Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Acta Neurochirurgica
Published in: Acta Neurochirurgica 8/2010

Open Access 01-08-2010 | Clinical Article

Coping strategies, health-related quality of life and psychiatric history in patients with aneurysmal subarachnoid haemorrhage

Authors: Mathilde Hedlund, Elisabeth Ronne-Engström, Marianne Carlsson, Lisa Ekselius

Published in: Acta Neurochirurgica | Issue 8/2010

Login to get access

Abstract

Purpose

Subarachnoid haemorrhage (SAH) reduces health-related quality of life (HRQoL) and increases the risk of psychiatric sequels such as depression and posttraumatic stress disorder. Especially those with a psychiatric history and those using maladaptive coping strategies are at risk for such sequels. The extent to which HRQoL after SAH was related to a history of psychiatric morbidity and to the use of various coping strategies was assessed.

Methods

Patients admitted to the Uppsala University Hospital with aneurysmal SAH (n = 59) were investigated prospectively. Seven months after SAH, data were collected using the Structured Clinical Interview for DSM-IV axis I disorders, the Short Form-36 (SF-36) Health Survey and the Jalowiec Coping Scale.

Results

Patients with SAH had lower HRQoL than the general Swedish population in all eight domains of the SF-36. The lower HRQoL was almost entirely in the subgroup with a psychiatric history. HRQoL was also strongly correlated to the use of coping. Physical domains of SF-36 were less affected than mental domains. Those with a psychiatric history used more coping than the remainder with respect to all emotional coping scales. Coping and the presence of a psychiatric history were more strongly related to mental than to physical components of HRQoL.

