| Subarachnoid hemorrhage patients' fears of recurrence are related to the presence of posttraumatic stress disorder. | |
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MedLine Citation:
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PMID: 21415779 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND:: Subarachnoid hemorrhage (SAH) patients illustrate a chronic fear of recurrence. A third of patients develop posttraumatic stress disorder (PTSD) following SAH, and PTSD after other conditions is associated with a more negative outlook on life. OBJECTIVE:: We examined whether recurrence fears are related to PTSD and whether this is associated with them making more negative health appraisals. We also examined the helpfulness of current treatments. METHODS:: Two SAH samples were generated. Sample 1 (N=82) was assessed 13 months post-ictus for PTSD, cognition, fear of recurrence and beliefs concerning future health. Sample 2 (N=60) was assessed 18 months post-ictus for PTSD and how much current treatments increased their confidence about not having another SAH. RESULTS:: 34% of Sample 1 had PTSD. While clinically and cognitively comparable, PTSD patients feared recurrence more and were more comparatively pessimistic about their chances of further SAH. Of Sample 2, 36% had PTSD. These most fearful patients reported finding current treatments the least helpful. CONCLUSION:: Fear of recurrence following SAH is related to PTSD. Participants with PTSD were more pessimistic about their future health. PTSD treatment could alleviate fears of SAH recurrence and promote better outcome. |
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Authors:
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Adam J Noble; Stefanie Baisch; Judith Covey; Nitin Mukerji; Fred Nath; Thomas Schenk |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-15 |
Journal Detail:
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Title: Neurosurgery Volume: - ISSN: 1524-4040 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Institute of Psychiatry, King's College London, London, UK; 2Department of Psychology, Durham University, Durham, UK; 3Department of Neurosurgery, James Cook University Hospital, Middlesbrough, UK; 4Neurologische Klinik, Universitätsklinikum Erlangen, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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