UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325
Home » Archive of numbers » 2024 » Volume 32, issue 3 (120) » SUBJECTIVE ASSESSMENT OF EARLY AFFECTIVE DISORDERS IN PATIENTS WHO UNDERWENT THROMBOTIC OCCLUSION THROMBECTOMY

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

Authors

Type of Article

  • Scientific Article

In the Section

  • DIAGNOSTICS AND THERAPY OF MENTAL AND BEHAVIORAL DISORDERS

Key words

Index UDK:
  • 616.89-008.45/.47:616.831-005.1-089.87]-036.8-085.851

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.

Pages

  • 66-69

Year / Issue

Download PDF

Bibliography

1. Order of the Ministry of Health of Ukraine about the approval of the Medical Care Standard “Cognitive and psychological disorders after a stroke” on 27 June 2023, № 1167. [in Ukrainian]. URI: https://ips.ligazakon.net/document/MOZ34906.
2. Robinson  R.  G. Post-Stroke Depression: A  Review  /R. G. Robinson, R. E. Jorge // Am J Psychiatry. 2016. Vol. 173 (3).P. 221—231. DOI: 10.1176/appi.ajp.2015.15030363.
3. Neuropsychiatric issues after stroke: Clinical significanceand therapeutic implications / Zhang, S., Xu, M., Liu, Z. J. [et al.] //World J Psychiatry. 2020. Vol. 10 (6). P. 125—138. DOI: 10.5498/wjp.v10.i6.125.
4. Post-stroke depression: A 2020 updated review / [Medeiros, G. C., Roy, D., Kontos, N., & Beach, S. R.] // Gen HospPsychiatry. 2020. Vol. 66. P. 70—80. DOI: 10.1016/j.genhosppsych.2020.06.011.
5. Manning  K.  J. Poststroke Depression and Apathy:Why Should We Care? / K. J. Manning, W. D. Taylor // Am J GeriatrPsychiatry. 2020. Vol. 28 (11). P. 1210—1212. DOI: 10.1016/j.jagp.2020.03.005.
6. Factors Associated with Poststroke Anxiety: A Systematic Review and Meta-Analysis / Wright  F., Wu  S., Chun  H. Y., & Mead  G.]  // Stroke Res  Treat. 2017. Vol.  2017. DOI: 10.1155/2017/2124743.
7. Rafsten L. Anxiety after stroke: A  systematic reviewand meta-analysis/ L. Rafsten, A. Danielsson, K. S. Sunnerhagen // J Rehabil Med. 2018. Vol. 50 (9). P. 769—778. DOI: 10.2340/16501977-2384.

Journal’s Indexing:

UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine

ДУ «ІНПН імені
П.В. ВОЛОШИНА
НАМН УКРАЇНИ»