@article{10.11648/j.cnn.20250903.12,
  author = {Kossivi Apetse and Bienvenue Rukengeza and Yannick Wagbe and Komla Nyinevi Anayo and Lehleng Agba and Kokou Mensah Guinhouya and Vinyo Kodzo Kumako and Komi Assogba and Agnon Ayelola Koffi Balogou},
  title = {Prevalence of Psychosocial Triggers in the Seven Days Preceding a Stroke in Lomé (Togo, West Africa) in 2024
},
  journal = {Clinical Neurology and Neuroscience},
  volume = {9},
  number = {3},
  pages = {45-51},
  doi = {10.11648/j.cnn.20250903.12},
  url = {https://doi.org/10.11648/j.cnn.20250903.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20250903.12},
  abstract = {Introduction: In Togo, a West African country, curative treatment for strokes, which constitute a public health problem, is limited. Prevention remains the most effective strategy for combating strokes. This study aims to describe the potential psychosocial triggers of strokes to better guide stroke prevention strategies. Method: This was a cross-sectional study conducted from August to October 2024 in the neurology departments of the Lomé University Hospital Campus and the Kara University Hospital, which receive approximately 1,200 hospitalized stroke patients per year. Patients hospitalized for a clinical stroke diagnosed by brain imaging and/or their caregivers were interviewed. Psychosocial factors present in the seven days preceding the stroke were considered. Life events were explored using the Holmes and Raha Stress Scale and the Interview for Recent Life Events. Results: One hundred and forty-two patients were included: 61.3% cerebral infarctions and 38.7% hemorrhagic strokes; the mean age was 55 +/- 12.6 years, and the sex ratio (M/F) = 1.1. Traders accounted for 31.0% of patients. Psychosocial triggers were found in 75.4% of patients in the seven days preceding the stroke. In 78.5% of patients, these were negative emotions related to difficulties at work (25.4%) and financial difficulties (21.1%). Conclusion: In our context, negative emotions are common in the days preceding strokes. They must therefore be taken into account in stroke prevention strategies. In practice, each awareness-raising session on cardiovascular risk factors should also be an opportunity to address these psychosocial factors.
},
 year = {2025}
}

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TY  - JOUR
T1  - Prevalence of Psychosocial Triggers in the Seven Days Preceding a Stroke in Lomé (Togo, West Africa) in 2024

AU  - Kossivi Apetse
AU  - Bienvenue Rukengeza
AU  - Yannick Wagbe
AU  - Komla Nyinevi Anayo
AU  - Lehleng Agba
AU  - Kokou Mensah Guinhouya
AU  - Vinyo Kodzo Kumako
AU  - Komi Assogba
AU  - Agnon Ayelola Koffi Balogou
Y1  - 2025/10/22
PY  - 2025
N1  - https://doi.org/10.11648/j.cnn.20250903.12
DO  - 10.11648/j.cnn.20250903.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 45
EP  - 51
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20250903.12
AB  - Introduction: In Togo, a West African country, curative treatment for strokes, which constitute a public health problem, is limited. Prevention remains the most effective strategy for combating strokes. This study aims to describe the potential psychosocial triggers of strokes to better guide stroke prevention strategies. Method: This was a cross-sectional study conducted from August to October 2024 in the neurology departments of the Lomé University Hospital Campus and the Kara University Hospital, which receive approximately 1,200 hospitalized stroke patients per year. Patients hospitalized for a clinical stroke diagnosed by brain imaging and/or their caregivers were interviewed. Psychosocial factors present in the seven days preceding the stroke were considered. Life events were explored using the Holmes and Raha Stress Scale and the Interview for Recent Life Events. Results: One hundred and forty-two patients were included: 61.3% cerebral infarctions and 38.7% hemorrhagic strokes; the mean age was 55 +/- 12.6 years, and the sex ratio (M/F) = 1.1. Traders accounted for 31.0% of patients. Psychosocial triggers were found in 75.4% of patients in the seven days preceding the stroke. In 78.5% of patients, these were negative emotions related to difficulties at work (25.4%) and financial difficulties (21.1%). Conclusion: In our context, negative emotions are common in the days preceding strokes. They must therefore be taken into account in stroke prevention strategies. In practice, each awareness-raising session on cardiovascular risk factors should also be an opportunity to address these psychosocial factors.

VL  - 9
IS  - 3
ER  - 

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