Assessing acute psychological distress in the immediate aftermath of stroke.
Assessing acute psychological distress in the immediate aftermath of stroke.
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DOI：
10.1177/1474515117719809
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发表时间：
2018-03
影响因子：
2.9
通讯作者：
Holman EA
中科院分区：
文献类型：
--
作者：
Juth V;Chan MK;Cramer SC;Holman EA
高度的急性压力可能预示着随后心血管疾病的发展。了解如何最好地评估急性应激可能会为寻求预防卒中后长期发病率/死亡率的早期干预提供信息。采用创伤后应激障碍检查表-5（PCL-5）和急性应激障碍量表（ASDS），采用混合方法检查卒中后早期急性应激症状。卒中幸存者和/或其护理人员（N=8）的焦点小组评估了PCL-5/ASDS的可行性，并在卒中发作后2-10天使用PCL-5或ASDS对20例因急性卒中住院的患者进行了访谈。急性应激症状在急性卒中恢复期间存在并可测量。急性应激在中风住院患者的评估是可行的，一个简短的修改ASDS比PCL-5的优势。ASDS是评估急性脑卒中后心理困扰的一种可行且有用的方法。研究结果表明，急性应激症状存在于中风患者中，在中风后的早期阶段更加关注心理反应。鉴于急性应激具有严重的潜在长期健康后果，对卒中相关急性应激的进一步研究可能有助于了解卒中后发病率/死亡率。
High acute stress may presage the development of subsequent cardiovascular ailments. Understanding how best to assess acute stress may inform early interventions seeking to prevent long-term morbidity/ mortality following stroke. A mixed methods approach examined early post-stroke acute stress symptoms using the post-traumatic stress disorder checklist-5 (PCL-5) and the acute stress disorder scale (ASDS). A focus group of stroke survivors and/or their caregivers (N=8) evaluated PCL-5/ASDS feasibility, and 20 patients hospitalized for acute stroke were interviewed 2–10 days post-stroke onset, using either the PCL-5 or the ASDS. Acute stress symptoms were present and measurable during acute stroke recovery. Assessment of acute stress in hospitalized patients with stroke is feasible; a briefer modified ASDS has advantages over the PCL-5. The ASDS is a viable and useful measure for assessing psychological distress during the acute post-stroke aftermath. Findings suggest that acute stress symptoms are present among patients with stroke, warranting greater attention to psychological responses in the early post-stroke period. Given that acute stress has serious potential long-term health consequences, additional research on stroke-related acute stress may prove useful for understanding post-stroke morbidity/mortality.
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