J Neurol Neurosurg Psychiatry 65:928-929 doi:10.1136/jnnp.65.6.928
  • Short report

Psychological associations with emotionalism after stroke

  1. Tig Calverta,
  2. Peter Knappb,
  3. Allan Housec
  1. aSchool of Psychology, bStroke Outcome Study, Research School of Medicine, University of Leeds, UK, cDivision of Psychiatry and Behavioural Sciences in Relation to Medicine, University of Leeds, UK
  1. Dr A House, Division of Psychiatry and Behavioural Sciences in Relation to Medicine, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT, UK.
  • Received 17 March 1998
  • Revised 17 June 1998
  • Accepted 29 June 1998


The psychological associations with emotionalism were examined, 1 month after stroke, in 448 stroke survivors who met inclusion criteria for a randomised trial of psychological treatment. One hundred and one (21.5%) patients had emotionalism. Thirty eight (38%) of those with emotionalism had a clinically significant mood disorder, compared with 64 of 347 (18%) of those without emotionalism. Emotionalism was associated with 10 other psychiatric syndromes, the presence of most of which could be accounted for by the coexistence of depression with emotionalism. In a logistic regression analysis, irritability and ideas of reference were associated with emotionalism after adjustment for the presence of depression. These psychological associations with emotionalism may be incorporated into a psychological model of emotionalism as a disorder of emotional control, and they may help in the understanding of the socially disabling effects of this common condition.


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