Conclusions

A psychiatric history and the use of maladaptive emotional coping were related to worse HRQoL, more to mental than to physical aspects.
Literature
1.
Badura-Brzoza K, Zajac P, Brzoza Z, Kasperska-Zajac A, Matysiakiewicz J, Piegza M, Hese RT, Rogala B, Semenowicz J, Koczy B (2009) Psychological and psychiatric factors related to health-related quality of life after total hip replacement—preliminary report. Eur Psychiatry 24:119–124PubMedCrossRef
2.
Buchanan KM, Elias LJ, Goplen GB (2000) Differing perspectives on outcome after subarachnoid hemorrhage: the patient, the relative, the neurosurgeon. Neurosurgery 46:831–838, discussion 838–840PubMed
3.
Corica F, Corsonello A, Apolone G, Mannucci E, Lucchetti M, Bonfiglio C, Melchionda N, Marchesini G (2008) Metabolic syndrome, psychological status and quality of life in obesity: the QUOVADIS study. Int J Obes (Lond) 32:185–191CrossRef
4.
Davis MJ, Addis ME (1999) Predictors of attrition from behavioral medicine treatments. Ann Behav Med 21:339–349PubMedCrossRef
5.
Deane M, Pigott T, Dearing P (1996) The value of the Short Form 36 score in the outcome assessment of subarachnoid haemorrhage. Br J Neurosurg 10:187–191PubMedCrossRef
6.
Donnellan C, Hevey D, Hickey A, O'Neill D (2006) Defining and quantifying coping strategies after stroke: a review. J Neurol Neurosurg Psychiatry 77:1208–1218PubMedCrossRef
7.
First MB, Spitzer RL, Gibbon M, Williams J (1996) Structured Clinical Interview for DSM-IV axis I disorders, clinical version (SCID-CV). American Psychiatric Press, Washington
8.
Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9PubMedCrossRef
9.
Folkman S (1984) Personal control and stress and coping processes: a theoretical analysis. J Pers Soc Psychol 46:839–852PubMedCrossRef
10.
Goldberg JF, Harrow M (2005) Subjective life satisfaction and objective functional outcome in bipolar and unipolar mood disorders: a longitudinal analysis. J Affect Disord 89:79–89PubMedCrossRef
11.
12.
Hutter BO, Gilsbach JM, Kreitschmann I (1995) Quality of life and cognitive deficits after subarachnoid haemorrhage. Br J Neurosurg 9:465–475PubMedCrossRef
13.
Jalowiec A (1988) Confirmatory factor analysis of the Jalowiec Coping Scale. In: Waltz CF, Strickland OL (eds) Measurement of nursing outcomes. Springer, New York, pp 287–305
14.
Karapolat H, Eyigor S, Zoghi M, Nalbantgil S, Yagdi T, Durmaz B, Ozbaran M (2008) Health related quality of life in patients awaiting heart transplantation. Tohoku J Exp Med 214:17–25PubMedCrossRef
15.
Katati MJ, Santiago-Ramajo S, Perez-Garcia M, Meersmans-Sanchez Jofre M, Vilar-Lopez R, Coin-Mejias MA, Caracuel-Romero A, Arjona-Moron V (2007) Description of quality of life and its predictors in patients with aneurysmal subarachnoid hemorrhage. Cerebrovasc Dis 24:66–73PubMedCrossRef
16.
Kildal M, Willebrand M, Andersson G, Gerdin B, Ekselius L (2005) Coping strategies, injury characteristics and long-term outcome after burn injury. Injury 36:511–518PubMedCrossRef
17.
Klang B, Bjorvell H, Cronqvist A (1996) Patients with chronic renal failure and their ability to cope. Scand J Caring Sci 10:89–95PubMed
18.
Kopp M, Bonatti H, Haller C, Rumpold G, Sollner W, Holzner B, Schweigkofler H, Aigner F, Hinterhuber H, Gunther V (2003) Life satisfaction and active coping style are important predictors of recovery from surgery. J Psychosom Res 55:371–377PubMedCrossRef
19.
Kristofferzon ML, Lofmark R, Carlsson M (2005) Coping, social support and quality of life over time after myocardial infarction. J Adv Nurs 52:113–124PubMedCrossRef
20.
Lazarus RS (1993) Coping theory and research: past, present, and future. Psychosom Med 55:234–247PubMed
21.
Lindqvist R, Carlsson M, Sjoden PO (1998) Coping strategies and quality of life among patients on hemodialysis and continuous ambulatory peritoneal dialysis. Scand J Caring Sci 12:223–230PubMedCrossRef
22.
Lindqvist R, Carlsson M, Sjoden PO (2004) Coping strategies of people with kidney transplants. J Adv Nurs 45:47–52PubMedCrossRef
23.
Matthieu M, Ivanoff A (2006) Treatment of human-caused trauma: attrition in the adult outcomes research. J Interpers Violence 21:1654–1664PubMedCrossRef
24.
Mayfrank L, Hutter BO, Kohorst Y, Kreitschmann-Andermahr I, Rohde V, Thron A, Gilsbach JM (2001) Influence of intraventricular hemorrhage on outcome after rupture of intracranial aneurysm. Neurosurg Rev 24:185–191PubMedCrossRef
25.
Noble AJ, Baisch S, Schenk T, Mendelow AD, Allen L, Kane P (2008) Posttraumatic stress disorder explains reduced quality of life in subarachnoid hemorrhage patients in both the short and long term. Neurosurgery 63:1095–1105PubMedCrossRef
26.
