Posttraumatic stress disorder and psychiatric co-morbidity following stroke: The role of alexithymia
| Autor: | Xu Wang, Michael E. Hyland, Magid Bahkeit, Man Cheung Chung |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Physical disability media_common.quotation_subject Statistics as Topic Comorbidity behavioral disciplines and activities Stress Disorders Post-Traumatic Disability Evaluation Alexithymia mental disorders medicine Humans Personality Affective Symptoms Psychiatry Stroke Biological Psychiatry Aged media_common Psychiatric Status Rating Scales Incidence Mental Disorders Middle Aged medicine.disease Psychiatry and Mental health Posttraumatic stress Cross-Sectional Studies Feeling Etiology Regression Analysis Female Co morbidity Psychology Follow-Up Studies Clinical psychology |
| Zdroj: | Psychiatry Research. 188:51-57 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2010.10.002 |
| Popis: | More research is needed to further our understanding of posttraumatic stress disorder symptoms (PTSD) and psychiatric co-morbidity following stroke, especially the trajectories of such symptoms over time. Previous studies suggest that exposure to a traumatic experience such as stroke is not sufficient to explain the etiology of PTSD. Alexithymia may be involved, but its relationships with PTSD and psychiatric co-morbidity following stroke remains unclear. This study aims to address these knowledge gaps. While in hospital, stroke patients ( n =90) completed questionnaires assessing PTSD symptoms, psychiatric co-morbidity, alexithymia and physical disability. PTSD symptoms and psychiatric co-morbidity were re-assessed approximately 3months post-stroke ( n =78). The severity of post-stroke PTSD did not change significantly over time, while psychiatric co-morbidity reduced significantly. Alexithymia, in particular difficulty in identifying feelings, was associated with severity of post-stroke PTSD and psychiatric co-morbidity at baseline, but after adjusting for these, there was no significance 3months post-stroke. We suggest that patients' difficulty in identifying feelings had a role to play in influencing relatively short-term rather than long-term PTSD and co-morbid psychiatric symptoms. Alternatively, PTSD could be interpreted as driving the alexithymic characteristics. |
| Databáze: | OpenAIRE |
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