Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review
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{"title"=>"Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review", "type"=>"journal", "authors"=>[{"first_name"=>"Donald", "last_name"=>"Edmondson", "scopus_author_id"=>"55224774400"}, {"first_name"=>"Safiya", "last_name"=>"Richardson", "scopus_author_id"=>"55258501100"}, {"first_name"=>"Jennifer K.", "last_name"=>"Fausett", "scopus_author_id"=>"51863423600"}, {"first_name"=>"Louise", "last_name"=>"Falzon", "scopus_author_id"=>"6603454353"}, {"first_name"=>"Virginia J.", "last_name"=>"Howard", "scopus_author_id"=>"7005414791"}, {"first_name"=>"Ian M.", "last_name"=>"Kronish", "scopus_author_id"=>"13006307000"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84879208788", "doi"=>"10.1371/journal.pone.0066435", "issn"=>"19326203", "pui"=>"369155291", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pmid"=>"23840467", "scopus"=>"2-s2.0-84879208788"}, "id"=>"e9ab7aad-9df1-30ab-9cb2-773303848c69", "abstract"=>"BACKGROUND AND PURPOSE: Posttraumatic stress disorder (PTSD) is common in survivors of acute life-threatening illness, but little is known about the burden of PTSD in survivors of stroke and transient ischemic attack (TIA). This study estimated the prevalence of stroke or TIA-induced posttraumatic stress disorder (PTSD) using systematic review and meta-analysis. METHODS: Potentially relevant peer-reviewed journal articles were identified by searching the Ovid MEDLINE, PsycINFO, PILOTS Database, The Cochrane Library and Scopus from inception to January 2013; all searches were conducted on January 31, 2013. Observational cohort studies that assessed PTSD with specific reference to a stroke or TIA that occurred at least 1 month prior to the PTSD assessment were included. PTSD rates and characteristics of the study and sample were abstracted from all included studies. The coding of all articles included demographics, sample size, study country, and method and timing of PTSD assessment. RESULTS: Nine studies (N = 1,138) met our inclusion criteria. PTSD rates varied significantly across studies by timing of PTSD assessment (i.e., within 1 year of stroke/TIA versus greater than 1 year post-stroke/TIA; 55% of heterogeneity explained; Q 1 = 10.30; P = .001). Using a random effects model, the estimated rate of PTSD following stroke or TIA was 23% (95% CI, 16%-33%) within 1 year of the stroke or TIA and 11% (95% CI, 8%-14%) after 1 year. CONCLUSIONS: Although PTSD is commonly thought to be triggered by external events such as combat or sexual assault, these results suggest that 1 in 4 stroke or TIA survivors develop significant PTSD symptoms due to the stroke or TIA. Screening for PTSD in a large population-based prospective cohort study with cardiovascular outcome assessments is needed to yield definitive prevalence, and determine whether stroke or TIA-induced PTSD is a risk factor for subsequent cardiovascular events or mortality.", "link"=>"http://www.mendeley.com/research/prevalence-ptsd-survivors-stroke-transient-ischemic-attack-metaanalytic-review", "reader_count"=>45, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>4, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>4, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>2, "Arts and Humanities"=>1, "Business, Management and Accounting"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>3, "Psychology"=>13, "Social Sciences"=>2, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>13}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>5}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>3}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"United States"=>3, "United Kingdom"=>1, "Spain"=>1}, "group_count"=>0}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1093802"], "description"=>"<p>Funnel plot to assess publication bias across prevalence studies.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "stroke", "Clinical research design", "meta-analyses", "Mental health", "psychology", "Psychological stress", "psychiatry", "neurology", "Cerebrovascular diseases", "Ischemic stroke", "prevalence"], "article_id"=>725776, "categories"=>["Medicine"], "users"=>["Donald Edmondson", "Safiya Richardson", "Jennifer K. Fausett", "Louise Falzon", "Virginia J. Howard", "Ian M. Kronish"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066435.g003", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Funnel_plot_to_assess_publication_bias_across_prevalence_studies_/725776", "title"=>"Funnel plot to assess publication bias across prevalence studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-19 01:36:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1093804"], "description"=>"<p>Abbreviations: CAPS, Clinician Administered PTSD Scale <sup>20</sup>; IES, Impact of Events Scale <sup>21</sup>; NR, not reported; PCL, PTSD Checklist <sup>22</sup>; PDS, Posttraumatic Stress Diagnostic Scale <sup>23</sup>; PTSD, posttraumatic stress disorder; SCID, Structured Clinical Interview for <i>DSM-IV</i><sup>24</sup>; TIA, transient ischemic attack; NR, not reported.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "stroke", "Clinical research design", "meta-analyses", "Mental health", "psychology", "Psychological stress", "psychiatry", "neurology", "Cerebrovascular diseases", "Ischemic stroke", "studies", "prevalence", "stroke-induced"], "article_id"=>725778, "categories"=>["Medicine"], "users"=>["Donald Edmondson", "Safiya Richardson", "Jennifer K. Fausett", "Louise Falzon", "Virginia J. Howard", "Ian M. Kronish"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066435.t001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_Studies_on_the_Prevalence_of_Stroke_Induced_PTSD_/725778", "title"=>"Characteristics of Studies on the Prevalence of Stroke-Induced PTSD.