UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

SUBJECTIVE ASSESSMENT OF EARLY AFFECTIVE DISORDERS IN PATIENTS WHO UNDERWENT THROMBOTIC OCCLUSION THROMBECTOMY

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Abstract

The study is devoted to the analysis of the subjective assessment of affective disorders in patients who underwent thrombectomy for thrombotic occlusion in the early post-stroke period.

Study objective: to determine the profile and risk factors of early affective disorders in patients who underwent thrombectomy for thrombotic occlusion.

During 2023—2024, a prospective study of 96 patients who underwent thrombectomy for thrombotic occlusion was conducted at the Center for Roentgen Endovascular Neurosurgery of the Kyiv City Clinical Hospital No. 1 (Kyiv, Ukraine). 7 days after the surgery, an analysis of the profile of existing affective disorders was performed by using self-diagnostic tools: The Altman Self-Rating Mania Scale (ASRM) and the Hospital Anxiety and Depression Scale (HADS); the obtained data were compared with anamnestic information, neurological examination data (NIHSS scale) and neuroimaging (ASPECTS scale).

It was found that the selected cohort of patients is characterized by mild and moderate rates of anxiety and depression, low rates of manic symptoms, as well as impaired emotion regulation in the form of affect incontinence. The risk of occurrence and severity of affective disorders in these patients is influenced by the severity of the stroke and the depth of brain damage

The cohort of patients who underwent thrombectomy for thrombotic occlusion has a number of features that determine specific mechanisms for the formation of secondary mental disorders and determine the relevance of further research.

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References

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