心理因素和创伤后应激障碍 (PTSD) 风险在中风幸存者:一个跨部门研究
Ngoc Huy Nguyen1,2, Son Dinh Thanh Le3, Ha Thi Thu Bui3
1Phutho Department of Health, Phutho province, Vietnam.
Health psychology research
|March 5, 2025
概括
创伤后应激障碍 (PTSD) 影响10.8%的中风幸存者. 经常饮酒,女性性别,外向和记忆丧失增加了PTSD风险,而更高的功能独立性则会降低它.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因,预测越来越多.
- 传统的中风风险因素已得到充分证实,但创伤后应激障碍 (PTSD) 的影响仍未得到充分研究.
- 创伤后应激障碍影响了相当一部分人口,并与增加中风风险有关.
研究的目的:
- 在中风幸存者中调查创伤后应激障碍 (PTSD) 的患病率.
- 在这个人群中确定与PTSD相关的人口,生活方式和临床因素.
- 了解中风患者中PTSD的预测因素.
主要方法:
- 对397名在过去一年内被诊断患有中风的中风患者进行了横截面研究.
- 数据采集使用一个由56个问题组成的问卷来评估人口统计,临床特征,功能独立 (巴特尔指数) 和PTSD症状 (DSM-5,PCL-5的PTSD检查清单).
- 使用多变量后勤回归与步骤AIC被用于识别PTSD的显著预测因素.
主要成果:
- 在397名中风幸存者中,PTSD的患病率为10.8%.
- 创伤后应激障碍的重要预测因素包括定期饮酒,轻微记忆力下降,女性性别,外向人格和较低的巴特尔指数得分.
- 脑卒中期间的年龄和失去意识与PTSD的关联是边缘的或不显著的.
结论:
- 创伤后应激障碍是中风幸存者的相关并发症,受因素组合的影响.
- 识别和解决酒精使用,认知变化和人格特征等风险因素对于治疗中风患者的PTSD至关重要.
- 针对这些因素的干预措施可以帮助减轻心理负担,提高中风康复结果.
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