在患有中风的患者中,PTSD症状升高的风险更高,与已确认的中风或TIA相比,模仿中风
Jeffrey L Birk1, Melinda J Chang1, Joshua Willey2
1Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY 10032, United States.
General hospital psychiatry
|January 27, 2026
概括
经历中风模仿的患者,类似于中风的情况,与实际中风或过渡性缺血性发作 (TIA) 患者相比,患上创伤后应激障碍 (PTSD) 症状的风险更高. 这突显了中风模仿的被忽视的心理健康影响.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
背景情况:
- 脑卒中模仿器经常在急诊室遇到,与真正的中风或短暂性缺血性发作 (TIA) 相比,它们与较低的身体风险有关.
- 在中风模仿诊断后的心理健康后果,特别是创伤后应激障碍 (PTSD) 症状,仍然在很大程度上没有特征.
研究的目的:
- 调查和比较被诊断患有中风的患者中高PTSD症状的发生率与已确认中风或TIA的患者相比.
- 为了量化与中风相关的风险,在PTSD症状的发展中模仿中风.
主要方法:
- 一项前性队列研究招募了1000名疑似中风或TIA的急诊室患者.
- 患者被分为模仿中风或中风/TIA组,PTSD症状在1个月后随访时使用DSM-5 (PCL-5) 的PTSD检查清单进行评估.
- 使用后勤回归分析,根据诊断类别估计高PTSD症状 (PCL-5 ≥33) 的调整几率.
主要成果:
- 在949名分析患者中,8.4%的患者在1个月后检测出高水平的PTSD症状,结果呈阳性.
- 与中风/TIA组 (6.4%) 相比,中风模仿组 (13.5%) 的PTSD症状升高率明显高于中风/TIA组 (6.4%).
- 在对共变量进行调整后,中风模仿患者中,PTSD症状升高的风险是中风模仿患者的两倍以上 (OR = 2.61,p < .01).
结论:
- 高度的PTSD症状在意外地比确诊的中风/TIAs在中风模仿后更为普遍.
- 该研究可能低估了中风/TIA组的PTSD风险,因为排除了严重的中风病例.
- 进一步研究中风模仿的心理影响至关重要,建议考虑PTSD查和干预.
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