Neuropsychological outcome after a first symptomatic ischaemic stroke with ‘good recovery’

Abstract

We report the first study examining the impact of a first stroke on cognition but also on psychiatric disorders in patients with good functional outcome. We found that patients considered as asymptomatic were, in fact, exhibiting a multidomain cognitive deficit that could impact return to life as before stroke.

Associations of Proactive Coping and Self-Efficacy With Psychosocial Outcomes in Individuals After Stroke

“…34 In contrast, individuals after stroke are often confronted with behavioral, cognitive, and emotional effects, which are largely invisible. [35][36][37][38] Consequently, the capacities of individuals after stroke are easily overestimated by relatives and people in the community, resulting in unrealistic expectations about the participation levels of individuals after stroke. 39,40 Therefore, social pressure might determine these participation levels more strongly than selfefficacy.…”

Awareness of memory functioning in patients with stroke who have a good functional outcome

“…those who show no immediate significant motor, sensory or linguistic symptoms). Despite enduring cognitive and emotional impairments, these patients with 'mild' stroke are often discharged home within days and are usually not referred to a rehabilitation programme or other forms of follow-up care [6][7][8][9]. Impaired awareness in these patients may lead to a failure to seek help for their cognitive and emotional impairments and consequently they may not receive the treatment that they need.…”

Poststroke Apathy

“…[33][34][35][36][37][38][39][40][41][42] Assessment of the risk of bias per study is provided in Appendix SIII in the online-only Data Supplement.…”