scholarly journals Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke

2021 ◽  
Author(s):  
Helge H. O. Müller ◽  
Katharina Czwalinna ◽  
Ruihao Wang ◽  
Caroline Lücke ◽  
Alexandra P. Lam ◽  
...  
Keyword(s):  
Acute Phase ◽  
Psychiatric Symptoms ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Stroke Patients ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Ischemic Attack ◽  
And Coping

AbstractRates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5 days after ictus. NIHSS on admission was lower in patients with TIA (0 ± 1) than in patients with stroke (3 ± 2, p < 0.001). HADS depression score was significantly higher in patients with stroke (7.0 ± 4.5) than in patients with TIA (4.9 ± 4.0). HADS anxiety score, HrQoL and coping styles were similar between TIA and stroke patients (p > 0.05). 5 and 3 of 33 TIA patients as well as 4 and 3 of 20 stroke patients had at least 11 points in the HADS anxiety and depression score respectively (p = 0.001). 2 of 33 TIA patients and 2 of 20 stroke patients had more than 2 points in the PC-PTSD (p = 0.646). We did not find consistent correlations between the NIHSS and the psychometric parameters. Within the first five days after patients having experienced a TIA or stroke PTSD-like, anxious and depressive symptoms are more common than in the general population. As the acute psychological status after ictus is predictive for psychiatric comorbidity years later physicians should pay attention and adequately treat psychiatric symptoms already in the acute phase of stroke.Trial Registration: German Clinical Trials Register, DRKS00021730, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021730, registered 05/19/2020- Retrospectively registered.

Occurence of post-traumatic stress symptoms, anxiety and depression in the acute phase of transient ischemic attack and stroke

2020 ◽  
Author(s):  
Helge HO Müller ◽  
Katharina Czwalinna ◽  
Ruihao Wang ◽  
Caroline Lücke ◽  
Alexandra P. Lam ◽  
...  
Keyword(s):  
Acute Phase ◽  
Psychiatric Symptoms ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Stroke Patients ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Ischemic Attack ◽  
And Coping

Abstract Background Rates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. Methods In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5 days after ictus. Results NIHSS on admission was lower in patients with TIA (0 ± 1) than in patients with stroke (3 ± 2, p < 0.001). HADS depression score was significantly higher in patients with stroke (7.0 ± 4.5) than in patients with TIA (4.9 ± 4.0). HADS anxiety score, HrQoL and coping styles were similar between TIA and stroke patients (p > 0.05). 5 and 3 of 33 TIA patients as well as 4 and 3 of 20 stroke patients had at least 11 points in the HADS anxiety and depression score respectively (p = 0.001). 2 of 33 TIA patients and 2 of 20 stroke patients had more than 2 points in the PC-PTSD (p = 0.646). We did not find consistent correlations between the NIHSS and the psychometric parameters. Conclusions Within the first five days after patients having experienced a TIA or stroke PTSD-like, anxious and depressive symptoms are more common than in the general population. As the acute psychological status after ictus is predictive for psychiatric comorbidity years later physicians should pay attention and adequately treat psychiatric symptoms already in the acute phase of stroke.

Post-Traumatic Stress Symptoms in Adolescents after Two Murders in a School: A Controlled Follow-up Study

2008 ◽  
Vol 38 (4) ◽  
pp. 407-424 ◽  
Author(s):  
Koray Karabekiroglu ◽  
Seher Akbas ◽  
Gokce Nur Tasdemir ◽  
Melih Nuri Karakurt
Keyword(s):  
Acute Phase ◽  
Traumatic Stress ◽  
Acute Stress ◽  
Female Gender ◽  
Second Phase ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Reaction Index ◽  
Post Traumatic

Objectives: Two students were murdered by gunshot by another student. Among the classmates and the students in another school, we aimed to investigate the factors on the fifth day of trauma to be predictive of higher post-traumatic stress symptoms (PTSS) scores five months later. Methods: The adolescents attending the school (School A: acute phase n:41; second phase n:57; follow-up group n:35) where the event had occurred, and the adolescents attending a school (School B: acute phase n:98; second phase n:57) of similar statue were included. They had completed “Trauma Questionnaire” (TQ), “Childhood Post Traumatic Stress Disorder-Reaction Index” (CPTSD-RI), “Beck Depression Inventory” (BDI), and “State-Trait Anxiety Inventory” (STAI) both 5 days and 5 months after the event. Results: Both 5 days and 5 months after the trauma, students in school A, and the girls in both schools had significantly higher CPTSD-RI scores. Nine students (25.7%) in the follow-up group were found to have CPTSD-RI scores higher than 39, indicating severe PTSD symptoms. The CPTSD-RI scores of this group 5 months after the trauma were significantly correlated with the several scores of the acute term (CPTSD-RI [ r: .76, p < .001]; BDI [ r: .56, p: .001]; STAI-state [ r:. 49, p: .004]). Conclusion: Results reveal that a murder of a peer triggers post-traumatic stress symptoms in a vast majority of the 16-year-old adolescents even without directly witnessing the event. The severity of PTSS significantly increases as the adolescent is in closer relationship with the victim. The concomitant depression and/or anxiety with acute stress symptoms 5 days after the trauma, female gender, and worse school performance were found to be significantly related to the development of more severe PTSS 5 months later.

