Psychological Reactions to Ischemic Stroke in the Young.
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Date
2011-10
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Abstract
Aims: To analyze various degrees of psychological status of ischemic stroke in the
young population with different age, sex, degrees of education, injured regions and
ways of medical expense payment.
Study design: Cross-sectional study.
Place and Duration of Study: Department of Neurology, People’s Hospital of Ningxia
Hui Autonomous Region and Department of Rehabilitation, the Second Affiliated
Hospital of Qingdao University Medical College, between March 2008 and March 2010.
Methodology: We included 90 patients (58 men, 32 women; age range 21-45 years)
with ischemic stroke. Psychological distress was evaluated with Symptom Distress
Checklist (SCL-90, Chinese version). The 90 patients with ischemic stroke at the acute
stage have completed the SCL-90 and the scores were analyzed statistically against the
national Norm of China.
Results: Compared with the national norm of China, there were great differences in
almost all aspects such as depression, anxiety, somatization, phobia and psychoticism
(P <0.01, P<0.001, respectively) except for obsessiveness-compulsiveness, hostility
and paranoid ideation (P>0.05 respectively). Among 90 stroke patients, the occurrence
of Depression/Anxiety was 39 (43.33%). Female patients took up 75%, while male for
25% (P<0.01). Education levels made no difference (P > 0.05). Different payments
brought out marked differences; the occurrence of Depression/Anxiety was 29.2% for
the group where the medical expense paid by medical insurance, but 66.7% paid at
one’s own expense (P< 0.05). Different injured regions brought out marked difference in
the psychological reaction (P< 0.05), the occurrence of Depression/Anxiety was 75%
with bilateral hemispheres injures. Conclusion: The psychological reactions of the young to the ischemic stroke are
depression, anxiety, somatization, interpersonal sensitivity, phobic anxiety, and
psychoticism except for obsessive-compulsiveness, hostility and paranoid ideation.
Ischemic stroke in the young of different sex, payment method and injured regions
resulted in different psychological reactions.
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Keywords
Stroke, young, psychological status, acute, Ischemia
Citation
Gao Huanmin, Gao Xia, Liang Guixia, Yang Yunzhen, Ma Benxu. Psychological Reactions to Ischemic Stroke in the Young. British Journal of Medicine and Medical Research. 2011 Oct; 1(4): 501-507.