Chronic posttraumatic stress symptoms after nonsevere stroke
- 28 February 2006
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Neurology
- Vol. 66 (4), 513-516
- https://doi.org/10.1212/01.wnl.0000194210.98757.49
Abstract
Objective: To determine whether posttraumatic stress disorder (PTSD)–related symptoms were present 1 year after a nonsevere stroke and, if so, to examine the relationship between PSTD, coexisting cognitive variables, and infarct localization Methods: The authors assessed 49 patients using standard measures of memory, trauma experience, neurologic deficit, depression, anxiety, and PTSD. Results: Fifteen (31%) patients had significant PTSD symptoms on the Impact of Event Scale (IES > 30). PTSD-like syndrome was independent of neurologic impairment, peristroke amnesia, long-term memory impairment, nosognosia, hypochondriac preoccupations, and physical pain during hospitalization, but was more frequent in women, less educated patients, and patients with more negative appraisals of the stroke experience. Intrusions were increased after basal ganglia strokes, suggesting that the re-experiencing phenomena may be modulated by frontosubcortical pathways. Conclusions: Posttraumatic stress disorder symptoms seem frequent in patients with nonsevere stroke and were associated with the subjective intensity of the stroke experience and accompanied by a depressive and anxious state.Keywords
This publication has 21 references indexed in Scilit:
- The NMDA receptor antagonist memantine as a symptomatological and neuroprotective treatment for Alzheimer's disease: preclinical evidenceInternational Journal of Geriatric Psychiatry, 2003
- Post-traumatic stress disorder and traumatic brain injury: A review of causal mechanisms, assessment,and treatmentNeuropsychological Rehabilitation, 2003
- Validity of the Beck Depression Inventory, Hospital Anxiety and Depression Scale, SCL-90, and Hamilton Depression Rating Scale as Screening Instruments for Depression in Stroke PatientsPsychosomatics, 2002
- Posttraumatic stress disorder following cancer: A conceptual and empirical reviewClinical Psychology Review, 2002
- Detecting Psychiatric Morbidity After StrokeStroke, 1998
- Brain blood flow in anxiety disordersThe British Journal of Psychiatry, 1997
- Arterial territories of human brainNeurology, 1996
- Effective treatment of poststroke depression with the selective serotonin reuptake inhibitor citalopram.Stroke, 1994
- The Search for Meaning Following a StrokeBasic and Applied Social Psychology, 1991
- Impact of Event Scale: A Measure of Subjective StressPsychosomatic Medicine, 1979