Social, functional, and neuropsychological determinants of the psychiatric symptoms of stroke patients receiving rehabilitation and living at home.

R. Weddell
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引用次数: 18

Abstract

In view of the strong evidence supporting the hypothesis that high Expressed Emotion of a key relative contributes to relapse in psychiatric patients, methods used in Expressed Emotion research were applied in an investigation of psychiatric disorder in stroke patients receiving hospital based rehabilitation and support. Patient mood in 37 stroke patients was related to the critical attitude of a key relative. Patient depression may also have been associated with severity of dysphasia, but no link was found between patient mood and the other measures of cognitive or physical deficit used in this study. Psychiatric distress in the key relative had a rather different causal basis. Relatives' psychiatric disorders were associated with physical burden, cognitive deficit, and severity of dysphasia. This study suggests that, when the patient is dependent for self-care, rehabilitation-assisted recovery may alleviate relative distress more than patient distress.
接受康复和居家生活的脑卒中患者精神症状的社会、功能和神经心理学决定因素
鉴于有强有力的证据支持关键亲属的高表达情绪会导致精神病患者复发的假设,将表达情绪研究中使用的方法应用于接受医院康复和支持的中风患者的精神障碍调查。37名脑卒中患者的情绪与关键亲属的批评态度有关。患者抑郁也可能与言语障碍的严重程度有关,但在患者情绪与本研究中使用的其他认知或身体缺陷指标之间没有发现联系。关键亲属的精神痛苦有着截然不同的因果基础。亲属的精神障碍与身体负担、认知缺陷和言语障碍的严重程度有关。这项研究表明,当患者依赖自我护理时,康复辅助康复可能比患者痛苦更能缓解相对痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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