Changes in the coping styles of spouses and the influence of these changes on their psychosocial functioning the first year after a patient's stroke

Gregório, Gisela Wolters; Visser-Meily, Johanna M A; Tan, Frans E. S.; Post, Marcel W.M.; Heugten, Carolina M. van

doi:10.1016/j.jpsychores.2011.01.013

Cited by 10 publications

(4 citation statements)

References 45 publications

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“…This is consistent with earlier studies, where pro-active coping and self-efficacy have been linked to lower anxiety and depression scores and passive coping has been associated with lower quality of life in patients after stroke (Gregorio et al, 2015 ; Tielemans et al, 2015 ). In partners of stroke patients, similar associations have been identified (Gregório et al, 2011 ; Visser-Meily et al, 2005 ).…”

Section: Discussionsupporting

confidence: 64%

Intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression and life satisfaction in patient–partner couples after stroke

Welten

Cox

Kruithof

et al. 2022

Neuropsychological Rehabilitation

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Many stroke patients and partners suffer from anxiety, depression, and low life satisfaction. Psychological factors such as coping style and self-efficacy can be protective factors within individuals. The close relationship between stroke patients and partners suggests that there may be interdependence in psychological functioning. The aim of this study was to examine intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression, and life satisfaction in patient–partners couples. In this prospective cohort study, pro-active coping (UPCC), general self-efficacy (GSES), anxiety (HADS-A), depression (HADS-D), and life satisfaction (1–6 scale) were assessed in 215 couples at 2 and 12 months post-stroke. Effects within couples were assessed using structural equation modelling. Several intra- and interpersonal effects of coping style and self-efficacy at 2 months post-stroke were related to emotional health at 12 months post-stroke. Most effects were intrapersonal effects. The interpersonal effects were small but showed that pro-active coping by the patient was associated with lower anxiety of the partner. Higher self-efficacy of the partner was associated with lower depression scores and higher life satisfaction of the patient. This study underscores the importance of a dyadic approach to post-stroke functioning. It supports a family-based approach for treating post-stroke emotional problems.

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Section: Discussionsupporting

confidence: 64%

Intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression and life satisfaction in patient–partner couples after stroke

Welten

Cox

Kruithof

et al. 2022

Neuropsychological Rehabilitation

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“…In the APIM-guided path analysis, the residuals of outcome variables (e.g., survivors’ and family caregivers’ perceptions of family coping) were correlated to indicate the nonindependence of observations between the two members of a dyad (Gistelinck & Loeys, 2019). Based on the relevant literature in stroke care (Donnellan et al, 2006; Kayser & Acquati, 2019; Wolters Gregório et al, 2011), several demographic variables (including dyads’ age, gender, and education, and the kinship relationship between survivor and caregiver) were controlled as potential covariates in the models drawn by the APIM. The data were analyzed using Statistical Package for the Social Sciences (SPSS) Windows Version 25.0 and Analysis of Moment Structures (AMOS) 26.0, with a significance level of p < .05.…”

Section: Methodsmentioning

confidence: 99%

“…Meanwhile, family caregivers’ care behaviors can be helpful for survivors’ functional recovery but may increase their care burden and worsen their quality of life (Lutz et al, 2017; Young et al, 2014). Family caregivers’ coping styles were significantly associated with their psychosocial functioning (Kazemi et al, 2021; Wolters Gregório et al, 2011). Therefore, it is crucial to develop/adopt appropriate and effective coping strategies for improving physical and psychosocial health outcomes and well-being among both stroke survivors and family caregivers.…”

mentioning

confidence: 99%

Psychosocial factors associated with coping of inpatient stroke survivors and family caregivers: A dyadic analysis.

