Ian M. Kronish|Donald Edmondson|Judith Z. Goldfinger|Kezhen Fei|Carol R. Horowitz
Posttraumatic Stress Disorder and Adherence to Medications in Survivors of Strokes and Transient Ischemic Attacks
Icahn School of Medicine at Mount Sinai|Columbia University Irving Medical Center|Icahn School of Medicine at Mount Sinai|Columbia University Irving Medical Center|Icahn School of Medicine at Mount Sinai|Columbia University Irving Medical Center|Icahn School of Medicine at Mount Sinai|Columbia University Irving Medical Center|Icahn School of Medicine at Mount Sinai|Columbia University Irving Medical Center
posttraumatic stress disorder ptsd triggered lifethreatening medical events strokes transient ischemic attacks tias little known regarding ptsd triggered medical events affects patients adherence medicationswe surveyed 535 participants age 40 years old least 1 stroke tia previous 5 years ptsd assessed using ptsd checklistspecific stroke score 50 scale highly specific ptsd diagnosis medication adherence measured using 8item morisky scale logistic regression used test whether ptsd stroketia associated increased risk medication nonadherence covariates adjusted analyses included sociodemographics charlson comorbidity index modified rankin scale score years since last stroketia depressioneighteen percent participants likely ptsd ptsd checklistspecific stroke 50 41 nonadherent medications according morisky scale greater proportion participants likely ptsd nonadherent medications participants 67 versus 35 p0001 adjusted model participants likely ptsd nearly 3 times likely relative risk 27 95 ci 1742 nonadherent compared participants without ptsd ptsd checklistspecific stroke 25 even controlling depression graded association ptsd severity medication nonadherenceptsd common stroketia patients ptsd stroke tia increased risk medication nonadherence