Is post-traumatic stress disorder a too underestimated factor in the early rehabilitation of cerebro-vascular events?
- 6 Downloads
Post-traumatic stress disorders (PTSD), with anxiety or depressive disorders and adjustment disorders, is, according to literature data, the most frequent and severe comorbidity after orthopedic traumas or cerebro-vascular events (1). The worrying extension of the problem is underscored by the fact that annual prevalence of PTSD in the US general population is around 3.5% and, after a cerebrovascular event, it exceeds 60%.
Moreover, it is widely known that the onset of PTSD and related disorders leads to a reduced participation in the rehabilitation process, with consequent delay or worsening of the prognosis up to an increase in mortality, as reported by numerous authors (2). Finally, a lengthening of hospitalization times and an increase in costs have also been reported by the same authors.
The most involved factors in the onset of PTSD are the presence of a fragile pre-morbid personality and the presence of residual pain and disability, both at the beginning and at the end of the...