Is post-traumatic stress disorder a too underestimated factor in the early rehabilitation of cerebro-vascular events?

  • Cesare Giuseppe CerriEmail author
  • Cecilia Perin
  • Cesare Maria Cornaggia
  • Massimiliano Beghi
Letter to the Editor

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...



  1. 1.
    Meroni R, Beghi E, Beghi M, Brambilla G, Cerri C, Perin C et al (2013) Psychiatric disorders in patients suffering from an acute cerebrovascular accident or traumatic injury, and their effects on rehabilitation: an observational study. Eur J Phys Rehabil Med 49:31–39PubMedGoogle Scholar
  2. 2.
    Guerini F, Morghen S, Lucchi E, Bellelli G, Trabucchi M (2010) Depressive symptoms and one year mortality among elderly patients discharged from a rehabilitation ward after orthopaedic surgery of the lower limbs. Behav Neurol 23:117–121CrossRefGoogle Scholar
  3. 3.
    Cornaggia CM, Di Rosa G, Polita M, Magaudda A, Perin C, Beghi M (2016) Conversation analysis in the differentiation of psychogenic nonepileptic and epileptic seizures in pediatric and adolescent settings. Epilepsy Behav 62:231–238CrossRefGoogle Scholar
  4. 4.
    Scaf-Klomp W, Sanderman R, Ormel J, Kempen GI (2003) Depression in older people after fall-related injuries: a prospective study. Age Ageing 32:88–94CrossRefGoogle Scholar
  5. 5.
    Lenze EJ, Munin MC, Skidmore ER, Dew MA, Rogers JC, Whyte EM, Quear T, Begley A, Reyneolds CF 3rd (2007) Onset of depression in elderly persons after hip fracture: implications for prevention and early intervention of late-life depression. J Am Geriatr Soc 55:81–86CrossRefGoogle Scholar

Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Department of Medicine and SurgeryMilano Bicocca UniversityMilanItaly
  2. 2.Department of Mental HealthAUSL RomagnaRavennaItaly

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