High Prevalence of Social Cognition Disorders and Mild Cognitive Impairment Long Term After Stroke
Affiliation auteurs | !!!! Error affiliation !!!! |
Titre | High Prevalence of Social Cognition Disorders and Mild Cognitive Impairment Long Term After Stroke |
Type de publication | Journal Article |
Year of Publication | 2020 |
Auteurs | Sensenbrenner B, Rouaud O, Graule-Petot A, Guillemin S, Piver A, Giroud M, Bejot Y, Jacquin-Piques A |
Journal | ALZHEIMER DISEASE & ASSOCIATED DISORDERS |
Volume | 34 |
Pagination | 72-78 |
Date Published | JAN-MAR |
Type of Article | Article |
ISSN | 0893-0341 |
Mots-clés | Empathy, poststroke cognitive disorders, Social cognition, Stroke, Theory of Mind |
Résumé | Purpose: Social cognition disorders after stroke are poorly described. Yet, rehabilitation difficulties are frequent after stroke. This study aimed to evaluate the frequency of social cognition disorders 3 years after a first-ever stroke and to assess the factors associated with this condition. The second aim was to describe all the cognitive domains altered in the same population. Methods: Patients who suffered from a first-ever ischemic or hemorrhagic stroke underwent clinical and neuropsychological assessment, which included the mini-Social cognition and Emotional Assessment (SEA) for evaluating social cognition. Results: The 43 included patients were 67 +/- 15 years old, with a median Neurological Institute of Health Stroke Scale (NIHSS) (+/- interquartile range) at 0 +/- 1, and a median modified Rankin Scale (+/- interquartile range) at 1 +/- 1. Twenty patients (46.5%) had poor results in the facial emotions subtest; this factor was associated with a low educational grade (P=0.001). Fourteen patients (34.2%) had poor results on the ``faux-pas'' recognition subtest; this factor was associated with nonverbal episodic memory disorders (P=0.01). Thirty four patients (79.1%) had cognitive impairment, with at least 1 cognitive domain affected. Conclusions: The study demonstrates the high frequency of social cognition impairment 3 years after the first-ever stroke in young patients. Doctors and nurses should be sensitized to cognitive handicap after stroke because of difficulties for rehabilitation and returning to work. |
DOI | 10.1097/WAD.0000000000000355 |