Early psychiatric morbidity in a Brazilian sample of acute ischemic stroke patients

Stroke is a major public health problem worldwide, and its neuropsychiatric sequelae are frequent and disabling. Furthermore, there is evidence that these sequelae impair recovery. Brazil has the highest stroke rates in Latin America, but data on the frequency of neuropsychiatric disorders in these...

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Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Brazil), 2018-01, Vol.73, p.e55-e55, Article e55
Main Authors: Pedroso, Vinicius S.P., Brunoni, Andre R., Vieira, Érica L.M., Jorge, Ricardo E., Lauterbach, Edward C., Teixeira, Antonio L.
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Anxiety
Anxiety Disorders - complications
Anxiety Disorders - diagnosis
Anxiety Disorders - epidemiology
Brazil - epidemiology
Cross-Sectional Studies
Depression
Depressive Disorder - complications
Depressive Disorder - diagnosis
Depressive Disorder - epidemiology
Female
Hospitalization - statistics & numerical data
Humans
Interview, Psychological
Male
MEDICINE, GENERAL & INTERNAL
Mental Disorders - complications
Mental Disorders - diagnostic imaging
Mental Disorders - epidemiology
Middle Aged
Morbidity
Neuropsychiatry
Original
Socioeconomic Factors
Stroke
Stroke - complications
Stroke - epidemiology
Time Factors
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Summary:Stroke is a major public health problem worldwide, and its neuropsychiatric sequelae are frequent and disabling. Furthermore, there is evidence that these sequelae impair recovery. Brazil has the highest stroke rates in Latin America, but data on the frequency of neuropsychiatric disorders in these patients are scarce. This study aimed to identify mental disorders among in-hospital patients with acute ischemic stroke. The Mini International Neuropsychiatric Interview-Plus (MINI-Plus) was applied to 60 patients during the first week of hospitalization. Psychiatric disorders were diagnosed in 55% of the patients. A wide range of neuropsychiatric disorders have been identified, mainly mood and anxiety disorders. Specifically, we identified major depression (26.7%), alcohol abuse or dependence (11.7%), specific phobia (8.3%), generalized anxiety disorder (6.7%), psychosis (5.0%), social phobia (3.3%), adjustment disorder (3.3%) and panic disorder (1.7%). Psychiatric comorbidity should be evaluated as part of the rehabilitation of stroke patients and should be carefully examined by physicians.
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.6061/clinics/2018/e055