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Factors Associated With Anxiety After Hemorrhagic Stroke.
- Source :
-
The Journal of neuropsychiatry and clinical neurosciences [J Neuropsychiatry Clin Neurosci] 2024 Winter; Vol. 36 (1), pp. 36-44. Date of Electronic Publication: 2023 Sep 05. - Publication Year :
- 2024
-
Abstract
- Objective: A significant number of patients develop anxiety after stroke. The objective of this study was to identify risk factors for anxiety after hemorrhagic stroke that may facilitate diagnosis and treatment.<br />Methods: Patients admitted between January 2015 and February 2021 with nontraumatic hemorrhagic stroke (intracerebral [ICH] or subarachnoid [SAH] hemorrhage) were assessed telephonically 3 and 12 months after stroke with the Quality of Life in Neurological Disorders Anxiety Short Form to evaluate the relationships between poststroke anxiety (T score >50) and preclinical social and neuropsychiatric history, systemic and neurological illness severity, and in-hospital complications.<br />Results: Of 71 patients who completed the 3-month assessment, 28 (39%) had anxiety. There was a difference in Glasgow Coma Scale (GCS) scores on admission between patients with anxiety (median=14, interquartile range [IQR]=12-15) and those without anxiety (median=15, IQR=14-15) (p=0.034), and the incidence of anxiety was higher among patients with ICH (50%) than among those with SAH (20%) (p=0.021). Among patients with ICH, anxiety was associated with larger median ICH volume (25 cc [IQR=8-46] versus 8 cc [IQR=3-13], p=0.021) and higher median ICH score (2 [IQR=1-3] versus 1 [IQR=0-1], p=0.037). On multivariable analysis with GCS score, hemorrhage type, and neuropsychiatric history, only hemorrhage type remained significant (odds ratio=3.77, 95% CI=1.19-12.05, p=0.024). Of the 39 patients who completed the 12-month assessment, 12 (31%) had anxiety, and there was a difference in mean National Institutes of Health Stroke Scale scores between patients with (5 [IQR=3-12]) and without (2 [IQR=0-4]) anxiety (p=0.045). There was fair agreement (κ=0.38) between the presence of anxiety at 3 and 12 months.<br />Conclusions: Hemorrhage characteristics and factors assessed with neurological examination on admission are associated with the development of poststroke anxiety.<br />Competing Interests: The authors report no financial relationships with commercial interests.
Details
- Language :
- English
- ISSN :
- 1545-7222
- Volume :
- 36
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of neuropsychiatry and clinical neurosciences
- Publication Type :
- Academic Journal
- Accession number :
- 37667629
- Full Text :
- https://doi.org/10.1176/appi.neuropsych.20220218