Behavioural dysexecutive syndrome after stroke:
abridged secondary publication
WK Tang1, KSL Wong2, VCT Mok2, CWW Chu3, D Wang3, A Wong2
1Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong
2Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong
3Department of Imaging and Interventional Radiology, Faculty of Medicine, The Chinese University of Hong Kong
1. Behavioural dysexecutive syndrome (BDES) was
common among stroke survivors. Its prevalence
at 3 months post-stroke was 18.7%.
2. More severe anxiety symptoms, presence of current depression, and poor cognitive functioning predicted BDES at 3 months post-stroke.
3. No radiological variable was found to be associated with BDES.
4. BDES was related to poor executive function that involves conceptualisation, category fluency, motor programming, sensitivity to interference, inhibitory control, environmental autonomy, and semantic memory.
5. All patients with BDES at the 3-month follow-up were found to be remitted at the 40-month follow-up assessment. No patients from the non-BDES group developed BDES at the 38-month follow-up.
6. All stroke patients showed significant improvement in BDES symptoms at 38 months post-stroke.
7. BDES imposes a psychological burden on stroke patients and should not be neglected. Early identification and multidisciplinary intervention for BDES is essential.
2. More severe anxiety symptoms, presence of current depression, and poor cognitive functioning predicted BDES at 3 months post-stroke.
3. No radiological variable was found to be associated with BDES.
4. BDES was related to poor executive function that involves conceptualisation, category fluency, motor programming, sensitivity to interference, inhibitory control, environmental autonomy, and semantic memory.
5. All patients with BDES at the 3-month follow-up were found to be remitted at the 40-month follow-up assessment. No patients from the non-BDES group developed BDES at the 38-month follow-up.
6. All stroke patients showed significant improvement in BDES symptoms at 38 months post-stroke.
7. BDES imposes a psychological burden on stroke patients and should not be neglected. Early identification and multidisciplinary intervention for BDES is essential.