Huang Xiaodong, Luo Weiliang, Huang Hui, He Jinchang
Department of Neurology, Huizhou Municipal Central Hospital, Huizhou, China.
Department of Respiratory, Huizhou Municipal Central Hospital, Huizhou, China.
Ann Palliat Med. 2021 Sep;10(9):9435-9442. doi: 10.21037/apm-21-1879.
The increasingly younger age of stroke onset has posed a serious threat to the physical and mental health of young and middle-aged adults. Young and middle-aged stroke patients often suffer from varying degrees of motor, cognitive, and language disabilities, which can trigger considerable psychological trauma. However, these patients may have certain posttraumatic growth (PTG). As a positive psychological experience, PTG provides a new entry point for clinical psychological interventions. Here, we explored the trajectories of PTG in young and middle-aged stroke patients and their predictive effects on mental health.
A total of in 165 patients who were treated at our center from January to December 2019 were enrolled with randomized sampling. The survey was conducted at 5 times follow up through use of the Posttraumatic Growth Inventory (PTGI), Social Support Rating Scale (SSRS), and Symptom Checklist-90 (SCL-90). Data were analyzed by using the latent growth mixture modeling (LGMM).
The PTG levels in young and middle-aged stroke patients showed a gradual increase (F=9.927; P<0.01). According to the relevant parameters of the trajectories, the subjects were divided into the high PTG group (n=43, 26.06%), low PTG group (n=25, 15.15%), rapidly increasing PTG group (n=47, 28.48%), and constantly decreasing PTG group (n=50 cases, 30.30%). Both the initial level and developmental rate of PTG had significantly negative predictive effects on SCL-90 score (B=-0.46, P<0.01; B=-0.31, P<0.01); in other words, they had positive predictive effects on mental health.
There are different trajectories of PTG in young and middle-aged stroke patients, and the initial level and developmental speed of PTG have positive predictive effects on mental health in these patients.
中风发病年龄日益年轻化，对中青年的身心健康构成了严重威胁。中青年中风患者常伴有不同程度的运动、认知和语言功能障碍，这可能引发相当大的心理创伤。然而，这些患者可能会有一定程度的创伤后成长（PTG）。作为一种积极的心理体验，PTG为临床心理干预提供了一个新的切入点。在此，我们探讨了中青年中风患者PTG的轨迹及其对心理健康的预测作用。
采用随机抽样的方法，选取2019年1月至12月在本中心接受治疗的165例患者。通过使用创伤后成长量表（PTGI）、社会支持评定量表（SSRS）和症状自评量表（SCL - 90）进行5次随访调查。采用潜在增长混合模型（LGMM）对数据进行分析。
中青年中风患者的PTG水平呈逐渐上升趋势（F = 9.927；P < 0.01）。根据轨迹的相关参数，将研究对象分为高PTG组（n = 43，26.06%）、低PTG组（n = 25，15.15%）、快速上升PTG组（n = 47，28.48%）和持续下降PTG组（n = 50例，30.30%）。PTG的初始水平和发展速率对SCL - 90评分均有显著的负向预测作用（B = - 0.46，P < 0.01；B = - 0.31，P < 0.01）；也就是说，它们对心理健康有正向预测作用。
中青年中风患者的PTG存在不同轨迹，PTG的初始水平和发展速度对这些患者的心理健康有正向预测作用。
