Lau Chieh Grace, Tang Wai Kwong, Liu Xiang Xin, Liang Hua Jun, Liang Yan, Mok Vincent, Wong Adrian, Ungvari Gabor S, Kutlubaev Mansur A, Wong Ka Sing
Department of Psychiatry, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong.
Department of Psychiatry, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong.
Arch Phys Med Rehabil. 2017 Apr;98(4):716-721. doi: 10.1016/j.apmr.2016.08.480. Epub 2016 Sep 24.
To examine the relation between neuroticism and fatigue in Chinese patients with stroke.
Cross-sectional study.
Acute stroke unit.
Survivors of ischemic stroke (N=191) recruited from the acute stroke unit between May 1, 2010, and September 1, 2011.
Not applicable.
The personality trait of neuroticism was measured with the neuroticism subscale of the Chinese version of the NEO Five-Factor Inventory. The level of fatigue was measured with the Fatigue Assessment Scale. The National Institutes of Health Stroke Scale, Geriatric Depression Scale, Barthel Index, and Mini-Mental State Examination were administered to obtain demographic and clinical information.
Fatigue severity 3 months after stroke positively correlated with Geriatric Depression Scale and NEO Five-Factor Inventory neuroticism scores and negatively correlated with the Barthel Index score.
Neuroticism, independent of depressive symptoms, is a predictor of fatigue severity 3 months after stroke. Interventions such as psychological screening programs are warranted for early detection of patients at high risk of poststroke depression.
探讨中国脑卒中患者的神经质与疲劳之间的关系。
横断面研究。
急性卒中单元。
2010年5月1日至2011年9月1日期间从急性卒中单元招募的缺血性脑卒中幸存者（N = 191）。
不适用。
采用中文版NEO五因素问卷的神经质分量表测量神经质人格特质。采用疲劳评估量表测量疲劳程度。使用美国国立卫生研究院卒中量表、老年抑郁量表、巴氏指数和简易精神状态检查表来获取人口统计学和临床信息。
卒中后3个月的疲劳严重程度与老年抑郁量表及NEO五因素问卷的神经质得分呈正相关，与巴氏指数得分呈负相关。
神经质独立于抑郁症状，是卒中后3个月疲劳严重程度的预测因素。诸如心理筛查项目等干预措施对于早期发现有卒中后抑郁高风险的患者是必要的。
