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Condition: Post Traumatic Stress Disorder
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Wants Talk Psychotherapy but Cannot Talk: EMDR for Post-stroke Depression with Expressive Aphasia
CONCLUSION
This is the first reported case demonstrating that EMDR can be effective for depression, even in those with severe expressive aphasia. In our case, there was no reluctance to disclose information, simply a neurological inability to do so. Through preparation, patience, perseverance, and plasticity (clinician flexibility, though perhaps also neuroplasticity), the patient’s PSD gradually improved, and she was able to reinvent her life within her limitations.
ACKNOWLEDGMENTS
The authors gratefully acknowledge Eugene Schwartz, E.C. Hurley, and Mark Hubner for providing consultation during patient care.
REFERENCES
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Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Case Report Current Issue Neurologic Systems and Symptoms Neurology Psychotherapy Stroke aphasia depression EMDR Source Type: research
Correlates of Post-traumatic Stress Disorder in Stroke Survivors
Conclusions: In this racially and ethnically diverse cohort of stroke and TIA survivors, stroke-induced PTSD was associated with younger age, recurrent strokes, greater disability, and comorbidities. PTSD was associated with a substantially increased physical, mental, and quality of life burden in this already vulnerable population. Having social support was protective, suggesting a potential target for intervention.
Source: Journal of Stroke and Cerebrovascular Diseases - October 21, 2013 Category: Neurology Authors: Judith Z. Goldfinger, Donald Edmondson, Ian M. Kronish, Kezhen Fei, Revathi Balakrishnan, Stanley Tuhrim, Carol R. Horowitz Tags: Original Articles Source Type: research
Increased Ambivalence Toward Medication Common In Stroke Patients With PTSD
A new survey of stroke survivors has shown that those with post-traumatic stress disorder (PTSD) are less likely to adhere to treatment regimens that reduce the risk of an additional stroke. Researchers found that 65 percent of stroke survivors with PTSD failed to adhere to treatment, compared with 33 percent of those without PTSD. The survey also suggests that nonadherence in PTSD patients is partly explained by increased ambivalence toward medication. Among stroke survivors with PTSD, approximately one in three (38 percent) had concerns about their medications...
Source: Health News from Medical News Today - January 22, 2013 Category: Consumer Health News Tags: Stroke Source Type: news
PTSD Affects 1 In 4 Stroke Survivors
One in every four survivors of stroke or TIA (transient ischemic attack) develops PTSD (post-traumatic stress disorder) within twelve months, while 1 in 9 has chronic PTSD for longer than a 12 months, researchers from Columbia University Medical Center reported in the journal PLoS ONE. This means that almost 300,000 survivors of stroke or TIA develop PTSD symptoms each year in the USA as a result of their traumatic experience. What is the difference between stroke and TIA? - a stroke occurs when brain cells suddenly die because of a lack of oxygen...
Source: Health News from Medical News Today - June 20, 2013 Category: Consumer Health News Tags: Stroke Source Type: news
Increased Prevalence of Posttraumatic Stress Disorder in Patients After Transient Ischemic Attack Clinical Sciences
Conclusions—
The experience of TIA increases the risk for PTSD and associated anxiety, depression, and reduced mental quality of life. Because a maladaptive coping style and a subjectively overestimated stroke risk seem to play a crucial role in this adverse progression, the training of adaptive coping strategies and cautious briefing about the realistic stroke risk associated with TIA might be a promising approach. Despite the great loss of patients to follow-up, the results indicate that PTSD after TIA requires increased attention.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Kiphuth, I. C., Utz, K. S., Noble, A. J., Kohrmann, M., Schenk, T. Tags: Behavioral/psychosocial - stroke, Transient Ischemic Attacks Clinical Sciences Source Type: research
Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research
Concerns about medications mediate the association of posttraumatic stress disorder with adherence to medication in stroke survivors.
CONCLUSION: Increased concerns about medications explain a significant proportion of the association between PTSD symptoms and non-adherence to medication in stroke survivors. STATEMENT OF CONTRIBUTION: What is already known on this subject? Posttraumatic stress disorder (PTSD) is common after cardiovascular events, including stroke and transient ischemic attack. PTSD due to non-stroke cardiovascular events is associated with increased risk of cardiovascular disease recurrence and mortality. PTSD due to stroke is associated with increased risk for medication nonadherence in stroke survivors. What does this study add? While...
Source: British Journal of Health Psychology - January 7, 2013 Category: Psychiatry & Psychology Authors: Edmondson D, Horowitz CR, Goldfinger JZ, Fei K, Kronish IM Tags: Br J Health Psychol Source Type: research
Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study.
