在缺血性中风后,缺血症与抑郁和焦虑症状之间的关联
Anel Karisik1,2, Benjamin Dejakum1,2, Kurt Moelgg1,2
1VASCage-Center on Clinical Stroke Research, Innsbruck, Austria.
European journal of neurology
|February 3, 2024
概括
缺血性中风后吞障碍 (吞障碍) 是常见的,并且与增加的抑郁和焦虑症状有关. 持续性消化不良显著影响患者的心理社会福祉.
科学领域:
- 神经学 神经学
- 临床心理学 临床心理学
- 康复医学 康复医学 康复医学
背景情况:
- 缺血性中风后的缺食症与不良结果有关,包括死亡率和生活质量降低.
- 吞困难可能导致社会隔离和严重的社会心理痛苦.
研究的目的:
- 为了研究吞障碍 (吞障碍) 与患病后缺血性中风患者的焦虑和抑郁症状之间的关系.
- 要确定食障碍是否是这些心理症状的独立预测因素.
主要方法:
- 对648名缺血性中风患者的前性研究 (STROKE-CARD注册表,2020-2022).
- 通过临床吞评估和SINGER独立性指数在入院,出院和3个月的随访评估评估消化障碍.
- 在3个月的随访期间,使用贝克抑郁 inventory (BDI) 和医院焦虑和抑郁量表 (HADS) 测量焦虑和抑郁症状.
主要成果:
- 19.3%的患者在入院时患有食障碍,6.8%在3个月后仍然受到影响.
- 在BDI和HADS-D (抑郁症) 和HADS-A (焦虑症) 上观察到更高的得分,随着失足症的严重程度和持续时间的增加.
- 缺食症是较高抑郁症得分的独立预测因素,在较小程度上是焦虑得分,即使经过调整以考虑混因素.
结论:
- 缺食症是中风幸存者的普遍和重大问题,影响心理社会功能.
- 吞障碍是中风后抑郁和焦虑的独立预测因素,强调需要综合护理.
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