title: Do brain lesions in stroke affect basic emotions and attachment?
abstract: The aim of the current study was to investigate basic emotions and attachment in a sample of 86 stroke patients. We included a control group of 115 orthopedic patients (matched for age and cognitive status) without brain lesions to control for unspecific general illness effects of a traumatic recent event on basic emotions and attachment. In order to measure basic emotions and attachment style we applied the Affective Neuroscience Personality Scale (ANPS) and the Attachment Style Questionnaire (ASQ). The stroke patients showed significantly different scores in the SEEKING, SADNESS, and ANGER subscales of the ANPS as well as in the Relationship as Secondary Attachment dimension of the ASQ when compared to the control group. These differences show a pattern influenced by lesion location mainly as concerns basic emotions. Anterior, medial, left, and subcortical patients provide scores significantly lower in ANPS-SEEKING than the control group; ANPS-SADNESS scores in anterior, right, medial, and subcortical patients were significantly higher than those of the control group. ANPS-ANGER scores in posterior, right, and lateral patients were significantly higher than those in the control group; finally, the ANPS-FEAR showed slightly lower scores in posterior patients than in the control group. Minor effects on brain lesions were also individuated in the attachment style. Anterior lesion patients showed a significantly higher average score in the ASQ-Need for Approval subscale than the control group. ASQ-Confidence subscale scores differed significantly in stroke patients with lesions in medial brain regions when compared to control subjects. Scores at ANPS and ASQ subscales appear significantly more correlated in stroke patients than in the control group. Such finding of abnormalities, especially concerning basic emotions in stroke brain-lesioned patients, indicates that the effect of brain lesions may enhance the interrelation between basic emotions and attachment with respect to the control group.
authors: a Clinical Psychology Service, "Villa Bellombra" Rehabilitation Hospital , Bologna , Italy.
authors: Marina
authors: M
authors: Farinelli
authors: Jaak
authors: J
authors: Panksepp
authors: Laura
authors: L
authors: Gestieri
authors: Monica
authors: M
authors: Maffei
authors: Raffaele
authors: R
authors: Agati
authors: Daniela
authors: D
authors: Cevolani
authors: Vincenzo
authors: V
authors: Pedone
authors: Georg
authors: G
authors: Northoff
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004644:Emotions / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D020521:Stroke / Q000473:pathology* / Q000523:psychology*
keywords: Attachment; Basic emotions; Brain lesions; Stroke