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Relationship between NIH stroke symptoms and post-traumatic stress disorder in patients evaluated for transient ischemic attack/stroke.
Pedowitz, Emily; Derby, Lilly; Cruz, Gaspar J; Trainor, Alison; Edmondson, Donald; Cornelius, Talea.
Afiliación
  • Pedowitz E; NYU Grossman School of Medicine, Department of Psychiatry, 1 Park Avenue, 8th Avenue, 10016, United States. Electronic address: Emily.pedowitz@nyulangone.org.
  • Derby L; Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W 168th St, PH9, New York, NY 10032, United States.
  • Cruz GJ; Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W 168th St, PH9, New York, NY 10032, United States.
  • Trainor A; Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W 168th St, PH9, New York, NY 10032, United States.
  • Edmondson D; Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W 168th St, PH9, New York, NY 10032, United States.
  • Cornelius T; Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W 168th St, PH9, New York, NY 10032, United States.
Gen Hosp Psychiatry ; 70: 98-102, 2021.
Article en En | MEDLINE | ID: mdl-33774490
OBJECTIVE: Post-traumatic stress disorder (PTSD) can develop after a life-threatening medical event. According to the enduring somatic treat (EST) model, internal somatic cues (e.g., rapid heart rate) may contribute to symptoms of stroke/TIA-induced PTSD. To address this possibility, the present study tested the association of stroke-induced disability with PTSD symptoms in patients treated for stroke or transient ischemic attack (TIA). METHOD: Participants (n = 300) were drawn from an observational cohort study examining PTSD symptoms in patients admitted to the NewYork Presbyterian Hospital between 2015 and 2017 for a stroke/TIA. Patients self-reported acute stress symptoms in-person approximately 3 days post-stroke/TIA and PTSD symptoms via telephone one month later. Severity of stroke symptoms (i.e., stroke disability) was evaluated using the NIH Stroke Scale prior to hospital discharge. RESULTS: Stroke disability had a significant, positive association with acute stress symptoms early post-stroke/TIA, B = 0.46, se = 0.15, p = .002, and with PTSD symptoms one month later, B = 0.56, se = 0.19, p = .003. CONCLUSIONS: Stroke disability is positively associated with both acute distress and PTSD symptoms one month later following a stroke/TIA, supporting the hypothesis that internal somatic symptoms contribute to the development stroke/TIA-induced PTSD symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Ataque Isquémico Transitorio / Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Gen Hosp Psychiatry Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Ataque Isquémico Transitorio / Accidente Cerebrovascular Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Gen Hosp Psychiatry Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos