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Assessing abnormal illness behavior in post-stroke patients: a preliminary report.

Geetha Desai1, Avinash Waghmare1, Santosh K Chaturvedi1

  • 1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.

Indian Journal of Psychological Medicine
|October 23, 2014
PubMed
Summary

It is feasible to screen stroke patients in rehabilitation for abnormal illness behavior (AIB). This screening can identify individuals needing further assessment for AIB, potentially improving patient outcomes.

Keywords:
Abnormal illness behaviorpost-strokerehabilitation

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Area of Science:

  • Neurorehabilitation
  • Psychosomatic Medicine
  • Behavioral Neurology

Background:

  • Abnormal illness behavior (AIB) is linked to functional impairment and increased healthcare use.
  • AIB has been observed across various medical and psychiatric conditions.
  • Understanding AIB in stroke patients is crucial for comprehensive rehabilitation.

Purpose of the Study:

  • To assess the feasibility of screening for abnormal illness behavior (AIB) in stroke patients.
  • To evaluate AIB in individuals undergoing psychiatric and neurological rehabilitation post-stroke.

Main Methods:

  • Screening version of the Illness Behavior Questionnaire (SIBQ) was administered.
  • Subjects were patients admitted for post-stroke rehabilitation in a specialized ward.
  • Eight subjects were screened in total.

Main Results:

  • The mean SIBQ score was 6.125 ± 1.35.
  • Using a cutoff score of 7, five out of eight subjects (62.5%) exhibited abnormal illness behavior.
  • These findings suggest a notable prevalence of AIB in this patient group.

Conclusions:

  • Screening for abnormal illness behavior (AIB) is feasible in stroke patients undergoing rehabilitation.
  • The study supports the utility of the SIBQ for identifying potential AIB in this population.
  • Further investigation into AIB management in stroke survivors is warranted.