety
was more frequent in patients with frontal lobe lesions in the dominant
hemisphere (interaction: frontal lesion * hand dominant hemisphere, p = 0.017). Also, HRSD score values showed the tendency for lesser decline in case of greater frontal lobe lesions in relation to lesions of other regions of prosencephalon (interaction: frontal lesion * lesion area, p = 0.001). Conclusion. The results of this study indicate the correlation between evolutionary younger structures of the central nervous system and emotional reactions of man. Therefore, it is necessary to undertake proper early psychopharmacotherapy in the vulnerable group of patients. |
| format | Article |
| id | doaj-art-7d0e439960004bb1aead1ced8909ac06 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-7d0e439960004bb1aead1ced8909ac062025-08-20T02:07:26ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202015-01-0172977077810.2298/VSP140506066S0042-84501500066SEmotional reactions in patients after frontal lobe strokeStojanović Zlatan0Vukadinović-Stojanović Sanja1University of Banja Luka, Faculty of Medicine, Department for Anatomy, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaClinical Centre, Clinic for Psychiatry, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaBackground/Aim. Emotional reactions have been documented after tumor lesions and the other damages of the brain. The aim of this paper was to examine the correlation between frontal lobe lesions and emotional reactions in patients with stroke. Methods. The research included 118 patients after stroke. Lesion localization was defined on computed axial tomography records, whereas the area and perimeter of lesion were measured by AutoCAD 2004 software. Examinations by means of the Hamilton Rating Scale for Anxiety and Depression (HRSA and HRSD) were carried out 11-40 days after stroke. Statistic data were processed by simple linear/nonlinear regression, Cox's and the generalized linear model. Results. A higher frequency of emotional reactions, i.e. anxiety, was determined in women after stroke (p = 0.024). A negative correlation between the lesion size and the intensity of anxiety manifestations was determined (Spearman’s r = -0.297; p = 0.001). Anxiety was more frequent in patients with frontal lobe lesions in the dominant hemisphere (interaction: frontal lesion * hand dominant hemisphere, p = 0.017). Also, HRSD score values showed the tendency for lesser decline in case of greater frontal lobe lesions in relation to lesions of other regions of prosencephalon (interaction: frontal lesion * lesion area, p = 0.001). Conclusion. The results of this study indicate the correlation between evolutionary younger structures of the central nervous system and emotional reactions of man. Therefore, it is necessary to undertake proper early psychopharmacotherapy in the vulnerable group of patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500066S.pdfanxietydepressionfrontal lobestroke |
| spellingShingle | Stojanović Zlatan Vukadinović-Stojanović Sanja Emotional reactions in patients after frontal lobe stroke Vojnosanitetski Pregled anxiety depression frontal lobe stroke |
| title | Emotional reactions in patients after frontal lobe stroke |
| title_full | Emotional reactions in patients after frontal lobe stroke |
| title_fullStr | Emotional reactions in patients after frontal lobe stroke |
| title_full_unstemmed | Emotional reactions in patients after frontal lobe stroke |
| title_short | Emotional reactions in patients after frontal lobe stroke |
| title_sort | emotional reactions in patients after frontal lobe stroke |
| topic | anxiety depression frontal lobe stroke |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500066S.pdf |
| work_keys_str_mv | AT stojanoviczlatan emotionalreactionsinpatientsafterfrontallobestroke AT vukadinovicstojanovicsanja emotionalreactionsinpatientsafterfrontallobestroke |