Duh!! Of course stroke survivors are going to have anxiety, your doctor knows you have at best a 10% chance of full recovery. So you can sense their equivocation and bluster because they have no clue what to tell you. Or they can be like my doctor and tell you absolutely nothing. I still haven't and never will forgive him.
http://onlinelibrary.wiley.com/doi/10.1111/j.1747-4949.2012.00906.x/abstract;jsessionid=F269660EE9A9C28E0A59F58570854B82.d02t04
Background and purpose
Negative
psychological outcomes occur frequently after stroke(Call it nocebo); however, there is
uncertainty regarding the occurrence of anxiety disorders and anxiety
symptoms after stroke. A systematic review of observational studies was
conducted that assessed the frequency of anxiety in stroke patients
using a diagnostic or screening tool.
Summary of review
Databases
were searched up to March 2011. A random effects model was used to
summarize the pooled estimate. Statistical heterogeneity was assessed
using the I2 statistic. Forty-four published studies
comprising 5760 stroke patients were included. The overall pooled
estimate of anxiety disorders assessed by clinical interview was 18%
(95%confidence interval 8–29%, I2 = 97%) and was 25% (95% confidence interval 21–28%, I2
= 90%) for anxiety assessed by rating scale. The Hospital Anxiety and
Depression Scale-Anxiety subscale ‘probable’ and ‘possible’ cutoff
scores were the most widely used assessment criteria. The combined rate
of anxiety by time after stroke was: 20% (95% confidence interval
13–27%, I2 = 96%) within one-month of stroke; 23% (95% confidence interval 19–27%, I2 = 84%) one to five-months after stroke; and 24% (95% confidence interval 19–29%, I2 = 89%) six-months or more after stroke.
Conclusion
Anxiety
after stroke occurs frequently although methodological limitations in
the primary studies may limit generalizability. Given the association
between prevalence rates and the Hospital Anxiety and Depression
Scale-Anxiety cutoff used in studies, reported rates could in fact
underrepresent the extent of the problem. Additionally, risk factors for
anxiety, its impact on patient outcomes, and effects in tangent with
depression remain unclear.
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