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-19 01:36:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1093797"], "description"=>"<p>Note: The area of each square is proportional to the study's weight in the meta-analysis, and each line represents the confidence interval around the estimate. Diamonds represent aggregate estimates, by PTSD assessment timing and overall, and their lateral points indicate confidence intervals for the estimates.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "stroke", "Clinical research design", "meta-analyses", "Mental health", "psychology", "Psychological stress", "psychiatry", "neurology", "Cerebrovascular diseases", "Ischemic stroke", "ptsd", "prevalence"], "article_id"=>725771, "categories"=>["Medicine"], "users"=>["Donald Edmondson", "Safiya Richardson", "Jennifer K. Fausett", "Louise Falzon", "Virginia J. Howard", "Ian M. Kronish"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066435.g002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Stroke_induced_PTSD_prevalence_estimates_/725771", "title"=>"Stroke-induced PTSD prevalence estimates.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-19 01:36:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1093805"], "description"=>"<div><p>Background and Purpose</p><p>Posttraumatic stress disorder (PTSD) is common in survivors of acute life-threatening illness, but little is known about the burden of PTSD in survivors of stroke and transient ischemic attack (TIA). This study estimated the prevalence of stroke or TIA-induced posttraumatic stress disorder (PTSD) using systematic review and meta-analysis.</p><p>Methods</p><p>Potentially relevant peer-reviewed journal articles were identified by searching the Ovid MEDLINE, PsycINFO, PILOTS Database, The Cochrane Library and Scopus from inception to January 2013; all searches were conducted on January 31, 2013. Observational cohort studies that assessed PTSD with specific reference to a stroke or TIA that occurred at least 1 month prior to the PTSD assessment were included. PTSD rates and characteristics of the study and sample were abstracted from all included studies. The coding of all articles included demographics, sample size, study country, and method and timing of PTSD assessment.</p><p>Results</p><p>Nine studies (N = 1,138) met our inclusion criteria. PTSD rates varied significantly across studies by timing of PTSD assessment (i.e., within 1 year of stroke/TIA versus greater than 1 year post-stroke/TIA; 55% of heterogeneity explained; <i>Q</i><sub>1</sub> = 10.30; <i>P</i> = .001). Using a random effects model, the estimated rate of PTSD following stroke or TIA was 23% (95% CI, 16%–33%) within 1 year of the stroke or TIA and 11% (95% CI, 8%–14%) after 1 year.</p><p>Conclusions</p><p>Although PTSD is commonly thought to be triggered by external events such as combat or sexual assault, these results suggest that 1 in 4 stroke or TIA survivors develop significant PTSD symptoms due to the stroke or TIA. Screening for PTSD in a large population-based prospective cohort study with cardiovascular outcome assessments is needed to yield definitive prevalence, and determine whether stroke or TIA-induced PTSD is a risk factor for subsequent cardiovascular events or mortality.</p></div>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "stroke", "Clinical research design", "meta-analyses", "Mental health", "psychology", "Psychological stress", "psychiatry", "neurology", "Cerebrovascular diseases", "Ischemic stroke", "ptsd", "survivors", "transient", "ischemic", "meta-analytic"], "article_id"=>725779, "categories"=>["Medicine"], "users"=>["Donald Edmondson", "Safiya Richardson", "Jennifer K. Fausett", "Louise Falzon", "Virginia J. Howard", "Ian M. Kronish"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066435", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_PTSD_in_Survivors_of_Stroke_and_Transient_Ischemic_Attack_A_Meta_Analytic_Review_/725779", "title"=>"Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-19 01:36:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1093793"], "description"=>"<p>Search strategy flowchart.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "stroke", "Clinical research design", "meta-analyses", "Mental health", "psychology", "Psychological stress", "psychiatry", "neurology", "Cerebrovascular diseases", "Ischemic stroke"], "article_id"=>725767, "categories"=>["Medicine"], "users"=>["Donald Edmondson", "Safiya Richardson", "Jennifer K. Fausett", "Louise Falzon", "Virginia J. Howard", "Ian M. Kronish"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066435.g001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Search_strategy_flowchart_/725767", "title"=>"Search strategy flowchart.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-19 01:36:07"}

PMC Usage Stats | Further Information

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Diagnostic medicine", "average_usage"=>[244, 425, 535, 636, 728, 814, 900, 982, 1063, 1139, 1221, 1296, 1361]}, {"subject_area"=>"/Medicine and health sciences/Vascular medicine", "average_usage"=>[222, 394, 496, 593, 683, 762, 835, 910, 980, 1047, 1116, 1184, 1244]}, {"subject_area"=>"/Physical sciences", "average_usage"=>[254, 431, 547, 651, 748, 842, 932, 1017, 1098, 1178, 1259, 1336, 1404]}]}
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