Document Detail

Predictors of emotional distress after stroke.
MedLine Citation:
PMID:  18292381     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: The aim of this prospective longitudinal study was to identify factors relating to emotional distress in the first 6 months after stroke in a sample including patients with aphasia. METHODS: One hundred patients who were in hospital at 1 month after stroke were recruited and assessed on measures of communication impairment (Sheffield Screening Test), personal activities of daily living (Barthel Index), and emotional distress (Visual Analogue Self-Esteem Scale). Demographic and stroke characteristics were recorded. Patients (n=92) were reassessed on the same measures 6 months after stroke, in addition to assessing extended activities of daily living (Nottingham Extended Activities of Daily Living Scale). RESULTS: Patients were aged 44 to 86 years (51 men), and 21 were classified as having aphasia. Multiple linear regression showed that expressive communication impairment and dependence in personal activities of daily living were significant predictors of emotional distress at 1 month after stroke (R(2)=24%). Expressive communication impairment, emotional distress at 1 month after stroke, and having a more severe stroke were significant predictors of emotional distress at 6 months after stroke (R(2)=55%). Distress levels were similar at 1 month and 6 months after stroke. Demographic characteristics and side of lesion were unrelated to distress. CONCLUSIONS: Expressive communication impairment and level of disability in personal activities of daily living were related to distress. Distress was persistent in the first 6 months after stroke. Appropriate treatment strategies need to be developed and evaluated for patients who have communication impairments.
Shirley A Thomas; Nadina B Lincoln
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-02-21
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  39     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-25     Completed Date:  2008-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1240-5     Citation Subset:  IM    
Division of Rehabilitation & Ageing, University of Nottingham, B Floor Medical School, Queens Medical Centre, Nottingham NG7 2UH, UK.
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MeSH Terms
Activities of Daily Living
Affective Symptoms / diagnosis*,  epidemiology*
Aphasia / epidemiology,  psychology
Communication Barriers
Disability Evaluation
Linear Models
Longitudinal Studies
Middle Aged
Predictive Value of Tests
Risk Factors
Stroke / epidemiology*,  psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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