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Related Experiment Videos

Insomnia in ischemic stroke patients.

A Leppävuori1, T Pohjasvaara, R Vataja

  • 1Department of Psychiatry, Psychiatric Consultation Unit, Helsinki University Central Hospital, Helsinki, Finland. antero.leppavuori@hus.fi

Cerebrovascular Diseases (Basel, Switzerland)
|August 21, 2002
PubMed
Summary

Insomnia is common in stroke patients, affecting over half of those studied. Anxiety and psychotropic drug use were linked to insomnia, highlighting the need for integrated care.

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Area of Science:

  • Neurology
  • Psychiatry
  • Sleep Medicine

Background:

  • Insomnia is a prevalent sleep disorder with significant impact on quality of life.
  • Stroke is a major neurological event that can lead to various post-stroke complications.
  • The relationship between stroke and insomnia, particularly in older adults, requires further investigation.

Purpose of the Study:

  • To investigate the prevalence and correlates of insomnia in patients following an ischemic stroke.
  • To differentiate between pre-existing insomnia and new-onset insomnia after stroke.
  • To identify factors associated with insomnia in the stroke patient population.

Main Methods:

  • A subgroup of 277 stroke patients (aged 55-85 years) underwent psychiatric evaluation 3-4 months post-stroke.

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  • Prevalence of insomnia was assessed using self-reported complaints and DSM-IV criteria.
  • Statistical analyses identified independent correlates of insomnia, including anxiety, psychotropic drug use, stroke disability, and dementia.

    • Main Results:

    • Over half of the stroke patients (56.7%) reported insomnia complaints, with 37.5% meeting DSM-IV criteria for insomnia.
    • Insomnia was present before the stroke in 38.6% of patients and emerged as a consequence of stroke in 18.1%.
    • Anxiety, psychotropic drug use, post-stroke disability (Barthel Index), and dementia were independently associated with insomnia.

    Conclusions:

    • Insomnia is a frequent issue in stroke survivors, with both pre-existing and post-stroke onset forms identified.
    • Psychiatric factors like anxiety and the use of psychotropic medications are significant correlates.
    • Addressing insomnia is crucial for the comprehensive treatment and rehabilitation of stroke patients.