Assessing mood and cognitive functioning in acute stroke : clinical usability of a Visual Analogue Mood Scale (VAMS)

© 2021. The Author(s)..

BACKGROUND: Patients suffering from stroke in the acute/post-acute phases often present with depressive mood - which negatively impacts on patients' prognosis. However, psychometric evaluation of mood in acute stroke patients may be challenging due to cognitive deficits. Tools investigating emotional states via a vertical analogue line may overcome language/visuo-spatial disorders. This study thus aimed at (a) investigating the clinical usability of a Visual Analogue Mood Scale (VAMS) in acute stroke patients and (b) investigating the interplay between mood and cognition in this population.

METHODS: Forty-one acute stroke patients were compared to 41 age-, education- and sex-matched healthy participants (HPs) on the VAMS and on cognitive measures (mental performance in acute stroke, MEPS). A control line bisection (LB) task was administered to control for potential visuo-spatial deficits in patients.

RESULTS: Patients reported higher depression levels than HPs (lower VAMS scores); this between-group difference stayed significant when covarying for LB scores. MEPS scores discriminated patients from HPs; among cognitive measures, only the Clock drawing test (CDT) was positively associated with VAMS scores. Lesion side did not affect patients' mood state; however, disease duration was inversely related to VAMS scores.

DISCUSSION: The VAMS proved to be a suitable tool for assessing mood in acute stroke patients, as being independent from post-stroke cognitive sequelae. The CDT might represent an adequate measure of depression-induced, post-stroke cognitive efficiency decrease. Mood disorders might occur and thus should be adequately addressed also in post-acute phases - likely due to longer hospitalization times and regression of anosognosic features.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology - 43(2022), 3 vom: 07. März, Seite 1741-1745

Sprache:

Englisch

Beteiligte Personen:

Pasotti, Fabrizio [VerfasserIn]
Serranò, Sabrina [VerfasserIn]
Aiello, Edoardo Nicolò [VerfasserIn]
Gramegna, Chiara [VerfasserIn]
Querzola, Matteo [VerfasserIn]
Gallucci, Marcello [VerfasserIn]
Micieli, Giuseppe [VerfasserIn]
Bollani, Allesandra [VerfasserIn]
Agostoni, Elio Clemente [VerfasserIn]
Bottini, Gabriella [VerfasserIn]

Links:

Volltext

Themen:

Acute stroke
Cognitive functioning
Depression
Journal Article
Mood
Stroke
Visual analogue scale

Anmerkungen:

Date Completed 23.02.2022

Date Revised 24.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10072-021-05440-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329097105