Insomnia in ischemic stroke patients.
This is the first study that focuses on insomnia in stroke patients. A subgroup of 277 patients from a consecutive series of 486 stroke patients aged 55-85 years was subjected to a comprehensive psychiatric evaluation 3-4 months after ischemic stroke. Of 277 patients, 56.7% reported any insomnia complaint and 37.5% fulfilled the DSM-IV criteria of insomnia. In 38.6%, insomnia complaint/insomnia had already been present prior to the stroke and in 18.1%, it was a consequence of the stroke. Independent correlates of any insomnia complaint/insomnia were anxiety (Zung Anxiety Scale) and the use of psychotropic drug. Independent correlates of poststroke-onset insomnia complaint/insomnia were disability after stroke (Barthel Index), dementia, anxiety and use of psychotropic drug. Insomnia should be taken into consideration in treating and rehabilitating stroke patients.
Leppävuori
A
A
Department of Psychiatry, Psychiatric Consultation Unit, Helsinki University Central Hospital, Helsinki, Finland. antero.leppavuori@hus.fi
Pohjasvaara
T
T
Vataja
R
R
Kaste
M
M
Erkinjuntti
T
T
D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D002545:Brain Ischemia / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D015331:Cohort Studies; D003863:Depression / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D013223:Statistics as Topic; D020521:Stroke / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D013577:Syndrome