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KMID : 0607520120200020098
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Korean Journal of Psychosomatic Medicine
2012 Volume.20 No. 2 p.98 ~ p.104
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Correlations between Neurologic and Psychiatric Symptoms in Acute Stroke Patients
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Kang Hee-Ju
Bae Kyung-Yeol
Kim Sung-Wan
Kim Jae-Min
Shin Il-Seon
Park Man-Seok
Cho Ki-Hyun
Yoon Jin-Sang
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Abstract
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Objectives: This study aimed to investigate the correlations between neurological and psychiatric symptoms at two weeks after stroke.
Methods: For 412 stroke patients, stroke severity was evaluated by the National Institutes of Health Stroke Scale(NIHSS), disability by the Barthel Index(BI) and modified Rankin Scale(mRS), cognitive function by the Korean Mini-Mental State Examination(K-MMSE), and muscle power by grip strength. Psychiatric symptoms were assessed by Symptom check list-90-Revision(SCL-90-R), consisted of nine symptom domains : Somatization, Obsessive-compulsive, Interpersonal sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid ideation, Psychoticism, and Additional items. The correlations between the neurological and psychiatric symptoms were investigated at the time of admission and before discharge(i.e. before and after treatment).
Results: At the time of admission, NIHSS score was associated with scores on Phobic anxiety and Additional items ; and scores on BI and mRS were associated with Depression, Phobic anxiety and Additional items. At the time of discharge, NIHSS score was associated with scores on Somatization, Depression, Phobic anxiety, and Additional items ; scores on BI and mRS were associated with scores on Depression, Phobic anxiety and Additional items ; MMSE score was associated with Obsessive-compulsive, Depression, Phobic anxiety, and Additional items ; and grip strength was associated with Somatization, Depression, Anxiety and Additional items.
Conclusions: More severe neurological symptoms were associated with higher psychiatric morbidity particularly in depression, phobic anxiety, sleep and appetite disturbance at acute stage of stroke. More intensive psychiatric care and intervention are needed for the high risk group.
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KEYWORD
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Stroke, Neurologic symptoms, Psychiatric symptoms, SCL-90R, Depression, Phobic anxiety
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