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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Diagnosis of spontaneous cervical artery dissection may be associated with increased prevalence of posttraumatic stress disorder
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Diagnosis of spontaneous cervical artery dissection may be associated with increased prevalence of posttraumatic stress disorder

机译：自发性颈动脉夹层的诊断可能与创伤后应激障碍的患病率增加有关

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Background: Receiving information that one has a dissected cervical artery, which can cause a stroke at any time, is obviously traumatic, but details about the psychiatric and psychosocial sequelae are not known. We investigated the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients with spontaneous cervical artery dissection (CD) and the impact of PTSD on their psychosocial functioning. Methods: Patients admitted because of CD between 2006 and 2010 were retrospectively examined using a diagnostic PTSD measure (Posttraumatic Diagnostic Scale). Patients between 2011 and 2012 were examined prospectively. To identify potential predictors for PTSD, we examined all patients' stress coping strategies (brief COPE inventory), anxiety and depression (Hospital Anxiety and Depression Scale), impairment by preventive medication, time since diagnosis and their neurologic (modified Rankin Scale) and cognitive status. To identify the psychosocial impact of PTSD, we examined quality of life (Short-Form 36). Results: Data of 47 retrospectively contacted patients and 15 prospectively examined patients were included. Twenty-eight patients (45.2%) met the diagnostic criteria for PTSD. A significantly reduced health-related quality of life (HRQoL) was found in 27 patients (43.5%) for mental health and in 8 patients (12.9%) for physical health. Results of logistic regression analysis revealed that the use of maladaptive coping strategies was predictive of the disorder (P <.0001). Age, sex, mRS score, impairment caused by medication, and time since diagnosis were not predictive for PTSD. The presence of PTSD itself was the only significant predictor for reduced mental HRQol (P =.0004). Age, sex, mRS score, impairment caused by medication, and total Hospital Anxiety and Depression Scale score were not predictive for reduced mental HRQoL. Conclusions: PTSD seems to occur frequently in patients with CD and is associated with reduced mental HRQoL. Because the presence of a maladaptive coping style is correlated with PTSD, teaching patients better coping skills might be helpful.
机译：背景：接收到的信息显示，颈动脉解剖可随时导致中风，这显然是创伤性的，但有关精神病和心理社会后遗症的细节尚不清楚。我们调查了自发性颈动脉夹层（CD）患者的创伤后应激障碍（PTSD）的患病率和危险因素，以及PTSD对他们的社会心理功能的影响。方法：采用诊断性PTSD（创伤后诊断量表）对2006年至2010年因CD入院的患者进行回顾性检查。对2011年至2012年之间的患者进行前瞻性检查。为了确定潜在的PTSD预测因素，我们检查了所有患者的压力应对策略（简要COPE清单），焦虑和抑郁（医院焦虑和抑郁量表），预防性药物治疗的损害，诊断以来的时间以及他们的神经系统（修订的Rankin量表）和认知能力状态。为了确定PTSD的社会心理影响，我们研究了生活质量（简表36）。结果：纳入了47位回顾性接触患者和15位前瞻性检查患者的数据。 28名患者（45.2％）符合PTSD的诊断标准。发现与精神健康有关的27名患者（43.5％）和与身体健康相关的8名患者（12.9％）大大降低了健康相关的生活质量（HRQoL）。 Logistic回归分析的结果表明，适应不良的应对策略的使用可预测该疾病（P <.0001）。 PTSD不能预测年龄，性别，mRS评分，药物引起的损伤以及诊断以来的时间。 PTSD本身的存在是降低心理HRQol的唯一重要预测因子（P = .0004）。年龄，性别，mRS评分，药物引起的损害以及总的医院焦虑和抑郁量表得分不能预测出心理HRQoL降低。结论：PTSD似乎在CD患者中频繁发生，并与精神HRQoL降低有关。由于适应不良的应对方式与PTSD相关，因此教导患者更好的应对技巧可能会有所帮助。

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