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Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia

World Journal of Psychiatry 2022年第3期12卷 450-469页

作者： Lisa Edelkraut Diana López-Barroso María JoséTorres-Prioris Sergio E Starkstein Ricardo E Jorge jessica aloisi Marcelo L Berthier Guadalupe Dávila Department of Psychobiology and Methodology of Behavioral Science Faculty of Psychology and Speech TherapyUniversity of MalagaMalaga 29071Spain Cognitive Neurology and Aphasia Unit Centro de Investigaciones Médico-SanitariasUniversity of MalagaMalaga 29010Spain Instituto de Investigación Biomédica de Málaga University of MalagaMalaga 29010Spain School of Psychiatry and Neurosciences The University of Western AustraliaPerth 6009Australia Department of Psychiatry and Behavioral Sciences Baylor College of MedicineHoustonTX 77030United States

BACKGROUND Neuropsychiatric symptoms(NPS)have been insufficiently examined in persons with aphasia(PWA)because most previous studies exclude participants with language and communication *** To report a two-part study consisting of a literature review and an observational study on NPS in post-stroke *** Study 1 reviewed articles obtained from PubMed,PsycINFO,Google Scholar and Cochrane databases after cross-referencing key words of post-stroke aphasia to NPS and *** 2 examined language deficits and activities of daily living in 20 PWA(median age:58,range:28-65 years;13 men)with the Western Aphasia Battery-Revised and the Barthel Index,*** of these 20 PWA were proxy-evaluated with the Neuropsychiatric Inventory and domain-specific scales,including the Stroke Aphasia Depression Questionnaire-10 item version and the Starkstein Apathy *** addition,an adapted version of the Hospital Anxiety and Depression Scale was directly administered to the PWA *** observational study is based on the baseline assessment of an intervention clinical trial(EudraCT:2017-002858-36;*** identifier:NCT04134416).RESULTS The literature review revealed a broad spectrum of NPS in PWA,including depression,anxiety,apathy,agitation/aggression,eating and sleep disorders,psychosis,and hypomania/*** findings alert to the need for improving assessment and treatment approaches of NPS taking into consideration their frequent occurrence in *** 2 showed that the 20 participants had mild-to-moderate aphasia severity and were functionally independent.A wide range of comorbid NPS was found in the post-stroke aphasic population(median number of NPS:5,range:1-8).The majority of PWA(75%)had depressive symptoms,followed by agitation/aggression(70%),irritability(70%),anxiety(65%)and appetite/eating symptoms(65%).Half of them also presented symptoms of apathy,whereas euphoria and psychotic symptoms were rare(5%).Domain

关键词： Aphasia Stroke Neuropsychiatric symptoms Anxiety Apathy Depression

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Acupuncture-Induced Pain Relief and Salivary Hormone Changes in Men and Women

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Open Journal of Endocrine and Metabolic Diseases 2020年第3期10卷 29-43页

作者： Ilaria Ceccarelli Fu Bao Tian Stefano Pieretti Paola Minosi Samuele Paparo Barbaro Paolo Fiorenzani jessica Pinassi Anna Maria aloisi Dipartimento Scienze Mediche Chirurgiche e Neuroscienze Università di Siena Siena Italy Dipartimento di Medicina Clinica e Molecolare Università La Sapienza Rome Italy Centro Nazionale Ricerca e Valutazione Preclinica e Clinica dei Farmaci Istituto Superiore di Sanità Rome Italy

Objective: The aim of the present study was to examine the efficacy of acupuncture in the treatment of pain together with the determination of different hormonal parameters for possible correlations in men and women of different ages. Methods: 39 women and 38 men suffering from pain and seeking acupuncture received acupuncture treatment twice a week for 5 weeks. Pain and quality of life parameters were collected via written questionnaires (VAS, QUID and SF-36), while testosterone and cortisol were determined in the saliva. Results: Cortisol and testosterone salivary levels were higher in controls than in pain subjects and higher in men than in women. Acupuncture treatment improved all parameters, decreased pain and changed the hormonal values differently depending on sex and age. Conclusions: Sex and age are important factors in changing the effects of acupuncture in the treatment of pain.

关键词： Pain Acupuncture Hormones Saliva

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