Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Biomed Res Int. 2021 Jan 26;2021:6698521. doi: 10.1155/2021/6698521. eCollection 2021.
To investigate the association between poststroke depression (PSD) and psychological crisis in patients who have experienced a stroke within 6 months.
This was a retrospective cross-sectional study that enrolled patients within 6 months after stroke onset. The investigators reviewed medical charts to obtain patients' baseline characteristics, and a psychologist evaluated each patient for depression using the Taiwanese Depression Questionnaire (TDQ) and for psychological crisis using the Triage Assessment System (TAS). A generalized linear model (GLM) was used to analyze the association between the results of the TDQ and TAS.
Ninety-seven patients with stroke were included. Age ( = 0.003), time since onset of stroke ( = 0.041), diabetes mellitus ( = 0.004), hypertension ( = 0.016), heart disease ( = 0.005), and TDQ score were significantly different between the hemorrhagic stroke group and the ischemic stroke group. The TDQ score was significantly lower in the hemorrhagic stroke group ( = 0.012). The TDQ score was associated with the TAS total score and each domain score, and the presence of heart disease was associated with poorer TAS score in the behavioral domain ( = 0.016).
PSD is likely an important component of psychological crisis in stroke patients. For clinicians, a comprehensive psychologic evaluation is necessary to optimize treatment.
调查 6 个月内发生脑卒中的患者中，脑卒中后抑郁（PSD）与心理危机之间的关系。
这是一项回顾性的横断面研究，纳入了脑卒中发病后 6 个月内的患者。研究者查阅病历以获取患者的基线特征，一位心理学家使用台湾抑郁问卷（TDQ）评估每位患者的抑郁情况，使用分诊评估系统（TAS）评估心理危机。采用广义线性模型（GLM）分析 TDQ 和 TAS 结果之间的关联。
共纳入 97 例脑卒中患者。年龄（ = 0.003）、脑卒中发病时间（ = 0.041）、糖尿病（ = 0.004）、高血压（ = 0.016）、心脏病（ = 0.005）和 TDQ 评分在出血性脑卒中组和缺血性脑卒中组之间存在显著差异。出血性脑卒中组的 TDQ 评分显著较低（ = 0.012）。TDQ 评分与 TAS 总分及各领域评分相关，心脏病的存在与行为领域的 TAS 评分较差相关（ = 0.016）。
PSD 可能是脑卒中患者心理危机的一个重要组成部分。对于临床医生来说，进行全面的心理评估对于优化治疗至关重要。
