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01-09-2021 | Post-Traumatic Stress Disorder | Original Paper

Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke

Authors: Helge H. O. Müller, Katharina Czwalinna, Ruihao Wang, Caroline Lücke, Alexandra P. Lam, Alexandra Philipsen, Jürgen M. Gschossmann, Sebastian Moeller

Published in: Psychiatric Quarterly | Issue 3/2021

Abstract

Rates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5 days after ictus. NIHSS on admission was lower in patients with TIA (0 ± 1) than in patients with stroke (3 ± 2, p < 0.001). HADS depression score was significantly higher in patients with stroke (7.0 ± 4.5) than in patients with TIA (4.9 ± 4.0). HADS anxiety score, HrQoL and coping styles were similar between TIA and stroke patients (p > 0.05). 5 and 3 of 33 TIA patients as well as 4 and 3 of 20 stroke patients had at least 11 points in the HADS anxiety and depression score respectively (p = 0.001). 2 of 33 TIA patients and 2 of 20 stroke patients had more than 2 points in the PC-PTSD (p = 0.646). We did not find consistent correlations between the NIHSS and the psychometric parameters. Within the first five days after patients having experienced a TIA or stroke PTSD-like, anxious and depressive symptoms are more common than in the general population. As the acute psychological status after ictus is predictive for psychiatric comorbidity years later physicians should pay attention and adequately treat psychiatric symptoms already in the acute phase of stroke.

Trial Registration: German Clinical Trials Register, DRKS00021730, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021730, registered 05/19/2020- Retrospectively registered.

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Title: Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke
Authors: Helge H. O. Müller
Katharina Czwalinna
Ruihao Wang
Caroline Lücke
Alexandra P. Lam
Alexandra Philipsen
Jürgen M. Gschossmann
Sebastian Moeller
Publication date: 01-09-2021
Publisher: Springer US
Keywords: Post-Traumatic Stress Disorder
Stroke
Mood Disorders
Affective Disorder
Anxiety
Published in: Psychiatric Quarterly / Issue 3/2021
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI: https://doi.org/10.1007/s11126-020-09873-9

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Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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