Oshiro EM, Walter KA, Piantadosi S, Witham TF, Tamargo RJ (1997) A new subarachnoid hemorrhage grading system based on the Glasgow Coma Scale: a comparison with the Hunt and Hess and World Federation of Neurological Surgeons Scales in a clinical series. Neurosurgery 41:140–147, discussion 147–148PubMedCrossRef
27.
Penley JA, Tomaka J, Wiebe JS (2002) The association of coping to physical and psychological health outcomes: a meta-analytic review. J Behav Med 25:551–603PubMedCrossRef
28.
Persson LO, Karlsson J, Bengtsson C, Steen B, Sullivan M (1998) The Swedish SF-36 Health Survey II. Evaluation of clinical validity: results from population studies of elderly and women in Gothenborg. J Clin Epidemiol 51:1095–1103PubMedCrossRef
29.
Rosen DS, Macdonald RL (2004) Grading of subarachnoid hemorrhage: modification of the World Federation of Neurosurgical Societies scale on the basis of data for a large series of patients. Neurosurgery 54:566–575, discussion 575–566PubMedCrossRef
30.
Rumsfeld JS, Ho PM, Magid DJ, McCarthy M Jr, Shroyer AL, MaWhinney S, Grover FL, Hammermeister KE (2004) Predictors of health-related quality of life after coronary artery bypass surgery. Ann Thorac Surg 77:1508–1513PubMedCrossRef
31.
Ryttlefors M, Howells T, Nilsson P, Ronne-Engstrom E, Enblad P (2007) Secondary insults in subarachnoid hemorrhage: occurrence and impact on outcome and clinical deterioration. Neurosurgery 61:704–714, discussion 714–705PubMedCrossRef
32.
Scharbrodt W, Stein M, Schreiber V, Boker DK, Oertel MF (2009) The prediction of long-term outcome after subarachnoid hemorrhage as measured by the Short Form-36 Health Survey. J Clin Neurosci 16:1409–1413PubMedCrossRef
33.
Sinyor D, Amato P, Kaloupek DG, Becker R, Goldenberg M, Coopersmith H (1986) Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. Stroke 17:1102–1107PubMed
34.
Spitzer RL, Williams JB, Gibbon M, First MB (1992) The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. Arch Gen Psychiatry 49:624–629PubMed
35.
Starke RM, Komotar RJ, Otten ML, Schmidt JM, Fernandez LD, Rincon F, Gordon E, Badjatia N, Mayer SA, Connolly ES (2009) Predicting long-term outcome in poor grade aneurysmal subarachnoid haemorrhage patients utilising the Glasgow Coma Scale. J Clin Neurosci 16:26–31PubMedCrossRef
36.
Starmark JE, Stalhammar D, Holmgren E (1988) The Reaction Level Scale (RLS85). Manual and guidelines. Acta Neurochir (Wien) 91:12–20CrossRef
37.
Sullivan M, Karlsson J, Ware JE Jr (1995) The Swedish SF-36 Health Survey—I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med 41:1349–1358PubMedCrossRef
38.
Teasdale GM, Drake CG, Hunt W, Kassell N, Sano K, Pertuiset B, De Villiers JC (1988) A universal subarachnoid hemorrhage scale: report of a committee of the World Federation of Neurosurgical Societies. J Neurol Neurosurg Psychiatry 51:1457PubMedCrossRef
39.
Tomberg T, Orasson A, Linnamagi U, Toomela A, Pulver A, Asser T (2001) Coping strategies in patients following subarachnoid haemorrhage. Acta Neurol Scand 104:148–155PubMedCrossRef
40.
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item Short-Form Health Survey (SF-36) I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRef
41.
Velanovich V, Karmy-Jones R (2001) Psychiatric disorders affect outcomes of antireflux operations for gastroesophageal reflux disease. Surg Endosc 15:171–175PubMedCrossRef
42.
Willebrand M, Andersson G, Kildal M, Ekselius L (2002) Exploration of coping patterns in burned adults: cluster analysis of the coping with burns questionnaire (CBQ). Burns 28:549–554PubMedCrossRef
43.
Visser-Meily JM, Rhebergen ML, Rinkel GJ, van Zandvoort MJ, Post MW (2009) Long-term health-related quality of life after aneurysmal subarachnoid hemorrhage: relationship with psychological symptoms and personality characteristics. Stroke 40:1526–1529PubMedCrossRef
Metadata
Title
Coping strategies, health-related quality of life and psychiatric history in patients with aneurysmal subarachnoid haemorrhage
Authors
Mathilde Hedlund
Elisabeth Ronne-Engström
Marianne Carlsson
Lisa Ekselius
Publication date
01-08-2010
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-010-0673-y

Other articles of this Issue 8/2010

Acta Neurochirurgica 8/2010 Go to the issue

Experimental Research

Temporal variations of wall shear stress parameters in intracranial aneurysms—importance of patient-specific inflow waveforms for CFD calculations

Clinical Article

Vertebral rotation during pedicle screw insertion in patients with cervical injury

Case Report

Traumatic spinal perimedullary arteriovenous fistula: a case report

Clinical Article

Stereotactic radiofrequency amygdalohippocampectomy in the treatment of mesial temporal lobe epilepsy

OriginalPaper

Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review

Clinical Article

Cardiovascular response during trigeminal ganglion compression for trigeminal neuralgia according to the use of local anesthetics