卒中后1-2周的急性压力症状预测了创伤后压力症状的随后发展:一项前性队列研究
David Feely1, Brian Slattery1, Thomas Walsh2
1School of Psychology, University of Galway, Galway, Ireland.
PloS one
|October 4, 2023
概括
在中风幸存者中,对急性压力症状 (ASD) 的早期评估至关重要,因为它预测了创伤后应激障碍 (PTSD) 的晚期发展. 早期识别ASD可以帮助减轻这些患者的PTSD风险.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 卒中幸存者面临心理痛苦的风险.
- 创伤后应激障碍 (PTSD) 可以阻碍恢复.
- 在中风幸存者中,急性压力症状 (ASD) 和随后的PTSD之间的联系仍未得到充分研究.
研究的目的:
- 调查是否急性压力症状 (ASD) 测量 1-2 周后中风预测 6-12 周后的创伤后应激障碍 (PTSD) 症状的发展.
- 确定ASD作为中风幸存者中PTSD潜在的早期风险因素.
主要方法:
- 采用了前性团体内研究设计.
- 54名中风幸存者在中风后1-2周完成了ASD评估 (第1次).
- 31名参与者在中风后6-12周完成了PTSD评估 (第二次),并测量了中风严重程度,功能和认知障碍,抑郁,焦虑和疼痛.
主要成果:
- 22%的参与者在基线达到ASD标准; 62.5%的人后来达到PTSD标准.
- 层次的多重回归表明,在基线时ASD预测了随访时的PTSD症状 (R2 = .26,p < .01).
- 较不严重的中风与第二时间的更高的PTSD症状水平相关 (rho = .42,p < .01).
结论:
- 在中风幸存者中早期评估ASD对于识别患有PTSD风险的个体至关重要.
- 自闭症和创伤后应激障碍都是中风后的普遍现象,需要同时进行评估.
- 早期识别和管理ASD可能是预防PTSD发展和改善中风恢复的关键干预措施.
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