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Post-traumatic stress disorder after subarachnoid haemorrhage
1Department of Behavioural Medicine, Hope Hospital, Salford, UK.
The British Journal of Clinical Psychology
|October 24, 1998
Summary
Post-traumatic stress disorder (PTSD) and anxiety are common in patients after aneurysmal subarachnoid hemorrhage. A significant percentage of patients exhibit PTSD symptoms, highlighting the need for psychological assessment.
Area of Science:
- Neuroscience
- Psychology
- Neurosurgery
Background:
- Aneurysmal subarachnoid hemorrhage (aSAH) can lead to significant psychological sequelae.
- Post-traumatic stress disorder (PTSD) is a recognized complication of severe medical events.
Purpose of the Study:
- To investigate the prevalence of post-traumatic stress disorder (PTSD) in patients following aneurysmal subarachnoid hemorrhage (aSAH).
- To identify psychological morbidity in patients with aSAH, even with good physical recovery.
Main Methods:
- A case review of 28 patients referred to clinical neuropsychology from a neurosurgery out-patient clinic.
- Clinical interviews were conducted to assess anxiety related to the medical condition.
Main Results:
- Anxiety was the primary presenting problem in 50% of patients.
- 32% of referred patients met the diagnostic criteria for post-traumatic stress disorder (PTSD).
Conclusions:
- Significant psychological morbidity, including PTSD, is present in patients after aSAH, even with good physical outcomes.
- These findings underscore the necessity for comprehensive psychological evaluation in the long-term management of aSAH survivors.