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中风心理影响的评估与治疗

Evaluation & Treatment of Psychological Effects of Stroke.

作者信息

Devereux Nancy, Berns Ashley M

机构信息

Clinical Neuropsychologist, ChristianaCare; Delaware Stroke System of Care Subcommittee.

ChristianaCare Behavioral Health Department.

出版信息

Dela J Public Health. 2023 Aug 31;9(3):62-69. doi: 10.32481/djph.2023.08.011. eCollection 2023 Aug.

Abstract

Strokes are a common medical condition in the United States, including in Delaware. An under-recognized effect of stroke is the impact on mood that often occurs. Many individuals develop depression, anxiety, PTSD, and other psychological sequelae. These disorders can significantly affect their lives and their relationships. The emotional effects of stroke pose a public health problem for our residents, leading to devastating decreases in the quality of life for the patient and the family. These challenges negatively impact the community due to the associated healthcare and economic burdens. The population of the State of Delaware is growing, and the proportion of senior residents, who are also at greater risk for strokes, is also increasing. Strokes will remain an ongoing important clinical concern for our healthcare providers. Emotional changes after a stroke will occur in many Delaware residents who suffer a stroke. The emotional sequelae of stroke are under-treated. It is critical for healthcare professionals to be trained to recognize, assess, and treat the psychological disorders that can result from having a stroke. This article provides an overview of the major psychological effects of stroke, recommended assessment tools, promising treatment trends, and directions for further research. Improving our ability to detect and treat these difficult emotional challenges can facilitate effective treatment and prevention strategies and increase quality of life for stroke survivors, their loved ones, and their communities.

摘要

中风在美国是一种常见的病症,在特拉华州也不例外。中风一个未得到充分认识的影响是其对情绪的影响,这种影响常常会出现。许多人会患上抑郁症、焦虑症、创伤后应激障碍及其他心理后遗症。这些病症会严重影响他们的生活及人际关系。中风对情绪的影响给我们的居民带来了一个公共卫生问题,导致患者及其家人的生活质量大幅下降。由于相关的医疗保健和经济负担,这些挑战对社区产生了负面影响。特拉华州的人口在增长,而中风风险更高的老年居民的比例也在增加。中风仍将是我们医疗保健提供者持续关注的重要临床问题。许多特拉华州中风患者都会出现中风后的情绪变化。中风的情绪后遗症未得到充分治疗。医疗保健专业人员接受培训以识别、评估和治疗中风可能导致的心理障碍至关重要。本文概述了中风的主要心理影响、推荐的评估工具、有前景的治疗趋势以及进一步研究的方向。提高我们检测和治疗这些棘手情绪挑战的能力有助于制定有效的治疗和预防策略,并提高中风幸存者、他们的亲人及其社区的生活质量。

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