Valdes-Cabio, Maria ,
Reyes, Baltazar Jr
The Philippine Journal of Neurology
BACKGROUND: Interaction of the mind, brain, body, or "psychosomatic viewpoint" warrants a multivariant approach in the management of stroke patients.
OBJECTIVE: To determine the bio-psychosocial factors present prior to occurrence of stroke
METHODS: Data from the stroke data bank. Interview of qualified patients done, using the stroke data bank questionnaire, psychosocial risk factors, personality traits questionnaire. Patients 18 to 45 years old, admitted at St. Luke's Medical Center from period January 1 to December 31, 2000.
RESULTS: From 594 stroke cases, 70 were stroke in the young (39 males, 31 females). There were 94.3 percent married individuals, 90 percent right handed individuals, 50 percent college graduates, 31.4 percent with managerial or 21.4 percent professional work. About 64.3 percent had no regular check-ups, 14 had regular exercise routines, 67.14 percent had life insurance. The medical risk factors include: hypertension 64.28 percent, hypercholesterolemia 37.14 percent, diabetes 20 percent, cardiomegaly 10 percent, chronic obstructive pulmonary disease 11.42 percent, atrial fibrillation 8.57 percent and valvular heart disease 8.57 percent. Previous strokes constituted 28.57 percent. There were 38.57 percent smokers, 31.42 percent alcoholic beverage drinkers, 36.0 percent obese and 71.43 percent snorers. Obsessive-compulsive personality traits constituted 71.43 percent; dependent 51.42 percent and avoidant 45.71 percent personalities. Depression constituted 72.85 percent and anxiety 68.57 percent, body aches 70 percent; irritability 70 percent, sleep problems 72.85 percent; easy fatigability 70 percent; disturbance of memory 30 percent were reported. About 41.42 percent misuse drugs, alcohol or tobacco. As to social risk factors: financial worries constituted 68.57 percent; work stress 75.71 percent; health concerns 80 percent; parent problems 68.57 percent; marital problems 30 percent; child problems 35.71 percent were identified.
CONCLUSION: High prevalence of bio-psychosocial, medical risk factors occur prior to stroke. We have to identify diverse etiologies for "personalized" adequate treatment. Effects of education, supportive, psychotherapeutic intervention are favorable. (Author)