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Post-traumatic stress disorder and stroke in the elderly

Published online by Cambridge University Press:  13 August 2021

M. Chakroun
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
R. Ouali*
Affiliation:
Psychiatry B Chu Hedi Chaker, Tunisia, psychiatry B, sfax, Tunisia
O. Zribi
Affiliation:
Psychiatry (b), Psychiatry (B), Hedi Chaker University hospital, sfax, Tunisia
M. Turki
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
L. Aribi
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, Sfax, Tunisia
J. Aloulou
Affiliation:
Psychiatry (b), Psychiatry (B), Hedi Chaker University hospital, sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Posttraumatic stress disorder (PTSD) is common in survivors of acute life-threatening illness, but little is known about the burden of PTSD in survivors of stroke attack.

Objectives

This study estimated the prevalence of PTSD in post-stroke in the elderly and to look for the factors which are correlated with it.

Methods

Participants were outpatients of Psychiatry B department in Hedi chaker University Hospital Center in Tunisia, over the age of 65, hospitalized in psychiatry for a major depressive episode, recruted between 2000 and 2015. The data was collected using a pre-established sheet containing socio-demographic information, the clinical and evolutionary characteristics of the depressive episode and the therapeutic data concerning the depressive episode.

Results

30 patients were included in this study with an average age (69 Y) and sex ratio (0.66). More than half (53.3%, 16 patients) had a history of chronic somatic disease. The average length of hospitalization was 26 days. The most frequent reason for hospitalization is sadness of mood (43.3%) with cognitive impairment as the predominant clinical symptomatology (40%). 93.3% of the population received as treatment an antidepressant mainly Fluoxetine (50%).

Conclusions

clinicians should be mindful that PTSD can be a devastating mental health condition and should consider screening for PTSD in stroke survivors.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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