Neuroticism and fatigue 3 months after ischemic stroke: A cross-sectional study

I'd be neurotic also if my doctor knew nothing about stroke recovery and had no protocols to get me 100% recovered. I don't deal well with people who don't do their job well and can get quite irritable. This is blaming the patient rather than the doctor that failed the patient.

Neuroticism and fatigue 3 months after ischemic stroke: A cross-sectional study

Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 716-721.

NARIC Accession Number: J75826.  What's this?
ISSN: 0003-9993.
Author(s): Lau, Chieh G.; Tang, Wai K.; Liu, Xiang X.; Liang, Hua J.; Liang, Yan; Mok, Vincent; Wong, Adrian; Ungvari, Gabor S.; Kutlubaev, Mansur A.; Wong, Ka S..
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study examined relationship between neuroticism and fatigue in 191 Chinese patients with stroke. Neuroticism is a personality trait characterized by anxiety, irritability, emotional instability, and impulsiveness. Individuals with high neuroticism find it more difficult to cope with stress and to control urges and are more likely to experience offensive emotions and anger. Fatigue is common in patients in both acute and chronic phases of stroke. Neuroticism was measured with the neuroticism subscale of the Chinese version of the NEO Five-Factor Inventory (NEO-FFI). The level of fatigue was measured with the Fatigue Assessment Scale. The National Institutes of Health Stroke Scale, Geriatric Depression Scale (GDS), Barthel Index, and Mini-Mental State Examination were administered to obtain demographic and clinical information. Results showed that fatigue severity 3 months after stroke positively correlated with GDS and NEO-FFI neuroticism scores and negatively correlated with the Barthel Index score. Findings indicate that neuroticism, independent of depressive symptoms, is a predictor of fatigue severity 3 months after stroke. Interventions such as psychological screening programs are warranted for early detection of patients at high risk of post-stroke depression.
Descriptor Terms: ANXIETY DISORDERS, CHRONIC FATIGUE SYNDROME, DEPRESSION, EMOTIONAL DISORDERS, INTERNATIONAL REHABILITATION, PERSONALITY, STROKE.


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Citation: Lau, Chieh G., Tang, Wai K., Liu, Xiang X., Liang, Hua J., Liang, Yan, Mok, Vincent, Wong, Adrian, Ungvari, Gabor S., Kutlubaev, Mansur A., Wong, Ka S.. (2017). Neuroticism and fatigue 3 months after ischemic stroke: A cross-sectional study.  Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 716-721. Retrieved 5/13/2017, from REHABDATA database.


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Symptoms of Poststroke Depression among Stroke Survivors: An Appraisal of Psychiatry Needs and Care during Physiotherapy Rehabilitation

This wouldn't be needed so much if your doctor prevented the damage occurring in the first week due to the neuronal cascade of death. 

Symptoms of Poststroke Depression among Stroke Survivors: An Appraisal of Psychiatry Needs and Care during Physiotherapy Rehabilitation

Sam ChidiIbeneme,1,2 Canice Chukwudi Anyachukwu,1 Akachukwu Nwosu,3 Georgian Chiaka Ibeneme,4 Muideen Bakare,5 andGerhardFortwengel2 1DepartmentofMedicalRehabilitation, Faculty of Health Sciences&Technology, College of Medicine, University of Nigeria, Enugu Campus,Enugu40024,Nigeria 2GermanUNESCOUnitonBioethics,FakultatIII-Medien,Information und Design, Hochschule Hannover-University of Applied Sciences and Arts,30539Hannover,Germany 3National Institute for Sports,Surulere,Lagos101283,Nigeria 4DepartmentofNursingSciences,Faculty of Health Sciences&Technology, College of Medicine, Ebonyi State University, Abakaliki5480214,Nigeria 5FederalNeuro-PsychiatricHospital,New Haven,Enugu400221,Nigeria CorrespondenceshouldbeaddressedtoSamChidiIbeneme;sam.ibeneme@extern.hs-hannover.de Received21December2015;Revised15February2016;Accepted17February2016 Academic Editor: Mirko Diksic Copyright©2016SamChidiIbenemeetal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To identify stroke survivors with symptoms of post stroke depression and the extent of psychiatry needs and care they have received while on physiotherapy rehabilitation.Participants.Fifty stroke survivors(22 females and 28 males)at the outpatient unit of Physiotherapy Department, University of Nigeria Teaching Hospital, Enugu, who gave their informed consent, were randomly selected.Their age range and mean age were 26–66 years and 54.76 ± 8.79 years, respectively.Method.A multiple case study of 50 stroke survivors for symptoms of post stroke depression was done with Beck’s Depression Inventory, mini mental status examination tool, and Modified Motor Assessment Scale.The tests were performed independently by the participants except otherwise stated and scored on a scale of 0–6. Data were analyzed using 𝑍-test for proportional significance and chi-square test for determining relationship between variables, at 𝑝 < 0.05. Results. Twenty-one (42.0%) stroke survivors had symptoms of PSD, which was significantly dependent on duration of stroke (𝜒2 = 21.680, df = 6, and𝑝 = 0.001), yet none of the participants had a psychiatry review. Conclusions. Symptoms of PSD may be common in cold compared to new cases of stroke and may need psychiatry care while on physiotherapy rehabilitation.

The Mini Mental State Examination (MMSE)

A 30 point questionnaire doctors may use to determine your cognitive state.

You can use it for whatever you want. I would use it to cheat on the exam to make sure I passed. Just the fact of having enough cognition to try to cheat on a cognition test is probably proof your brain is working just fine.

Take it yourself:

STANDARDIZED MINI-MENTAL STATE EXAMINATION (SMMSE)

Number 12 I still would fail at. In the hospital after three days in the ICU I failed knowing the date and day of the week and the name of the building and floor. 

The latest here:

The Mini Mental State Examination (MMSE)

But then if you listen to the neurologists  from the Neurology Now magazine  you are given this advice.
An 'F' for Online Dementia Tests

Have at it. Since your neurologist knew nothing about getting to 100% recovery why would you listen to anything else they have to say?
Don't listen to me I know nothing, I'm not medically trained.