Hostname: page-component-84b7d79bbc-dwq4g Total loading time: 0 Render date: 2024-07-28T05:46:51.608Z Has data issue: false hasContentIssue false
  • English
  • Français

Affective temperament in stroke patients

Published online by Cambridge University Press:  24 June 2014

Erhan Kurt ,
Ilhan Karacan ,
Nihal Ozaras  and
Gazi Alatas
Erhan Kurt
Affiliation:
Department of Psychiatry, Bakirkoy Training and Research Hospital for Psychiatry and Neurology, Istanbul, Turkey
Ilhan Karacan*
Affiliation:
Department of Physical Medicine and Rehabilitation, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
Nihal Ozaras
Affiliation:
Department of Physical Medicine and Rehabilitation, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
Gazi Alatas
Affiliation:
Department of Psychiatry, Bakirkoy Training and Research Hospital for Psychiatry and Neurology, Istanbul, Turkey
*
Associate Professor Ilhan Karacan, Kartaltepe mah Ahu sk 5/9, 34730 Bakirkoy, Istanbul, Turkey. Tel: 90 212 534 6900; Fax: 90 212 6217580; E-mail: ilhankaracan@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The aims of this study were to determine the dominant affective temperament changes in stroke survivors and whether temperament affects the disability.

Methods:

A total of 63 stroke patients were included in this study. Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire was used to determine the dominant affective temperament (depressive, hyperthymic, cyclothymic, irritable or anxious). The disability level was measured with the Barthel index (BI).

Results:

Depressive temperament (17.5%) and anxious temperament (12.7%) were the most common dominant affective temperaments. The frequencies of irritable, cyclothymic and hyperthymic temperaments were 4.8, 3.2 and 0%, respectively. The mean BI score was 78.1 ± 18.3 in patients with depressive temperament and 67.4 ± 28.4 in patients without depressive temperament (p = 0.403). The mean BI score was 78.1 ± 15.3 in patients with anxious temperament and 68.0 ± 28.3 in patients without anxious temperament (p = 0.541). Multiple linear regression analysis indicated that BI score was not associated with affective temperament changes.

Conclusion:

The results of the current study suggest that depressive and anxious temperaments are the most common affective temperaments and that there appears to be no association between disability level and dominant affective temperament in stroke survivors.

