ANXIETY AFTER A FALL IN ELDERLY SUBJECTS AND SUBSEQUENT RISK OF DEVELOPING POST TRAUMATIC STRESS DISORDER AT TWO MONTHS. A PILOT STUDY
ANXIETY AFTER A FALL IN ELDERLY SUBJECTS AND SUBSEQUENT RISK OF DEVELOPING POST TRAUMATIC STRESS DISORDER AT TWO MONTHS. A PILOT STUDY
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DOI：
10.1007/s12603-013-0415-y
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发表时间：
2014-03-01
影响因子：
5.8
通讯作者：
Kemoun, G.
中科院分区：
文献类型：
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作者：
Bloch, F.;Blandin, M.;Kemoun, G.
背景：老年人跌倒后的心理负担增加了康复的困难。我们假设创伤后应激障碍（PTSD）可能是这些心理问题的根源。在跌倒后2个月检查即刻心理状态，以确定焦虑和PTSD的患病率及其可能的相关性。方法：一项单中心前瞻性调查，包括跌倒后转诊至急诊科（艾德）的老年受试者，随访2个月。结果如下：30.5%的患者在跌倒后表现出显著的焦虑水平，26%的患者在2个月时表现出支持PTSD存在的证据。即刻焦虑、重新建立直立姿势的能力和反复福尔斯跌倒史是2个月时PTSD的显著预测因素。结论：跌倒后持续性心理问题可能与创伤后应激障碍有关，创伤后应激障碍与即时焦虑显著相关。这项研究可以被视为患者特征的第一步，并预测谁可能从各种康复方法中受益。
Background: The psychological burden suffered by elderly subjects after a fall adds to rehabilitation difficulties. We hypothesised that Post Traumatic Stress Disorder (PTSD) may be at the root of these psychological post-fall problems. The immediate psychological state was examined after 2 months post-fall in order to determine the prevalence of anxiety and PTSD and their possible correlates. Method: A single centre prospective survey including elderly subjects referred to an emergency department (ED) after a fall with a 2-month follow-up. Results: 30.5% of patients showed a significant level of anxiety after their fall and (26%) showed evidence supporting the presence of PTSD at 2-months. Immediate anxiety, ability to re-establish upright posture and a history of repeated falls were significant predictors of PTSD at 2-months. Conclusion: persistent psychological problems post fall may be related to PTSD which is significantly correlated to immediate anxiety. This study can be seen as a first step in patient characterisation, and predicts who may benefit from which of the various approaches of rehabilitation.