Psychological Reactions to Ischemic Stroke in the Young

摘要

Aims: To analyze various degrees of psychological status of ischemic stroke in the young population with different age, sex, degrees of education, injured regions and ways of medical expense payment. Study design: Cross-sectional study. Place and Duration of Study: Department of Neurology, People’s Hospital of Ningxia Hui Autonomous Region and Department of Rehabilitation, the Second Affiliated Hospital of Qingdao University Medical College, between March 2008 and March 2010. Methodology: We included 90 patients (58 men, 32 women; age range 21-45 years) with ischemic stroke. Psychological distress was evaluated with Symptom Distress Checklist (SCL-90, Chinese version). The 90 patients with ischemic stroke at the acute stage have completed the SCL-90 and the scores were analyzed statistically against the national Norm of China. Results: Compared with the national norm of China, there were great differences in almost all aspects such as depression, anxiety, somatization, phobia and psychoticism (P 0.05 respectively). Among 90 stroke patients, the occurrence of Depression/Anxiety was 39 (43.33%). Female patients took up 75%, while male for 25% (P 0.05). Different payments brought out marked differences; the occurrence of Depression/Anxiety was 29.2% for the group where the medical expense paid by medical insurance, but 66.7% paid at one’s own expense (P< 0.05). Different injured regions brought out marked difference in the psychological reaction (P< 0.05), the occurrence of Depression/Anxiety was 75% with bilateral hemispheres injures. Conclusion: The psychological reactions of the young to the ischemic stroke are depression, anxiety, somatization, interpersonal sensitivity, phobic anxiety, and psychoticism except for obsessive-compulsiveness, hostility and paranoid ideation. Ischemic stroke in the young of different sex, payment method and injured regions resulted in different psychological reactions.