脑卒中幸存者的心理因素和创伤后应激障碍风险:一项横断面研究。

IF 3 Q3 PSYCHOLOGY, CLINICAL
Health Psychology Research Pub Date : 2025-03-02 eCollection Date: 2025-01-01 DOI:10.52965/001c.129914
Ngoc Huy Nguyen, Son Dinh Thanh Le, Ha Thi Thu Bui, Viet Quoc Hoang, Cuong Cao Do
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引用次数: 0

摘要

导读:截至2023年,中风是全球第二大死亡原因和第三大死亡和残疾原因,预计到2030年将上升。虽然传统的风险因素,如人口统计学、吸烟、缺乏运动、糖尿病和高血压是众所周知的,但创伤后应激障碍(PTSD)的研究仍不足,尽管它的发病率为13%,并与中风风险有关。方法:这项横断面研究于2023年11月1日至2024年1月30日在普托省端洪进行,涉及过去一年内诊断的18岁以上的脑卒中患者。一份包含56个问题的问卷评估了人口统计学、临床特征、Barthel指数和DSM-5 (PCL-5)的PTSD检查表。采用逐步AIC进行多变量logistic回归,确定与PTSD相关的最优模型。结果:397名参与者,平均年龄67.98岁,54.9%为女性,PTSD患病率为10.8%。显著的PTSD预测因子包括经常饮酒(OR=11.43, 95% CI: 1.30-99.15, p=0.027)、轻微的记忆力下降(OR=3.59, 95% CI: 1.28-10.62, p=0.017)、女性(OR=3.15, 95% CI: 1.08-10.44, p=0.045)、外向性格(OR=4.36, 95% CI: 1.73-11.86, p=0.003)和Barthel指数评分(OR=0.85, 95% CI: 0.80-0.90, p)。结论:本研究强调了影响卒中幸存者PTSD风险的人口统计学、生活方式和临床因素的复杂相互作用。在干预措施中解决这些因素对于减轻心理负担和改善康复结果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological Factors and Post-Traumatic Stress Disorder (PTSD) Risk in Stroke Survivors: A Cross-Sectional Study.

Introduction: As of 2023, stroke is the second leading cause of death and the third leading cause of death and disability globally, with an expected rise by 2030. While traditional risk factors like demographics, smoking, inactivity, diabetes, and hypertension are well-known, post-traumatic stress disorder (PTSD) remains under-studied despite its 13% incidence rate and link to stroke risk.

Methods: This cross-sectional study, conducted from 1st November, 2023 to 30th January, 2024 in Doanhung, Phutho Province, involved stroke patients over 18 years old diagnosed within the past year. A 56-question questionnaire assessed demographics, clinical characteristics, the Barthel Index, and the PTSD Checklist for DSM-5 (PCL-5). Multivariable logistic regression using Stepwise AIC identified optimal models related to PTSD.

Results: A cohort of 397 participants, with a mean age of 67.98 years and 54.9% female, had a PTSD prevalence of 10.8%. Significant PTSD predictors included regular alcohol consumption (OR=11.43, 95% CI: 1.30-99.15, p=0.027), slight memory decrease (OR=3.59, 95% CI: 1.28-10.62, p=0.017), female gender (OR=3.15, 95% CI: 1.08-10.44, p=0.045), extroverted personality (OR=4.36, 95% CI: 1.73-11.86, p=0.003), and Barthel Index scores (OR=0.85, 95% CI: 0.80-0.90, p<0.001). However, age showed marginally significant association with PTSD (OR=0.97, 95% CI: 0.94-1.00, p=0.067), and unconsciousness during stroke (yes) had an OR of 2.43 (95% CI: 0.96-6.04, p=0.056).

Conclusion: This study highlights the complex interplay of demographic, lifestyle, and clinical factors influencing PTSD risk in stroke survivors. Addressing these factors in interventions is crucial to reduce the psychological burden and improve rehabilitation outcomes.

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来源期刊
Health Psychology Research
Health Psychology Research PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
0.00%
发文量
63
审稿时长
15 weeks
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