Journal article
Personality changes after subarachnoid hemorrhage: A systematic review and meta-analysis
Journal of psychosomatic research, Vol.156, pp.110762-110762
02/14/2022
DOI: 10.1016/j.jpsychores.2022.110762
PMID: 35220109
Abstract
Personality changes (PC) comprise a common and debilitating illness that accompanies many neurological disorders, including non-traumatic subarachnoid hemorrhage (SAH). The aim of this systematic review was to identify and critically appraise all published studies that have reported the frequency, severity, and time course of PC after SAH, the factors associated with the development of PC and the effects of PC on patients' lives after SAH.
We searched the PubMed, EMBASE, PsycINFO, and Ovid Nursing databases for studies published in English that recruited at least 10 patients (>18 years old) after SAH who were also diagnosed with PC.
We found eight studies involving 1227 patients met the study entry criteria. The frequency of PC ranged from 32% to 59%, with a pooled frequency of 44%. The clinical course of PC after SAH was unclear. PC after SAH may be associated with the clinical features and treatment factors related to SAH and comorbid conditions. Neurological signs, disability and surgical treatment increased the risk of PC. PC reduced the study participants' chance of employment.
In summary, PC commonly occurs after SAH. Further research is needed to clarify the time course of PC and identify the risk factors, neurochemical factors, and brain circuits associated with the development of post-SAH PC. Randomized controlled treatment trials targeting SAH-related PC are warranted.
Details
- Title: Subtitle
- Personality changes after subarachnoid hemorrhage: A systematic review and meta-analysis
- Creators
- Wai Kwong Tang - Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, SAR, China. Electronic address: tangwk@cuhk.edu.hkLisha Wang - Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, SAR, ChinaKelvin K F Tsoi - Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, China; Stanley Ho Big Data Decision Analytics Research Centre, Chinese University of Hong Kong, ChinaJoseph Barrash - Department of Neurology, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USAJong S Kim - Department of Neurology, Asian Medical Center, University of Ulsan, Seoul, Republic of Korea
- Resource Type
- Journal article
- Publication Details
- Journal of psychosomatic research, Vol.156, pp.110762-110762
- DOI
- 10.1016/j.jpsychores.2022.110762
- PMID
- 35220109
- ISSN
- 0022-3999
- eISSN
- 1879-1360
- Language
- English
- Date published
- 02/14/2022
- Academic Unit
- Neurology; Psychological and Brain Sciences; Iowa Neuroscience Institute; Center On Aging
- Record Identifier
- 9984222804602771
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