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《Chinese Journal of Rehabilitation Medicine》 2004-04
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A study of relationship among psychological stress,psychotherapy and stroke

SHEN J un,ZHANG Kangli,SU J ing,et al.Author's address Department of Neurology,Jinan Military General Hospital,Jinan,250031  
Objective:To explore the relationship among life event,psychological stress and the genesis,compication,secondary disease of stroke,and to determine effect of psychotherapy in the rehabilitation of stroke.Method:All110patients of acute stroke were randomly divided into intervention group(group1,n=52)and no intervention group(group2,n=58).Group1was trearted with pharmacotherapy and psychotherapy(musicotherapy,electrotherapy,relaxation),while group2was treated with pharmacotherapy only.Before the treatment,their mental status was evaluated by Life Event Scale(LES)and Derogatis' s Symptom Checklist-90(SCL-90),and the degree of their neurological defection was judged by Stroke Neurological Defect Scale(SNDS).After treatment the two groups were tested by SCL-90and SNDS,and made self-contrast,groups-contrast and comparsion with80healthy controls.Result:The grade of LES and SCL-90in stroke patients was significantly higher than that in normal controls(P0.01).The grade of SCL-90in group1was significantly lower than that in group2after treatment(P0.05).The grade of SNDS was lower after treatment(P0.05),especially in group1.The cure rate in group1was significantly higher than that in group2.The degree of mental disorder was positively related to the degree of defect in neural function(r=0.238).Conculsion:Life event and psychological stress are major evoking factors of stroke.The genesis and development of complication and secondary disease of stroke are directly correlated with psychological stress.The rational treatment on mental disorder is important in the rehabilitation of stroke.
【CateGory Index】: R49
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