Post-stroke Neuropsychiatric Symptoms
The term ‘neuropsychiatric symptoms’ (NPS) collectively identify the following behavioral symptoms; psychosis, apathy, depression, difficulty with sleeping, aggression, agitation and disordered eating. Literature suggests that there is a high prevalence of these symptoms experienced by stroke survivors. Further, depression and anxiety have been identified as the most commonly experienced NPS in stroke. NPS typically occur later in the rehabilitation phase of treatment and may result if the patients’ expected progress does not eventuate. Knowledge about the prevalence and progression of NPS is vital for coordinating appropriate rehabilitation and implementing optimum treatment on the ward. This approach to the treatment of NPS not only contributes to a smoother rehabilitation phase but also may result in a potentially shorter rehabilitation period. Therefore, caregivers and nurses should be trained in recognizing NPS so that they can learn to promptly recognize signs of depression and other NPS. As the guidelines for stroke rehabilitation recommend a multidisciplinary approach, it is important to be aware of the different approaches to psychotherapy to ensure that the patient is referred appropriately.
KeywordsNeuropsychiatric symptoms Stroke Rehabilitation Nurse Treatment
- Buijck BI, Zuidema SU, van Spruit-Eijk M, Geurts AC, Koopmans RT. Neuropsychiatric symptoms in geriatric patients admitted to skilled nursing facilities in nursing homes for rehabilitation after stroke: a longitudinal multicenter study. Int J Geriatr Psychiatry. 2012;27(7):734–41.CrossRefPubMedGoogle Scholar
- Vansimaeys C, Untas A, Zuber M, Bruandet M, Join-Lambert C, Bungener C. The role of short term psychological and somatic anxiety in the prediction of long term anxiety of early hospital discharged patients with complete functional recovery after a mild stroke. J Eur Psychol Stud. 2017;8(1):1–6.CrossRefGoogle Scholar
- Wong A, Lau AYL, Yang J, Wang Z, Liu W, Lam BYK, et al. Neuropsychiatric symptom clusters in stroke and transient ischemic attack by cognitive status and stroke subtype: frequency and relationships with vascular lesions, brain atrophy and amyloid. PLoS One. 2016;11(9):e0162846.CrossRefPubMedPubMedCentralGoogle Scholar