Pharmaceutical interventions for emotionalism after stroke

Allida, Sabine M; House, Allan; Hackett, Maree L.

doi:10.1002/14651858.cd003690.pub5

Cited by 6 publications

(4 citation statements)

References 76 publications

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“…This review 1 provides very low-certainty to moderate-certainty evidence that antidepressants reduce the frequency and severity of crying or laughing episodes when compared to placebo. The trials were small and had some degree of bias.…”

Section: Discussionmentioning

confidence: 99%

Pharmaceutical Interventions for Emotionalism After Stroke

Hackett

Allida

House

2023

Stroke

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Section: Discussionmentioning

confidence: 99%

Pharmaceutical Interventions for Emotionalism After Stroke

Hackett

Allida

House

2023

Stroke

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“…were not been sought. During the development of CPGs, patients and a variety of stakeholders, such as clinicians of all types, insurance payers and funders, health policy decision makers, and experts should be involved in the development of CPGs to set priorities, ensure feasibility, and promote distribution and compliance ( 6 , 40 , 41 ).…”

Section: Discussionmentioning

confidence: 99%

Quality appraisal of clinical practice guidelines for the management of Dysphagia after acute stroke

Gao,

Liu,

Han

et al. 2023

Front. Neurol.

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ObjectivesDysphagia is a common complication in stroke patients, widely affecting recovery and quality of life after stroke. The objective of this systematic review is to identify the gaps that between evidence and practice by critically assessing the quality of clinical practice guidelines (CPGs) for management of dysphagia in stroke.MethodsWe systematically searched academic databases and guideline repositories between January 1, 2014, and August 1, 2023. The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was used by two authors to independently assess CPG quality.ResultsIn a total of 14 CPGs included, we identified that three CPGs obtained a final evaluation of “high quality,” nine CPGs achieved “moderate quality” and two CPGs received “low quality.” The domain of “scope and purpose” achieved the highest mean score (91.1%) and the highest median (IQR) of 91.7% (86.1, 94.4%), while the domain of “applicability” received the lowest mean score (55.8%) and the lowest median (IQR) of 55.4% (43.2, 75.5%).ConclusionThe CPG development group should pay more attention to improving the methodological quality according to the AGREE II instrument, especially in the domain of “applicability” and “stakeholder involvement;” and each item should be refined as much as possible.

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“…PSE is characterised by frequent, sudden onset crying episodes (occasionally laughter), not under usual social control which represent a change from pre-stroke functioning. [1][2][3] Surprisingly, despite the prevalence and nature of PSE and its psychological associations [4][5][6][7][8] , little is known regarding the impact of caring for people living with PSE.…”

Section: Discussionmentioning

confidence: 99%

“…PSE is characterised by frequent, sudden onset crying episodes (occasionally laughter), not under usual social control which represent a change from pre-stroke functioning. 1–3…”

Section: Introductionmentioning

confidence: 99%

Carer strain in post-stroke emotionalism: an initial evaluation

Broomfield,

Walters,

West

2023

Preprint

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Background and PurposePost-stroke emotionalism is a common, under-researched neurologic symptom of stroke, characterised by frequent crying episodes not under usual social control. Currently there are no data on carer strain in the context of emotionalism after stroke.AimsTo explore the degree of carer strain in carers of individuals with diagnosed PSE compared to carers of individuals with stroke but no PSE. To examine whether carer strain varies with particular characteristics of the cared for individual: patient age, sex, social deprivation, stroke type, functional status, mood status.Methods102 informants of people with stroke completed the Modified Carer Strain Index at 6-months as part of the TEARS longitudinal cohort study between October 1st2015 and September 30th2018. Stroke survivor diagnostic status was determined using Testing Emotionalism After Recent Stroke-Diagnostic Interview based on published, widely accepted diagnostic criteria of emotionalism.ResultsThere was little evidence of association between carer strain and sex, age, deprivation level or stroke type of the cared for individual. There was strong evidence that carer strain associated with both increased functional dependence post-stroke, and presence of post-stroke emotionalism.ConclusionsEven after accounting for increased functional dependence, our study data indicates that caring in a PSE context may significantly increase carer strain, comparable to a six-point reduction on Barthel Index.

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Pharmaceutical interventions for emotionalism after stroke

Cited by 6 publications

References 76 publications

Pharmaceutical Interventions for Emotionalism After Stroke

Pharmaceutical Interventions for Emotionalism After Stroke

Quality appraisal of clinical practice guidelines for the management of Dysphagia after acute stroke

Carer strain in post-stroke emotionalism: an initial evaluation

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