Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke

Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke

Rates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with str...

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Bibliographic Details
Published in:Psychiatric quarterly Vol. 92; no. 3; pp. 905 - 915
Main Authors: Müller, Helge H. O., Czwalinna, Katharina, Wang, Ruihao, Lücke, Caroline, Lam, Alexandra P., Philipsen, Alexandra, Gschossmann, Jürgen M., Moeller, Sebastian
Format: Journal Article
Language:English
Published: New York Springer US 01-09-2021
Springer Nature B.V
Subjects:
Anxiety
Anxiety - epidemiology
Clinical research
Clinical trials
Comorbidity
Coping style
Depression - epidemiology
Health status
Humans
Ischemia
Ischemic Attack, Transient - epidemiology
Medicine
Medicine & Public Health
Mental depression
Original Paper
Patients
Post traumatic stress disorder
Psychiatric symptoms
Psychiatry
Psychological status
Public Health
Quality of Life
Sociology
Stress Disorders, Post-Traumatic - epidemiology
Stroke
Stroke - complications
Stroke - epidemiology
Symptoms
Transient ischemic attack
PTSD
Myocardial infarction
Stroke
Coping strategies
Depression
HRQoL
Anxiety
TIA
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Summary:Rates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5 days after ictus. NIHSS on admission was lower in patients with TIA (0 ± 1) than in patients with stroke (3 ± 2, p  < 0.001). HADS depression score was significantly higher in patients with stroke (7.0 ± 4.5) than in patients with TIA (4.9 ± 4.0). HADS anxiety score, HrQoL and coping styles were similar between TIA and stroke patients ( p  > 0.05). 5 and 3 of 33 TIA patients as well as 4 and 3 of 20 stroke patients had at least 11 points in the HADS anxiety and depression score respectively ( p  = 0.001). 2 of 33 TIA patients and 2 of 20 stroke patients had more than 2 points in the PC-PTSD ( p  = 0.646). We did not find consistent correlations between the NIHSS and the psychometric parameters. Within the first five days after patients having experienced a TIA or stroke PTSD-like, anxious and depressive symptoms are more common than in the general population. As the acute psychological status after ictus is predictive for psychiatric comorbidity years later physicians should pay attention and adequately treat psychiatric symptoms already in the acute phase of stroke. Trial Registration : German Clinical Trials Register, DRKS00021730, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021730 , registered 05/19/2020- Retrospectively registered.
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ISSN:0033-2720
1573-6709
DOI:10.1007/s11126-020-09873-9