Association between Anxiety and Functional Outcomes in Patients with Stroke: A 1-Year Longitudinal Study
| العنوان: | Association between Anxiety and Functional Outcomes in Patients with Stroke: A 1-Year Longitudinal Study |
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| المؤلفون: | Jae-Min Kim, Ju-Wan Kim, Ki-Hyun Cho, Sung-Wan Kim, Eun Hye Lee, Joon-Tae Kim, Hee-Ju Kang, Man-Seok Park |
| المصدر: | Psychiatry Investigation |
| بيانات النشر: | Korean Neuropsychiatric Association, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Longitudinal study, Activities of daily living, Anxiety, 03 medical and health sciences, 0302 clinical medicine, medicine, In patient, Association (psychology), Stroke, Biological Psychiatry, Depression (differential diagnoses), business.industry, Cognition, Functional outcome, medicine.disease, 030227 psychiatry, Psychiatry and Mental health, Physical therapy, Original Article, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | Objective Anxiety is one of the most common complications in patients with stroke, but studies on its relationship to functional outcomes are limited and controversial. We investigated the association between post-stroke anxiety (PSA) and a 1-year trajectory of functional outcome. Methods A total of 423 patients were recruited within 2 weeks after a stroke (acute phase) during hospitalization. Of them, 306 (72.3%) completed follow-up examinations 1 year thereafter (chronic phase). Anxiety was evaluated using the Hospital Anxiety and Depression Scale-Anxiety subscale, and functional outcomes were measured using the National Institutes of Health Stroke Scale for stroke severity, the Barthel Index for activities of daily living (ADL), and the Mini-Mental State Examination for cognitive function at 2 weeks and 1 year. A range of demographic and clinical covariates were considered. The cross-sectional and longitudinal associations between PSA and functional outcomes were investigated. Results PSA at the acute phase was not associated with functional outcomes at the cross-sectional point, but predicted worsening of outcome on stroke severity and ADL 1 year after stroke. PSA at the chronic phase was cross-sectionally associated with poor functional outcomes in all three measures. All associations were independent of potential covariates. Conclusion Screening for anxiety is recommended even during the acute phase of stroke, considering its independent detrimental effect on functional prognosis. Screening for anxiety during the chronic phase is also encouraged, as this may reflect the functional status of stroke. |
| تدمد: | 1976-3026 1738-3684 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6ec468555cb8e378c319f4c7bc5fe172Test https://doi.org/10.30773/pi.2019.0188Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6ec468555cb8e378c319f4c7bc5fe172 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19763026 17383684 |
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