Conclusions Individuals with PTSD have an increased risk of developing any stroke and ischaemic stroke. Further studies are required to investigate the underlying mechanisms.
PMID: 25698764 [PubMed - as supplied by publisher]
Source: The British Journal of Psychiatry for Mental Science - February 25, 2015 Category: Psychiatry Tags: Br J Psychiatry Source Type: research
Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study PAPERS
Conclusions
Individuals with PTSD have an increased risk of developing any stroke and ischaemic stroke. Further studies are required to investigate the underlying mechanisms.
Source: The British Journal of Psychiatry - April 1, 2015 Category: Psychiatry Authors: Chen, M.-H., Pan, T.-L., Li, C.-T., Lin, W.-C., Chen, Y.-S., Lee, Y.-C., Tsai, S.-J., Hsu, J.-W., Huang, K.-L., Tsai, C.-F., Chang, W.-H., Chen, T.-J., Su, T.-P., Bai, Y.-M. Tags: PAPERS Source Type: research
Predictors of post-traumatic growth in stroke survivors.
CONCLUSIONS: Post-traumatic growth can develop soon after stroke. Deliberate rumination is a key factor in post-traumatic growth. Both active coping and denial coping were associated with post-traumatic growth demonstrating the psychological complexity of poststroke adjustment. Implications for rehabilitation Therapists can expect stroke survivors to show post-traumatic growth in the first months after stroke. Therapists should look to promote post-traumatic growth and positive adjustment through working with survivors to increase active coping (attempts to deal effectively with the impact of stroke) and rumination (cognit...
Source: Disability and Rehabilitation - August 10, 2017 Category: Rehabilitation Authors: Kelly G, Morris R, Shetty H Tags: Disabil Rehabil Source Type: research
Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke
AbstractRates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5 days after ictus. NIHSS on admission was lower in patients with TIA (0...
Source: Psychiatric Quarterly - January 2, 2021 Category: Psychiatry Source Type: research
Post-traumatic growth in stroke carers: A comparison of theories.
CONCLUSIONS: The findings add to the limited body of evidence suggesting that stroke carers experience growth. Deliberate rumination and social support are important in explaining growth, and the findings support the model proposed by Tedeschi and Calhoun over that of Schaefer and Moos.
STATEMENT OF CONTRIBUTION: What is already known on this subject? Literature on caring for stroke survivors focuses on negative outcomes (Ilse, Feys, de Wit, Putman, & de Weerdt, 2008) to the exclusion of positive outcomes such as post-traumatic growth (PTG; Calhoun & Tedeschi, 1999). Studies of a variety of health conditions h...
Source: British Journal of Health Psychology - September 7, 2013 Category: Psychiatry & Psychology Authors: Hallam W, Morris R Tags: Br J Health Psychol Source Type: research
“His Entire Body Was Shutting Down”: New State Rankings Show Gaps in High School Athlete Safety
By mid-afternoon on August 1, 2017, the temperature in Stockton, Calif. was at least 105 degrees. Thirteen-year-old Jayden Galbert complained to his mother, Shynelle Jones, about the heat, but didn’t want to skip preseason football practice and hurt his chances of making the freshman football team. Instead, he showed up, pushed himself to participate, and then collapsed on the field. “He started vomiting and he was shaking,” Jones says. “He couldn’t see. He was trying to focus, but he couldn’t.” Jayden was eventually airlifted to UC Davis Medical Center, where he was diagnosed with...
Source: TIME: Health - August 22, 2018 Category: Consumer Health News Authors: Lisa Lewis Tags: Uncategorized health heat stroke high school sports Source Type: news
‘His Entire Body Was Shutting Down.’ New State Rankings Show Gaps in High School Athlete Safety
By mid-afternoon on August 1, 2017, the temperature in Stockton, Calif. was at least 105 degrees. Thirteen-year-old Jayden Galbert complained to his mother, Shynelle Jones, about the heat, but didn’t want to skip preseason football practice and hurt his chances of making the freshman football team. Instead, he showed up, pushed himself to participate, and then collapsed on the field. “He started vomiting and he was shaking,” Jones says. “He couldn’t see. He was trying to focus, but he couldn’t.” Jayden was eventually airlifted to UC Davis Medical Center, where he was diagnosed with...
Source: TIME: Health - August 22, 2018 Category: Consumer Health News Authors: Lisa Lewis Tags: Uncategorized health heat stroke high school sports Source Type: news