scholarly journals Trajectories of post-traumatic stress symptoms, anxiety, and depression in hospitalized COVID-19 patients: A one-month follow-up

2021 ◽  
Vol 143 ◽  
pp. 110399
Author(s):  
Noam Matalon ◽  
Shirel Dorman-Ilan ◽  
Ilanit Hasson-Ohayon ◽  
Nimrod Hertz-Palmor ◽  
Shachar Shani ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

scholarly journals Emotional or educational debriefing after psychological trauma

2006 ◽  
Vol 189 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Marit Sijbrandij ◽  
Miranda Olff ◽  
Johannes B. Reitsma ◽  
Ingrid V. E. Carlier ◽  
Berthold P. R. Gersons
Keyword(s):  
Psychiatric Symptoms ◽  
Traumatic Event ◽  
Adult Survivors ◽  
Psychological Trauma ◽  
Anxiety And Depression ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Single Session ◽  
Psychological Debriefing ◽  
Post Traumatic

BackgroundRecent studies show that individual single-session psychological debriefing does not prevent and can even aggravate symptoms of post-traumatic stress disorder (PTSD).AimsWe studied the effect of emotional ventilation debriefing and educational debriefing v. no debriefing on symptoms of PTSD, anxiety and depression.MethodWe randomised 236 adult survivors of a recent traumatic event to either emotional ventilation debriefing, educational debriefing or no debriefing (control) and followed up at 2 weeks, 6 weeks and 6 months.ResultsPsychiatric symptoms decreased in all three groups over time, without significant differences between the groups in symptoms of PTSD (P=0.33). Participants in the emotional debriefing group with high baseline hyperarousal score had significantly more PTSD symptoms at 6 weeks than control participants (P=0.005).ConclusionsOur study did not provide evidence for the usefulness of individual psychological debriefing in reducing symptoms of PTSD, anxiety and depression after psychological trauma.

scholarly journals Tele-Psychiatry Assessment of Post-traumatic Stress Symptoms in 100 Patients With Bipolar Disorder During the COVID-19 Pandemic Social-Distancing Measures in Italy

2020 ◽  
Vol 11 ◽  
Author(s):  
Claudia Carmassi ◽  
Carlo Antonio Bertelloni ◽  
Valerio Dell'Oste ◽  
Filippo Maria Barberi ◽  
Alessandra Maglio ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Acute Phase ◽  
Traumatic Stress ◽  
Virus Disease ◽  
Anxiety Symptoms ◽  
Psychiatric Clinic ◽  
Post Traumatic Stress ◽  
Social Distancing ◽  
Stress Symptoms ◽  
Post Traumatic

The acute phase of the COrona VIrus Disease-19 (COVID-19) emergency determined relevant stressful burdens in psychiatric patients, particularly those with chronic mental disorders such as bipolar disorder (BD), not only for the threat of being infected but also for the strict lock-down and social-distancing measures adopted, the economic uncertainty, and the limited possibilities to access psychiatric services. In this regard, telepsychiatry services represented a new important instrument that clinicians could adopt to monitor and support their patients. The aim of the present study was to investigate acute post-traumatic stress symptoms (PTSS) reported by patients with BD followed in the framework of a telepsychiatry service, set up in the acute phase of the COVID-19 outbreak at the psychiatric clinic of the University of Pisa (Italy). A sample of 100 patients were consecutively enrolled and assessed by the IES-r, GAD-7, HAM-D, and YMRS. Patients reported a mean (±SD) IES-r total score of 18.15 ± 13.67. Further, 17% of the sample reported PTSS (IES-r &gt; 32), 17% depressive symptoms (HAM-D &gt; 17), and 26% anxiety symptoms (GAD-7 &gt; 10). Work and financial difficulties related to the COVID-19 pandemic and anxiety symptoms appeared to be positively associated with the development of acute PTSS. Acute manic symptoms appeared to be protective. The data of the present study suggest the relevance of monitoring patients with BD exposed to the burden related to the COVID-19 outbreak for prompt assessment and treatment of PTSS.

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