Assessment of Relationship between Stress and Stroke

Abstract

Introduction:Determining the effect of stress on strock in benficial. If there is a relationship between them, using public education can lead to decrease the risk of stroke. This study investigate the effect of stress on cerebrovascular accident. Methods: This study was a prospective case-control, which was performed on the patients with stroke referred to nerve clinical Ghaem Hospital, and the control group were selected among the staff of the university with no history of stroke during winter 2015. The persian translation of questionnaire of Holmes and Rahe stress scale related to the last month was completed among all of the participants in both groups. Diagnosis of stroke and determination of its etiology was made by neurologist. Results: By considering the frequency of serve stress, 361 patients with stroke were investigated and from these 190 patients were in the control group. The relative frequency of stress and stroke and intracerebral homorrhage and subarachnoid hemorrhage were meaningful(p<0.001, p<0.001, p=0.006). There was no significant relationship between the relative frequency of serve stress among the patients with ischemic stroke, cryptogenic infraction, and cardioembolic with atherosclerotic and the control group (p=0.637, p=0.311, p=0.439, p=0.109,). There were a significant relationship between serve stress and atherosclerotic stroke(p=0.026). While, high stress score was significantly more frequent in atherothrombotic subtype of brain infarction than controls, p=0.046. Conclusion: There was a meaningful relationship between stress as an important risk factor in the patients with hemorrhagic stroke and atherothrombotic brain infarction. Based on this research stress could be considered as a risk factor of stroke.

Keywords

• Stress
• Stroke
• Relation
• Risk