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Impact of Post-Stroke Post-Traumatic Stress Disorder.
Swetha Renati1, Sanita Raju1, Alena Makarova1
1Department of Neurology, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
The Neurohospitalist
|January 20, 2025
Summary
Post-Stroke Post-Traumatic Stress Disorder (PS-PTSD) affects 35% of stroke patients, often accompanied by depression and reduced quality of life. This study highlights the prevalence and impact of PS-PTSD in stroke survivors.
Area of Science:
- Neurology
- Psychiatry
- Clinical Psychology
Background:
- Post-Traumatic Stress Disorder (PTSD) is commonly linked to trauma exposure, particularly in military personnel.
- Stroke survivors may develop anxiety and re-experience neurological symptoms, potentially leading to PTSD.
Purpose of the Study:
- To investigate the prevalence of Post-Stroke Post-Traumatic Stress Disorder (PS-PTSD) in recent stroke or TIA patients.
- To explore the relationship between PS-PTSD, depression, and quality of life in this population.
Main Methods:
- A single-center, observational pilot study involving 20 adult stroke/TIA patients within one year of diagnosis.
- Utilized validated scales: PCL-5, PHQ-9, SS-QOL-12, mRS, NIHSS.
- Collected blood and saliva samples for potential future analysis.
Main Results:
- 35% of participants (7 out of 20) met criteria for PS-PTSD.
- Higher PTSD symptom scores (PCL-5) significantly correlated with lower quality of life (SS-QOL-12, r = -0.709, P = .001).
- Higher PTSD symptom scores also correlated with increased depressive symptoms (PHQ-9, r = 0.727, P < 0.001).
Conclusions:
- PS-PTSD is a prevalent condition following stroke and TIA.
- PS-PTSD is associated with significant depressive symptoms and a diminished quality of life in stroke survivors.
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