严重中风后疲劳患者的心理社会状况与其他慢性病患者相当：对诊断和治疗的启示。
Patients with severe poststroke fatigue show a psychosocial profile comparable to patients with other chronic disease: implications for diagnosis and treatment.
作者信息
Zedlitz Aglaia M E E, Visser-Meily Anne J M A, Schepers Vera P, Geurts Alexander C H, Fasotti Luciano
机构信息
Donders Centre for Cognition, Radboud University Nijmegen, 6500 HE Nijmegen, The Netherlands.
出版信息
ISRN Neurol. 2011;2011:627081. doi: 10.5402/2011/627081. Epub 2011 Nov 9.
Objective. To obtain a psychosocial profile of patients with poststroke fatigue (PSF), which could aid in optimizing treatment strategies. Methods. Eighty-eight outpatients with severe PSF measured with the Checklist Individual Strength-fatigue subscale (CIS-f) and the Fatigue Severity Scale (FSS) were selected. Depression and anxiety, psychological distress, coping, social support, and self-efficacy of this group were compared to reference groups of healthy controls and patients with other chronic diseases. Associations between psychosocial characteristics and fatigue were calculated. Results. Compared to healthy controls, patients with PSF reported more psychological distress, less problem-focused coping, and more positive social support. Minor or no differences were found in comparison with other chronic patients. The CIS-f correlated with somatic complaints and the FSS with cognitive complaints. Conclusion. Patients with PSF show a psychosocial profile comparable to patients with other chronic disease. Implications for diagnosis and treatment are discussed.
目的。获取中风后疲劳（PSF）患者的心理社会概况，这有助于优化治疗策略。方法。选取88例门诊患者，这些患者使用个人力量清单疲劳分量表（CIS-f）和疲劳严重程度量表（FSS）测量出存在严重的PSF。将该组患者的抑郁、焦虑、心理困扰、应对方式、社会支持和自我效能与健康对照组及其他慢性病患者的参照组进行比较。计算心理社会特征与疲劳之间的关联。结果。与健康对照组相比，PSF患者报告有更多的心理困扰、更少的以问题为导向的应对方式以及更多的积极社会支持。与其他慢性病患者相比，差异较小或无差异。CIS-f与躯体不适相关，FSS与认知不适相关。结论。PSF患者的心理社会概况与其他慢性病患者相当。讨论了对诊断和治疗的启示。
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