Evidence map›Paper›PMID 33345598›Full record

ArticleClinical rehabilitation2021

Psychometric evaluation of a newly developed measure of emotionalism after stroke (TEARS-Q).

Niall M Broomfield, Robert West, Allan House, Theresa Munyombwe, Mark Barber, Fergus Gracey, David C Gillespie, Matthew Walters

2 registry-linked trialsAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Clinical rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05822986 completednot on this map

The Validity and Reliability of the Turkish Version of the Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q)

TypeobservationalSponsorPamukkale UniversityRan2021 to 2024Enrolled85ConditionsStroke
NCT06457126 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Applying the Metacognitive Model to Post-Stroke Emotionalism: A Multiphasic Case Series Piloting the Attention Training Technique

TypeinterventionalSponsorUniversity of ManchesterRan2024 to 2025Enrolled14ConditionsStroke, Emotionality, Pseudobulbar Affect, Lability EmotionalArmsAttention Training Technique
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmaceutical interventions for emotionalism after stroke.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Observational
  3. Post-stroke emotionalism: Diagnosis, pathophysiology, and treatment.International journal of stroke : official journal of the International Stroke Society · 2024
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Niall M BroomfieldDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK.ORCID https://orcid.org/0000-0003-2599-3435
Robert WestLeeds Institute of Health Sciences, University of Leeds, Leeds, West Yorkshire, UK.
Allan HouseLeeds Institute of Health Sciences, University of Leeds, Leeds, West Yorkshire, UK.
Theresa MunyombweLeeds Institute of Health Sciences, University of Leeds, Leeds, West Yorkshire, UK.
Mark BarberUniversity Hospital Monklands, Airdrie, UK.
Fergus GraceyDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK.ORCID https://orcid.org/0000-0002-1416-7894
David C GillespieDepartment of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-1325-9727
Matthew WaltersInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate, psychometrically, a new measure of tearful emotionalism following stroke: Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q).

settingAcute stroke units based in nine Scottish hospitals, in the context of a longitudinal cohort study of post-stroke emotionalism. SUBJECTS: A total of 224 clinically diagnosed stroke survivors recruited between October 1st 2015 and September 30th 2018, within 2 weeks of their stroke. MEASURES: The measure was the self-report questionnaire TEARS-Q, constructed based on post-stroke tearful emotionalism diagnostic criteria: (i) increased tearfulness, (ii) crying comes on suddenly, with no warning (iii) crying not under usual social control and (iv) crying episodes occur at least once weekly. The reference standard was presence/absence of emotionalism on a diagnostic, semi-structured post-stroke emotionalism interview, administered at the same assessment point. Stroke, mood, cognition and functional outcome measures were also completed by the subjects.

resultsA total of 97 subjects were female, with a mean age 65.1 years. 205 subjects had sustained ischaemic stroke. 61 subjects were classified as mild stroke. TEARS-Q was internally consistent (Cronbach's alpha 0.87). TEARS-Q scores readily discriminated the two groups, with a mean difference of -7.18, 95% CI (-8.07 to -6.29). A cut off score of 2 on TEARS-Q correctly identified 53 of the 61 stroke survivors with tearful emotionalism and 140 of the 156 stroke survivors without tearful emotionalism. One factor accounted for 57% of the item response variance, and all eight TEARS-Q items acceptably discriminated underlying emotionalism.

conclusionTEARS-Q accurately diagnoses tearful emotionalism after stroke.

Indexed as

CryingAdultAffective SymptomsAgedCase-Control StudiesEmotionsFemaleHumansLongitudinal StudiesMaleMiddle AgedPsychometricsStrokeSurveys and Questionnairesemotionalismmental healthStroke

Identifiers

PMID33345598
PMCPMC8191157

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.