Posttraumatic stress disorder after stroke: rate, risk factors, approaches to prevention and treatment

Abstract

The rate of posttraumatic stress disorder (PTSD) averages 23% within the first year after stroke and 11% in succeeding years. Its risk is particularly high following subarachnoid hemorrhage or restroke in young patients and in patents with a history of mental illness. PTSD decreases quality of life in patients after stroke and their adherence to drugs for the secondary prevention of vascular diseases. PTSD patients are predisposed to post-stroke depressive disorders. PTSD treatment after stroke involves medication and psychotherapy.

Keywords

• stroke
• subarachnoid hemorrhage
• stroke sequels
• posttraumatic stress disorder