Chronic posttraumatic stress symptoms after nonsevere stroke

Impact of Events Scale; Adult; Affect; Aged; Anxiety; Attitude to Health; Cerebrovascular Accident; Chronic Disease; Depression; Humans; Memory; Memory Disorders; Middle Aged; Questionnaires; Stress Disorders, Post-Traumatic

Abstract :

[en] Objective: To determine whether posttraumatic stress disorder (PTSD)-related symptoms were present 1 year after a nonsevere stroke and, if so, to examine the relationship between PSTD, coexisting cognitive variables, and infarct localization Methods: The authors assessed 49 patients using standard measures of memory, trauma experience, neurologic deficit, depression, anxiety, and PTSD. Results: Fifteen (31%) patients had significant PTSD symptoms on the Impact of Event Scale (IES > 30). PTSD-like syndrome was independent of neurologic impairment, peristroke amnesia, long-term memory impairment, nosognosia, hypochondriac preoccupations, and physical pain during hospitalization, but was more frequent in women, less educated patients, and patients with more negative appraisals of the stroke experience. Intrusions were increased after basal ganglia strokes, suggesting that the re-experiencing phenomena may be modulated by frontosubcortical pathways. Conclusions: Posttraumatic stress disorder symptoms seem frequent in patients with nonsevere stroke and were associated with the subjective intensity of the stroke experience and accompanied by a depressive and anxious state. Copyright © 2006 by AAN Enterprises, Inc.

Disciplines :

Neurosciences & behavior

Author, co-author :

Bruggimann, L.; Service of Neurology, University Hospital of Lausanne, Switzerland, Clinic of Geriatric Psychiatry, University Hospitals of Geneva, Switzerland, Service of Neurology, University Hospital of Lausanne, Bugnon 46, 1011 Lausanne, Switzerland

Annoni, J. M.; Service of Neurology, University Hospital of Lausanne, Switzerland

Staub, F.; Service of Neurology, University Hospital of Lausanne, Switzerland

Von Steinbüchel, N.; Clinic of Geriatric Psychiatry, University Hospitals of Geneva, Switzerland

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Bogousslavsky, J.; Service of Neurology, University Hospital of Lausanne, Switzerland

Language :

English

Title :

Chronic posttraumatic stress symptoms after nonsevere stroke

Publication date :

2006

Journal title :

Neurology

ISSN :

0028-3878

eISSN :

1526-632X

Publisher :

Lippincott Williams & Wilkins, United States - Maryland

Volume :

Issue :

Pages :

513-516

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 27 February 2020

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