The Evaluation Acute Traumatic Stress Level in Close Relatives of Stroke Patients

다국어 초록 (Multilingual Abstract)

Objective: Stroke is the second most common cause of death and the leading cause of adult disability. Both stroke patients and their family can therefore experience increased traumatic stress level.
Methods: The participants are close relatives of patients (n=65) who had a first time stroke (CRPWS) hospitalized. A control group (CG) (n=61), who had no history of chronic illness in their family and had at least one traumatic life event experience. The National Institutes of Health Stroke Scale, Modified Rankin Scale, Personal Information Form, Life Events Checklist, Traumatic Stress Symptom Scale, and Multidimensional Scale of Perceived Social Support, were used in the study.
Results: We found no significant association between NIHSS and MRS of patients and traumatic stress level of the family member. The traumatic stress level was significantly higher in the CRPWS group than in the CG group. Traumatic stress level was higher in women than men and was not associated with perceived social support in the CRPWS group.
Conclusion: The traumatic stress level of the relatives was not associated with the clinical features of the stroke patients. In the early phase, after the diagnosis of stroke, psychological support may be important to prevent CRPWS from PTSD.

참고문헌 (Reference)

1 "World Health Organization"

2 Berterö CM, "Types and sources of social support for people afflicted with cancer" 2 : 93-101, 2000

3 Holmes AM, "The effect of chronic illness on the psychological health of family members" 6 : 13-22, 2003

4 Blake DD, "The development of a clinician-administered PTSD Scale" 8 : 75-90, 1995

5 Zimet GD, "Psychometric characteristics of the multidimensional scale of perceived social support" 55 : 610-617, 1990

6 Montgomery C, "Psychological distress among cancer patients and informed consent" 46 : 241-245, 1999

7 Tural Ü, "Psychological Consequences of the 1999 Earthquake in Turkey" 17 : 451-459, 2004

8 Dunn ME, "Moderators of stress in parents of children with autism" 37 : 39-52, 2001

9 Forneris CA, "Interventions to prevent post-traumatic stress disorder : a systematic review" 44 : 635-650, 2013

10 Weiss MJ, "Harrdiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation" 6 : 115-130, 2002

11 Favrole P, "Frequency and predictors of post-traumatic stress disorder after stroke : a pilot study" 327 : 35-40, 2013

12 Eker D, "Factorial structure, validity, and reability of Revised form of the multidimensional scale of perceived social support" 12 : 17-25, 2001

13 Muscara F, "Early psychological reactions in parents of children with a life threatening illness within a pediatric hospital setting" 30 : 555-561, 2015

14 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders"

15 Nixon RD, "Cognitive processing therapy versus supportive counseling for acute stress disorder following assault : a randomized pilot trial" 43 : 825-836, 2012

16 Aker AT, "Clinician Administered Post Traumatic Stress Disorder Scale(CAPS)reliability and validity study" 10 : 286-293, 1999

17 Jaracz K, "Caregiver burden after stroke : towards a structural model" 46 : 224-232, 2012

18 Suliman S, "Are neuropsychological deficits after trauma associated with ASD severity?" 55 : 145-154, 2014

19 Scrimin S, "Anxiety and stress in mothers and fathers in the 24 h after their child’s surgery" 35 : 227-233, 2009

20 Simith-Johnson B, "African American Wives and perceived stressful experiences : providing care for stroke survivor spouses" 26 : 39-42, 2015

21 Patino-Fernandez AM, "Acute stress in parents of children newly diagnosed with cancer" 50 : 289-292, 2008

22 Başoğlu M, "A study of the validity of a screening instrument for traumatic stress in earthquake survivors in Turkey" 14 : 491-509, 2001

23 Silva JA, "A classification of psychological factors leading to violent behavior in posttraumatic stress disorder" 46 : 309-316, 2001