뇌졸중 후 불안의 유병률 및 예측인자
Prevalence and Predictors of Poststroke Anxiety
- 김규온(Gyu On Kim) 강희주(Hee Ju Kang) 김주완(Ju Wan Kim) 배경열(Kyung Yeol Bae) 김성완(Sung Wan Kim) 김준태(Joon Tae Kim) 박만석(Man Seok Park) 조기현(Ki Hyun Cho) 김재민(Jae Min Kim)
- 노인정신의학 제22권 제2호
- 등재여부 : KCI등재
- 89 - 95 (7 pages)
Objective：This study aimed to investigate the prevalence and predictors of poststroke anxiety (PSA) at acute and chronic stage. Methods：PSA was defined as 7 or higher score on Hospital Anxiety and Depression Scale-anxiety subscale within 2 weeks (n=286) and at 1 year (n=222) after the index stroke. Following variables were examined at baseline: sociodemographic characteristics (age, sex, education years, marital status, living alone, and unemployment), risk factor of vascular disease, stroke location on brain imaging, severity of stroke (National Institute of Health Stroke Scale), physical impairment (Barthel Index), etc. These variables were compared by PSA initially using t-test or χ2 test. Those variables shown significant associations (p＜0.05) entered simultaneously to logistic regression analysis for evaluating independent predictive factors. Results：PSA was observed in 27 patients (9.4%) at acute stage, and in 35 patients (15.8%) at chronic stage. Acute PSA was associated with younger age and higher Hamilton Depression Rating Scale (HAM-D) score, and chronic PSA was associated with hypertension and higher HAM-D score. Conclusion：PSA was prevalent and was associated with those variables on poor prognosis of stroke outcome. Therefore, early screening of PSA and referral to proper treatment may reduce stroke burden.
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