Frequency and predictors of post-traumatic stress disorder after stroke: A pilot study
Frequency and predictors of post-traumatic stress disorder after stroke: A pilot study
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DOI：
10.1016/j.jns.2013.02.001
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发表时间：
2013-04-15
影响因子：
4.4
通讯作者：
Alamowitch, Sonia
中科院分区：
文献类型：
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作者：
Favrole, Pascal;Jehel, Louis;Alamowitch, Sonia
目的：脑卒中后创伤后应激障碍（post-traumatic stress disorder，sPTSD）的临床症状研究资料很少，也没有被DSM-IV正式诊断为创伤后应激障碍（post-traumatic stress disorder，fdPTSD）的资料。我们调查了非致残性缺血性卒中（IS）或短暂性脑缺血发作（TIA）后1-6个月sPTSD和fdPTSD的发生率和预测因素。方法：对连续性患者进行sPTSD（事件影响量表修订版，IES-R，如果>30则显著）和fdPTSD（PTSD访谈）评估。我们记录了社会人口统计学因素、卒中特征（包括初始缺陷的严重程度、持续性残疾、局部化）、相关的情绪变化、卒中期间的创伤周围反应（创伤周围痛苦量表（PDI）用于恐惧和痛苦，创伤周围分离体验问卷用于认知评估）和精神病史。将sPTSD和fdPTSD患者与IES-R患者进行比较，
Objective: Few data exist about post-stroke symptoms of post-traumatic stress disorder (sPTSD) and none on DSM-IV formally diagnosed PTSD (fdPTSD). We investigated the frequency and predictors of sPTSD and fdPTSD 1-6 months after a nondisabling ischemic stroke (IS) or transient ischemic attack (TIA).Methods: Consecutive patients were assessed for sPTSD (Impact of Events Scale-Revised, IES-R, significant if >30) and fdPTSD (PTSD-Interview). We recorded sociodemographic factors, stroke features (including severity of the initial deficit, persistent disability, localization), associated mood changes, peritraumatic reactions during the stroke (Peritraumatic Distress Inventory (PDI) for fear and distress, Peritraumatic Dissociative Experience Questionnaire for cognitive appraisal), and psychiatric history. Patients with sPTSD and fdPTSD were compared to patients with IES-R