Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage
Post-traumatic stress disorder (PTSD) can develop after stroke attacks, and its rate ranges from 4 to 37% in the stroke population. Suffering from PTSD not only decreases stroke patient’s quality of life, but also relates to their non-adherence of treatment. Since strokes often recur and progress, l...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2022.1007571/full |
| _version_ | 1811345287125401600 |
|---|---|
| author | Che Jiang Zhensheng Li Chenggang Du Xiwu Zhang Zhuang Chen Gaoquan Luo Xiaona Wu Jiajia Wang Yan Cai Gang Zhao Hongmin Bai |
| author_facet | Che Jiang Zhensheng Li Chenggang Du Xiwu Zhang Zhuang Chen Gaoquan Luo Xiaona Wu Jiajia Wang Yan Cai Gang Zhao Hongmin Bai |
| author_sort | Che Jiang |
| collection | DOAJ |
| description | Post-traumatic stress disorder (PTSD) can develop after stroke attacks, and its rate ranges from 4 to 37% in the stroke population. Suffering from PTSD not only decreases stroke patient’s quality of life, but also relates to their non-adherence of treatment. Since strokes often recur and progress, long-term medical management is especially important. However, previous studies generally focused on the epidemiological characteristics of post-stroke PTSD, while there are literally no studies on the psychological intervention. In our study, 170 patients with a first-ever stroke during the acute phase were recruited. They were randomized into Psycho-therapy group 1 and Control group 1, and were administered with preventive intervention for PTSD or routine health education, respectively. At 2-month follow-up, PTSD symptoms were evaluated. Participants who were diagnosed with post-stroke PTSD were further randomized into Psycho-therapy group 2 and Control group 2, and received supportive therapy or routine health counseling, respectively. At 6-month follow-up (1°month after the therapy was completed), PTSD symptoms were re-evaluated. Our results showed that at 2-month, the PTSD incidence in our series was 11.69%, and the severity of stroke was the only risk factor for PTSD development. The preventive intervention was not superior to routine health education for PTSD prevention. At 6-month, results indicated the supportive therapy did have a fine effect in ameliorating symptoms for diagnosed PTSD patients, superior to routine health counseling. Thus, our study was the first to provide evidence that the supportive therapy was effective in treating post-stroke PTSD early after its diagnosis. This clinical trial was preregistered on www.chictr.org.cn (ChiCTR2100048411). |
| first_indexed | 2024-04-13T20:00:53Z |
| format | Article |
| id | doaj.art-0fb5306f3dff4dbb8236181b1e8761d2 |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-04-13T20:00:53Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj.art-0fb5306f3dff4dbb8236181b1e8761d22022-12-22T02:32:12ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2022-10-011610.3389/fnins.2022.10075711007571Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stageChe Jiang0Zhensheng Li1Chenggang Du2Xiwu Zhang3Zhuang Chen4Gaoquan Luo5Xiaona Wu6Jiajia Wang7Yan Cai8Gang Zhao9Hongmin Bai10Department of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurology, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Health Service, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, ChinaPost-traumatic stress disorder (PTSD) can develop after stroke attacks, and its rate ranges from 4 to 37% in the stroke population. Suffering from PTSD not only decreases stroke patient’s quality of life, but also relates to their non-adherence of treatment. Since strokes often recur and progress, long-term medical management is especially important. However, previous studies generally focused on the epidemiological characteristics of post-stroke PTSD, while there are literally no studies on the psychological intervention. In our study, 170 patients with a first-ever stroke during the acute phase were recruited. They were randomized into Psycho-therapy group 1 and Control group 1, and were administered with preventive intervention for PTSD or routine health education, respectively. At 2-month follow-up, PTSD symptoms were evaluated. Participants who were diagnosed with post-stroke PTSD were further randomized into Psycho-therapy group 2 and Control group 2, and received supportive therapy or routine health counseling, respectively. At 6-month follow-up (1°month after the therapy was completed), PTSD symptoms were re-evaluated. Our results showed that at 2-month, the PTSD incidence in our series was 11.69%, and the severity of stroke was the only risk factor for PTSD development. The preventive intervention was not superior to routine health education for PTSD prevention. At 6-month, results indicated the supportive therapy did have a fine effect in ameliorating symptoms for diagnosed PTSD patients, superior to routine health counseling. Thus, our study was the first to provide evidence that the supportive therapy was effective in treating post-stroke PTSD early after its diagnosis. This clinical trial was preregistered on www.chictr.org.cn (ChiCTR2100048411).https://www.frontiersin.org/articles/10.3389/fnins.2022.1007571/fullstrokepost-traumatic stress-disorderpsychological interventionsupportive therapyearly stage |
| spellingShingle | Che Jiang Zhensheng Li Chenggang Du Xiwu Zhang Zhuang Chen Gaoquan Luo Xiaona Wu Jiajia Wang Yan Cai Gang Zhao Hongmin Bai Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage Frontiers in Neuroscience stroke post-traumatic stress-disorder psychological intervention supportive therapy early stage |
| title | Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage |
| title_full | Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage |
| title_fullStr | Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage |
| title_full_unstemmed | Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage |
| title_short | Supportive psychological therapy can effectively treat post-stroke post-traumatic stress disorder at the early stage |
| title_sort | supportive psychological therapy can effectively treat post stroke post traumatic stress disorder at the early stage |
| topic | stroke post-traumatic stress-disorder psychological intervention supportive therapy early stage |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2022.1007571/full |
| work_keys_str_mv | AT chejiang supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT zhenshengli supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT chenggangdu supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT xiwuzhang supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT zhuangchen supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT gaoquanluo supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT xiaonawu supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT jiajiawang supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT yancai supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT gangzhao supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage AT hongminbai supportivepsychologicaltherapycaneffectivelytreatpoststrokeposttraumaticstressdisorderattheearlystage |