Mou¹,

Chien²

2024

Rehabilitation Psychology

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Purpose/Objective: Stroke survivors' and their family caregivers' (stroke dyads) coping during the inpatient period can affect their short-and long-term health and well-being. This study aimed to investigate whether survivors' and caregivers' psychosocial factors (i.e., depression, anxiety, family functioning, and mutuality) were associated with their own and their counterparts' perceptions of family coping among inpatient stroke dyads. Research Method/Design: A cross-sectional design was adopted for this study which included 162 stroke dyads. Family coping, depression, anxiety, family functioning, and mutuality were measured using the Family Crisis-Oriented Personal Evaluation Scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, General Functioning subscale of Family Assessment Device, and Mutuality Scale, respectively. The actor-partner interdependence model estimated by path analysis was performed for the dyadic data. Results: The results revealed that survivors' own (depression: β = −0.337, p , .001) and their counterparts' (caregivers' anxiety: β = −0.220, p = .021) psychological symptoms were negatively associated with survivors' perceptions of family coping, whereas none of them were associated with caregivers' perceptions of family coping. Moreover, higher family functioning reported by the survivors (β = −0.375, p , .001) and family caregivers (β = −0.195, p = .029) were associated with better family coping perceived by both counterparts, respectively. Conclusions/Implications: This study highlights that stroke dyads' psychosocial factors play a vital role in their perceptions of family coping. Future studies can be conducted to develop coping-focused interventions from the dyadic or family-oriented approach regarding psychosocial states as potential targets for inpatient stroke dyads. Impact and ImplicationsThrough path analyses via the actor-partner interdependence model, this study found that survivors' depression (actor effect) and their counterparts'-the caregivers-anxiety (partner effect) were negatively associated with survivors' perceptions of family coping. Moreover, both survivors' and family caregivers' perceived family functioning were positively associated with their own perceptions of family coping (actor effects). The findings suggest that healthy family functioning can serve as a protective factor of family coping for stroke dyads on an intrapersonal level, while the survivors' depression and their caregivers' anxiety may compromise survivors' perceptions of family coping ability. Stroke dyads' psychosocial states during the inpatient period may be a potential target for clinical intervention development to enhance their family coping. Health professionals can provide psychosocial support from the dyadic or family-oriented approach to enhance family coping for stroke dyads.

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“…However, to maintain a satisfactory relationship it is important to communicate the needs of both partners. A study by Wolters et al (2011) argues that caregivers who have a passive coping style involving isolation, fears about the past and future, and a focus on negative emotions are more prone to overload than those who have more assertive attitudes, behave proactively, communicate, ask for help, ask questions, and seek answers.…”

Section: The Need For Communication With the Patientmentioning

confidence: 99%

The needs of informal caregivers caring for stroke patients in the home environment

Bendová,

Vacková,

Míková

et al. 2024

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Background: Stroke is the leading cause of disability, impacting both the affected person and informal caregivers. As the number of stroke patients rises, it is increasingly important to recognize that informal stroke caregivers have needs that require support and interventions. Objectives: The aim was to create an overview of studies where informal caregivers express their specific needs related to providing care for stroke patients in the home environment and summarize the described needs into particular categories. Methods: A review of the literature published between 2013-2023 was conducted using the PRISMA methodology. The search for relevant articles used electronic databases Web of Science, Scopus, and PubMed. 21 articles met the entry criteria. Results: Our analysis revealed 10 domains of needs of informal caregivers taking care of stroke patients in the home environment: the need to obtain information, the need to learn the life aspects of the patient after stroke, the need for a new family dynamic, the need to manage practical matters/non-care tasks, the need to communicate with the patient, the need for closeness, the need for physical health, the need for mental health, social needs, and the need for formal and informal support. Conclusion:The burden on informal caregivers has been confirmed by a wealth of research, including this study. As challenges faced by stroke patients and their caregivers evolve, their needs must be regularly reviewed to ensure appropriate interventions, treatments, and support to improve overall care after a stroke.

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Changes in the coping styles of spouses and the influence of these changes on their psychosocial functioning the first year after a patient's stroke

Cited by 10 publications

References 45 publications

Intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression and life satisfaction in patient–partner couples after stroke

Intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression and life satisfaction in patient–partner couples after stroke

Psychosocial factors associated with coping of inpatient stroke survivors and family caregivers: A dyadic analysis.

The needs of informal caregivers caring for stroke patients in the home environment

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