Psychiatric Comorbidity and Quality of Life in Patients with Post-Stroke Emotional Incontinence

• 발행기관: 대한신경정신의학회
• 저자명: DongHo Choi BoOk Jeong HeeJu Kang SungWan Kim JaeMin Kim IlSeon Shin JoonTae Kim ManSeok Park KiHyun
• 간행물 정보: 『Psychiatry Investigation』제10권 제4호, 382~387쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2013.12.31

영문 초록

Objective-We aimed to investigate the associations of post-stroke emotional incontinence (PSEI) with various psychiatric symptoms and quality of life independent of potential covariates in survivors of acute stroke. Methods-A total of 423 stroke patients were assessed within 2 weeks of the index event. Psychiatric symptoms were assessed by the Symptom Checklist-90-Revised (SCL-90-R), which has nine domains comprising Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic Anxiety, Paranoid Ideation, and Psychoticism. Quality of life was measured using the World Health Organization Quality of Life abbreviated form (WHOQOL-BREF), which has four domains related to physical factors, psychological factors, social relationships, and environmental context. Associations of PSEI with scores on the SCL-90-R and WHOQOLBREF were investigated using pairwise logistic regression model adjustment for potential sociodemographic and clinical covariates. Results-PSEI was present in 51 (12.1%) patients. PSEI was associated with the Obsessive-Compulsive, Interpersonal Sensitivity, and Hostility symptom dimensions of the SCL-90-R and with the psychological factors and social relationships domains of the WHOQOLBREF independent of important covariates including previous stroke, stroke severity, and physical disability. Conclusion-PSEI causes some aspects of psychiatric distress and negatively affects psychological and interpersonal quality of life. For patients with PSEI, special attention to psychiatric comorbidity and quality of life is needed, even in the acute stage of stroke.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

ACKNOWLEDGEMENTS

REFERENCES

키워드

Stroke Emotional lability Psychiatric comorbidity Quality of life