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Acta Neurologica Belgica
Published in: Acta Neurologica Belgica 2/2021

01-04-2021 | Post-Traumatic Stress Disorder | Original article

Prevalence and correlates of post-traumatic stress disorder after ischaemic stroke

Authors: Stela Rutovic, Dragutin Kadojic, Marinko Dikanovic, Kresimir Solic, Branko Malojcic

Published in: Acta Neurologica Belgica | Issue 2/2021

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Abstract

Although most often considered a consequence of traumatic event, post-traumatic stress disorder (PTSD) also occurs after illness. The aim of this study was to establish prevalence of PTSD in patients with ischaemic stroke (IS) and its correlation to lesion location, degree of disability, age, gender and marital status. The study included 85 patients with IS. PTSD was diagnosed using a modified version of the PTSD Checklist Specific for a stressor (PCL-S). Depression and anxiety were assessed using Hospital Anxiety and Depression Scale (HADS). We defined stroke localisation as right cerebral hemisphere, left cerebral hemisphere, brainstem and cerebellum. Stroke severity was measured using the modified Rankin scale (mRS). Demographic information including age, gender and marital status was collected from medical history. Of the 85 patients with IS, 11 (12.9%) fulfilled PCL-S criteria for PTSD. We found a positive correlation between PTSD and higher degree of disability, P < 0.001. Patients with PTSD had lesions more frequently localised in the right cerebral hemisphere and the brainstem. We found no statistically significant correlation of PTSD with age, gender and marital status. Our results show that a significant number of IS patients develop PTSD after IS. Determining correlates of post-stroke PTSD can help to identify those at higher risk for its development. If proven by additional large sample studies, more patients can benefit from screening for the PTSD symptoms.
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Metadata
Title
Prevalence and correlates of post-traumatic stress disorder after ischaemic stroke
Authors
Stela Rutovic
Dragutin Kadojic
Marinko Dikanovic
Kresimir Solic
Branko Malojcic
Publication date
01-04-2021
Publisher
Springer International Publishing
Published in
Acta Neurologica Belgica / Issue 2/2021
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-019-01200-9

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