Verhoef, Mandy (2024) Post-Traumatic Stress Disorder after Aneurysmal- and Angiographically Negative Subarachnoid Hemorrhage: Prevalence, Temporal Progression, and Impact on Societal Participation. Master thesis, Psychology.
|
Text
Master-thesisMRRVerhoefFinalVersion.pdf Download (604kB) | Preview |
Abstract
Background and objectives: A psychological consequence commonly associated with subarachnoid hemorrhage (SAH) is post-traumatic stress disorder (PTSD). The current study investigates differences in PTSD prevalence between aneurysmal SAH (aSAH) and angiographically negative SAH (anSAH) patients, and examines the temporal progression of PTSD and its impact on societal participation after aSAH and anSAH. Methods: The sample included 88 patients (aSAH: n= 61, anSAH: n=27), acquired from the University Medical Centre Groningen, that were assessed 6 months (T0), 1 year (T1) and 2 years post-SAH (T2). Post-traumatic stress was assessed with the Dutch translation of the Impact of Events Scale (IES) and societal participation with the Utrecht Scale for Evaluation of Revalidation Participation. Results: Results revealed no significant difference in mean IES score between aSAH and anSAH patients, nor an association between clinically significant PTSD and SAH type 6 months post-SAH. IES scores remained stable in aSAH, but decreased in anSAH patients over 2 years. Higher post-traumatic stress levels appeared moderate to strongly related to increased societal participation restrictions in anSAH patients, whereas relationships were weak or non-existent for aSAH patients over a period of 2 years. In both aSAH and anSAH patients strengthening relationships between post-traumatic stress and societal participation restrictions were found. Conclusion: The results emphasize the importance to screen for PTSD irrespective of the SAH type. Managing post-anSAH expectations seems essential in reducing PTSD risk and its impact on societal participation. PTSD might be a valuable treatment target, as it restricts patients in societal participation. Since ongoing and medical factors possibly underlie PTSD persistence, patients might benefit from adapted treatment programs when the PTSD source is somatic. Keywords: aSAH, anSAH, PTSD, Prevalence, Temporal Progression, Societal Participation
| Item Type: | Thesis (Master) |
|---|---|
| Supervisor name: | Spikman, J.M. |
| Degree programme: | Psychology |
| Differentiation route: | Clinical Neuropsychology (CN) [Master Psychology] |
| Date Deposited: | 23 Jul 2024 13:41 |
| Last Modified: | 23 Jul 2024 13:41 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/4081 |
Actions (login required)
 |
View Item |