Evidence map›Paper›PMID 29437982›Full record

Trial reportStroke2018

Anxiety After Stroke: The Importance of Subtyping.

Ho-Yan Yvonne Chun, William N Whiteley, Martin S Dennis, Gillian E Mead, Alan J Carson

Abstract readClinical Trial
In one paragraph

Trial report in Stroke, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Theory-Based Self-Management Interventions for Community-Dwelling Stroke Survivors: A Systematic Review and Meta-Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2022
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  20. Professional reintegration of stroke survivors and their mental health, quality of life and community integration.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Commented on by
    2018
5 · Who and what money

Authors and funding

5 authors.

Ho-Yan Yvonne ChunFrom the Stroke Research Group, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom. hyychun@gmail.com.
William N WhiteleyFrom the Stroke Research Group, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom.
Martin S DennisFrom the Stroke Research Group, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom.
Gillian E MeadFrom the Stroke Research Group, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom.
Alan J CarsonFrom the Stroke Research Group, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom.

Funding

Chief Scientist Office CAF/15/07Chief Scientist Office SCAF/17/01
6 · The paper itself

Abstract

background and purposeAnxiety after stroke is common and disabling. Stroke trialists have treated anxiety as a homogenous condition, and intervention studies have followed suit, neglecting the different treatment approaches for phobic and generalized anxiety. Using diagnostic psychiatric interviews, we aimed to report the frequency of phobic and generalized anxiety, phobic avoidance, predictors of anxiety, and patient outcomes at 3 months poststroke/transient ischemic attack.

methodsWe followed prospectively a cohort of new diagnosis of stroke/transient ischemic attack at 3 months with a telephone semistructured psychiatric interview, Fear Questionnaire, modified Rankin Scale, EuroQol-5D5L, and Work and Social Adjustment Scale.

resultsAnxiety disorder was common (any anxiety disorder, 38 of 175 [22%]). Phobic disorder was the predominant anxiety subtype: phobic disorder only, 18 of 175 (10%); phobic and generalized anxiety disorder, 13 of 175 (7%); and generalized anxiety disorder only, 7 of 175 (4%). Participants with anxiety disorder reported higher level of phobic avoidance across all situations on the Fear Questionnaire. Younger age (per decade increase in odds ratio, 0.64; 95% confidence interval, 0.45-0.91) and having previous anxiety/depression (odds ratio, 4.38; 95% confidence interval, 1.94-9.89) were predictors for anxiety poststroke/transient ischemic attack. Participants with anxiety disorder were more dependent (modified Rankin Scale score 3-5, [anxiety] 55% versus [no anxiety] 29%;

conclusionsAnxiety after stroke/transient ischemic attack is predominantly phobic and is associated with poorer patient outcomes. Trials of anxiety intervention in stroke should consider the different treatment approaches needed for phobic and generalized anxiety.

Indexed as

AnxietyStrokeSurveys and QuestionnairesAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedProspective Studiesanxietyischemic attack, transientneuropsychiatryphobic disordersstroke

Identifiers

PMID29437982
PMCPMC5839706

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.