Clinical trial NCT05822986: The Validity and Reliability of the Turkish Version of the Testing Emotionalism After Recent Stroke - Questionnaire
Official title: The Validity and Reliability of the Turkish Version of the Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Keywords: Emotions
Stroke
Surveys and Questionnaires
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2023-04-21
Enrollment: 85
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All participants who were hospitalized in Pamukkale University Neurology Service with a diagnosis of stroke and who volunteered to participate in the study and fulfilled the criteria

Brief summary: This study was designed to conduct Turkish validity and reliability study of Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q) in order to use it for Turkish people with stroke.

Detailed description: Post-stroke emotionality is defined as excessive and unseemly crying or laughing in the absence of a motivating stimulus or in response to stimuli that would not typically trigger such emotions. Emotionality is a severe neurological condition marked by a loss of control over emotional responses. This occurs at a rate of about 17% in the acute period (1 month following stroke). Emotionality is classified as crying, laughing, or both crying and laughing. Stroke patients are more likely than others to cry alone.

Abnormal emotional responses in the acute phase following stroke are often recognized as part of the adaptation process, which delays emotionality diagnosis. It is critical in therapeutic practice to identify emotionality from other affective illnesses, as well as mood and personality disorders. Post-stroke sadness is sometimes misinterpreted with emotionality. Underdiagnosis and misdiagnosis, on the other hand, have clinically detrimental implications such as increased social limitation, worse quality of life, and delayed help-seeking behavior.

There are different scales evaluating emotionality in the literature. Pathological Laughter and Crying Scale and Center for Neurological Sciences-Lability Scale have limited use in stroke patients and have uncertain psychometric properties (no cut-off scores, uncontrolled crying and laughing attacks cannot be evaluated in different sub-dimensions). ), that's why the Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q) was developed.

The aim of this study is to provide a Turkish translation and cross-cultural adaption of the TEARS-Q, as well as to assess the validity and reliability of the Turkish version in patients with acute stroke.

The procedures and objectives of the research will be described to the participants verbally and in writing before to all evaluations, and signed agreement will be collected from the participants..

Participants in the research will complete a personal (gender, age, weight, height, body mass index, education level) and medical history form (comorbidity, stroke side, type of stroke, stroke age) constructed using available literature. The Standardized Mini-Mental Test will be used to assess participants' overall cognitive level, the American National Institutes of Health (NIHS) Stroke Scale to assess stroke severity, and the Hospital Anxiety and Depression Scale to assess anxiety levels. To assess construct validity, the EQ-5D General Quality of Life Scale, the Barthel Activities of Daily Living Index, and the Neurological Sciences Center - Lability Scale will be applied.

Eligibility criteria: Inclusion Criteria:

* Participants who diagnosed with ischemic or hemorrhagic stroke

Exclusion Criteria:

* Aphasia
* Subarachnoid or off-axis bleeding
* Diagnosis of Transient Ischemic Attack
* Severe comorbidity in addition to stroke
* Dementia
* Cognitive or behavioral problems
* Life expectancy of less than 3 months

Primary outcomes:
measure: Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q)
timeFrame: At Baseline and 1 week after the baseline
measure: Standardized Mini Mental Test
timeFrame: At Baseline
measure: National Institutes of Health Stroke Scale (NIHSS)
timeFrame: At Baseline
measure: EuroQol- 5 Dimension (EQ-5D) General Quality of Life Scale
timeFrame: At Baseline
measure: Barthel Index for Activities of Daily Living (ADL)
timeFrame: At Baseline
measure: Hospital Anxiety and Depression Scale (HADS)
timeFrame: At Baseline
measure: Center for Neurologic Study-Liability Scale (CNS-LS)
timeFrame: At Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Pamukkale University
state: Kinikli
Study officials:
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