Keywords

affective temperamentdisabilityprevalencestroke
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 20 , Issue 6 , December 2008 , pp. 295 - 299
Copyright
Copyright © 2008 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Goodwin, FK, Jamison, KR. Manic-depressive illness. New York: Oxford University Press, 1990. Google ScholarPubMed
Akiskal, HS, Placidi, GF, Maremmani, Iet al. TEMPS-I: delineating the most discriminant traits of the cyclothymic, depressive, hyperthymic and irritable temperaments in a nonpatient population. J Affect Disord 1998;51:7–19. CrossRefGoogle Scholar
Vázquez, GH, Kahn, C, Schiavo, CEet al. Bipolar disorders and affective temperaments: a national family study testing the “endophenotype” and “subaffective” theses using the TEMPS-A Buenos Aires. J Affect Disord 2008;108:25–32. CrossRefGoogle ScholarPubMed
Akiskal, HS, Brieger, P, Mundt, C, Angst, J, Marneros, A. Temperament und affektive Storungen. Die TEMPS-A-Skala als Konvergenz europaischer und US-amerikanischer Konzepte, Temperament and affective disorders. The TEMPS-A Scale as a convergence of European and US-American concepts. Nervenarzt 2002;73:262–271. CrossRefGoogle Scholar
Williams, LS. Depression, stroke: cause or consequence? Semin Neurol 2005;25:396–409. CrossRefGoogle ScholarPubMed
Salaycik, KJ, Kelly-Hayes, M, Beiser, Aet al. Depressive symptoms and risk of stroke: the Framingham Study. Stroke 2007;38:16–21. Epub 2006 Nov 30. CrossRefGoogle ScholarPubMed
Schmitz, N, Wang, J, Malla, A, Lesage, A. Joint effect of depression and chronic conditions on disability: results from a population-based study. Psychosom Med 2007;69:332–338. Epub 2007 Apr 30. CrossRefGoogle ScholarPubMed
Vande Port, IG, Kwakkel, G, Bruin, M, Lindeman, E. Determinants of depression in chronic stroke: a prospective cohort study. Disabil Rehabil 2007;29:353–358. CrossRefGoogle Scholar
Aprile, I, Piazzini, DB, Bertolini, Cet al. Predictive variables on disability and quality of life in stroke outpatients undergoing rehabilitation. Neurol Sci 2006;27:40–46. CrossRefGoogle ScholarPubMed
Kronenberg, G, Katchanov, J, Endres, M. Post-stroke depression. Clinical aspects, epidemiology, therapy, and pathophysiology. Nervenarzt 2006;77:1176, 1179–1182, 1184–1185. Google ScholarPubMed
Morrison, V, Pollard, B, Johnston, M, MacWalter, R. Anxiety and depression 3 years following stroke: demographic, clinical, and psychological predictors. J Psychosom Res 2005;59:209–213. CrossRefGoogle ScholarPubMed
Cassidy, E, O’Connor, R, O’Keane, V. Prevalence of post-stroke depression in an Irish sample and its relationship with disability and outcome following inpatient rehabilitation. Disabil Rehabil 2004;26:71–77. CrossRefGoogle Scholar
Vahip, S, Kesebir, S, Alkan, M, Yazici, O, Akiskal, KK, Akiskal, HS. Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A. J Affect Disord 2005;85:113–125. CrossRefGoogle ScholarPubMed
Mahoney, FI, Barthel, D. Functional evaluation: the Barthel Index. Md State Med J 1965;14:56–61. Used with permission. Google ScholarPubMed
Brunnstrom, S. Movement therapy in hemiplegia: a neurophysiological Approach. Philadelphia: Harper and Row, 1970. Google Scholar
Kesebir, S, Vahip, S, Akdeniz, F, Yüncü, Z. The relationship of affective temperament and clinical features in bipolar disorder. Turk Psikiyatri Derg 2005;16:164–169. Google ScholarPubMed
Akdeniz, F, Kesebir, S, Vahip, S, Gönül, AS. Is there a relationship between mood disorders and affective temperaments? Turk Psikiyatri Derg 2004;15:183–190. Google Scholar
Barker-Collo, SL. Depression and anxiety 3 months post stroke: prevalence and correlates. Arch Clin Neuropsychol 2007;22:519–531. CrossRefGoogle ScholarPubMed
Morris, PL, Robinson, RG, Raphael, B. Prevalence and course of depressive disorders in hospitalized stroke patients. Int J Psychiatry Med 1990;20:349–364. CrossRefGoogle ScholarPubMed
Iacoboni, M, Padovani, A, Di Piero, V, Lenzi, GL. Post-stroke depression: relationships with morphological damage and cognition over time. Ital J Neurol Sci. 1995;16:209–216. CrossRefGoogle ScholarPubMed
Sinyor, D, Amato, P, Kaloupek, DG, Becker, R, Goldenberg, M, Coopersmith, H. Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. Stroke 1986;17:1102–1107. CrossRefGoogle ScholarPubMed
Starkstein, SE, Bryer, JB, Berthier, ML, Cohen, B, Price, TR, Robinson, RG. Depression after stroke: the importance of cerebral hemisphere asymmetries. J Neuropsychiatry Clin Neurosci 1991;3:276–285. Google ScholarPubMed
Chae, J, Johnston, M, Kim, H, Zorowitz, R. Admission motor impairment as a predictor of physical disability after stroke rehabilitation. Am J Phys Med Rehabil 1995;74:218–223. CrossRefGoogle ScholarPubMed
Liu, X, Lv, Y, Wang, B, Zhao, G, Yan, Y, Xu, D. Prediction of functional outcome of ischemic stroke patients in northwest China. Clin Neurol Neurosurg 2007;109:571–577. CrossRefGoogle ScholarPubMed
Frattali, CM. Outcome measurements: definitions, dimensions, and perspectives. In: Frattali, CM, ed. Measuring outcomes in speech-language pathology. New York: Thieme, 1998:6. Google Scholar