Post-stroke neuropsychiatric affective disorders (brief review with own data)
Neuropsychiatric disorders of affective spectrum are common among patients who have had a stroke. They decrease patients’ quality of life and worsen prognosis of stroke. Whilst poststroke depression has been studies for more than 50 years, post-stroke asthenia, apathy, anxiety disorders started getting attention from researchers only during last decades. Clinical phenomenology of post-stroke affective disorders, mechanisms of their development, as well as approaches to their diagnosis and correction are underresearched. Our own data showed that post-stroke neuropsychiatric disorders of affective spectrum represent a heterogeneous group of pathological conditions. They are characterized by different frequencies and clinical-pathological correlates; they require different approaches to diagnosing and treatment. We present data on psychometric properties of questionnaires for assessment of post-stroke affective disorders. The efficacy of education in decreasing of intensity of pathological fatigue and anxiety is shown.