PURPOSE Social cognition disorders after stroke are poorly described. Yet, rehabilitation difficulties are frequent after stroke. This study aimed to evaluate the frequency of social cognition disorders 3 years after a first-ever stroke and to assess the factors associated with this condition. The second aim was to describe all the cognitive domains altered in the same population. METHODS Patients who suffered from a first-ever ischemic or hemorrhagic stroke underwent clinical and neuropsychological assessment, which included the mini-Social cognition and Emotional Assessment (SEA) for evaluating social cognition. RESULTS The 43 included patients were 67±15 years old, with a median Neurological Institute of Health Stroke Scale (NIHSS) (± interquartile range) at 0±1, and a median modified Rankin Scale (± interquartile range) at 1±1. Twenty patients (46.5%) had poor results in the facial emotions subtest; this factor was associated with a low educational grade (P=0.001). Fourteen patients (34.2%) had poor results on the "faux-pas" recognition subtest; this factor was associated with nonverbal episodic memory disorders (P=0.01). Thirty four patients (79.1%) had cognitive impairment, with at least 1 cognitive domain affected. CONCLUSIONS The study demonstrates the high frequency of social cognition impairment 3 years after the first-ever stroke in young patients. Doctors and nurses should be sensitized to cognitive handicap after stroke because of difficulties for rehabilitation and returning to work.

中文翻译：

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中风后长期长期存在较高的社会认知障碍和轻度认知障碍。

目的对中风后的社会认知障碍的描述很少。然而，中风后康复困难频繁。这项研究旨在评估首次中风后3年的社会认知障碍的发生率，并评估与这种情况相关的因素。第二个目的是描述同一人群中所有认知领域的变化。方法首次患有缺血性或出血性中风的患者接受了临床和神经心理学评估，其中包括迷你社交认知和情绪评估（SEA），用于评估社交认知。结果43例患者年龄为67±15岁，中位神经病学健康中风量表（NIHSS）（±四分位数范围）为0±1，中位改良兰金量表（±四分位数范围）为1±1。20名患者（46.5％）的面部情绪子测验结果较差；该因素与低学历相关（P = 0.001）。14名患者（34.2％）在“人造假发”识别子测验中的结果较差；该因素与非语言情节性记忆障碍有关（P = 0.01）。三十四名患者（79.1％）有认知障碍，至少有一个认知领域受到影响。结论该研究表明，年轻患者首次中风后3年发生社交认知障碍的频率很高。由于康复和重返工作的困难，中风后医生和护士应注意认知障碍。2％）在“人造pas”识别子测验中的结果较差；该因素与非语言情节性记忆障碍有关（P = 0.01）。三十四名患者（79.1％）有认知障碍，至少有一个认知领域受到影响。结论该研究表明，年轻患者首次中风后3年发生社交认知障碍的频率很高。由于康复和重返工作的困难，中风后医生和护士应注意认知障碍。2％）在“人造pas”识别子测验中的结果较差；该因素与非语言情节性记忆障碍有关（P = 0.01）。三十四名患者（79.1％）有认知障碍，至少有一个认知领域受到影响。结论该研究表明，年轻患者首次中风后3年发生社交认知障碍的频率很高。由于康复和重返工作的困难，中风后医生和护士应注意认知障碍。结论该研究表明，年轻患者首次中风后3年发生社交认知障碍的频率很高。由于康复和重返工作的困难，中风后医生和护士应注意认知障碍。结论该研究表明，年轻患者有史以来第一次中风3年后社交认知障碍的发生频率很高。由于康复和重返工作的困难，医生和护士应对中风后的认知障碍敏感。