Prior stroke predicts posttraumatic stress disorder (PTSD) in a multi-ethnic cohort of stroke survivors: Evidence from the Discharge Educational Strategies for Reduction of Vascular Events (DESERVE) trial
Data come from DESERVE, a randomized controlled trial of mild stroke/transient ischemic attack (TIA) patients prospectively enrolled in a behavioral intervention to reduce vascular risk. Symptoms of partial or full PTSD related to the index stroke/TIA were assessed for 241 patients at six month follow-up using the PTSD Checklist. PTSD was defined as meeting DSM-IV criterion B and either criterion C or D. Chi-square tests and logistic regression were used to examine the association between prior stroke/TIA experience and PTSD related to the index stroke. Regression models were adjusted for age, race/ethnicity and disability at discharge.
Almost one-third (32.7%) of patients experienced a prior stroke/TIA. The prevalence of PTSD six months after discharge was 9.4% and was significantly higher among those with a prior stroke/TIA compared with those without (17.3% vs. 5.6%, p=0.02). Patients with prior stroke/TIA had 5.5 times greater odds of developing PTSD from the index stroke compared with those without (95% CI: 1.2-25.1).
Given the substantial proportion of stroke survivors who experience a recurrent stroke and the negative mental health consequences highlighted in this study, interventions that focus on prevention are critical for promoting mental and physical well-being in stroke survivors.
Describe the prevalence of posttraumatic stress disorder after stroke in a racially and ethnically diverse population of stroke survivors Compare the odds of developing PTSD after stroke between individuals with and without previous stroke experience
Keyword(s): Strokes, Mental Health
Qualified on the content I am responsible for because: I am an early career faculty member at New York University, working in the Division of Social Epidemiology on several stroke epidemiology research projects. Over the past several years, I have conducted research in the field of mental health, much of which focuses on posttraumatic stress disorder and mental health conditions following disasters.
Any relevant financial relationships? No
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