Coping strategies, health-related quality of life and psychiatric history in patients with aneurysmal subarachnoid haemorrhage
2010 (English)In: Acta Neurochirurgica, ISSN 0001-6268, E-ISSN 0942-0940, Vol. 152, no 8, 1375-1382 p.Article in journal (Refereed) Published
Subarachnoid haemorrhage (SAH) reduces health-related quality of life (HRQoL) and increases the risk of psychiatric sequels such as depression and posttraumatic stress disorder. Especially those with a psychiatric history and those using maladaptive coping strategies are at risk for such sequels. The extent to which HRQoL after SAH was related to a history of psychiatric morbidity and to the use of various coping strategies was assessed.
Patients admitted to the Uppsala University Hospital with aneurysmal SAH (n = 59) were investigated prospectively. Seven months after SAH, data were collected using the Structured Clinical Interview for DSM-IV axis I disorders, the Short Form-36 (SF-36) Health Survey and the Jalowiec Coping Scale.
Patients with SAH had lower HRQoL than the general Swedish population in all eight domains of the SF-36. The lower HRQoL was almost entirely in the subgroup with a psychiatric history. HRQoL was also strongly correlated to the use of coping. Physical domains of SF-36 were less affected than mental domains. Those with a psychiatric history used more coping than the remainder with respect to all emotional coping scales. Coping and the presence of a psychiatric history were more strongly related to mental than to physical components of HRQoL.
A psychiatric history and the use of maladaptive emotional coping were related to worse HRQoL, more to mental than to physical aspects.
Place, publisher, year, edition, pages
2010. Vol. 152, no 8, 1375-1382 p.
Subarachnoid haemorrhage, Health-related quality of life (HRQoL), Coping, Psychiatric history
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-109760DOI: 10.1007/s00701-010-0673-yISI: 000279704300016OAI: oai:DiVA.org:uu-109760DiVA: diva2:273898