Predictors of Quality of Life in Stroke Survivors: A 1-year Follow-Up Study of a Tunisian Sample

Boudokhane, S.; Migaou, H.; Kalai, Amine; Jellad, A.; Borgi, Ons; Bouden, Arwa; Belguith, Asma Sriha; Frih, Z. Ben Salah

doi:10.1016/j.jstrokecerebrovasdis.2021.105600

Cited by 22 publications

(35 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Depression is associated with decreased quality of life (QOL) in survivors. 8,9 Stroke negatively impacts not only survivors but also their informal caregivers, who provide most of the care throughout the recovery process. 10 Informal caregivers play an important role in assisting stroke survivors but suffer disadvantages for their own psychological health, Stroke.…”

mentioning

confidence: 99%

Protective Role of Caregiver Preparedness on the Relationship Between Depression and Quality of Life in Stroke Dyads

Pucciarelli

Lyons

Petrizzo

et al. 2022

Stroke

View full text Add to dashboard Cite

Background and Purpose: Depression and quality of life (QOL) have an interdependent and transactional nature in stroke survivor-caregiver dyads. While the strong relationship between depression and physical and emotional QOL in stroke survivor-caregiver dyads is well known, it is less clear if this relationship is moderated by caregiver preparedness, which could easily be targeted with interventions. In this study, we examined the moderating role of caregiver preparedness on the association between depression and QOL in stroke survivor-caregiver dyads. Methods: We used a longitudinal design with follow-ups every 3 months over a 1-year period. Considering the nonindependent nature of the data (survivors and their caregivers), we used multilevel modeling to analyze data at the dyad level. We implemented 4 longitudinal dyadic moderation models (one for each QOL domain: physical, psychological, social, and environmental) using hierarchical linear modeling. Results: A sample of 222 stroke survivor-caregiver dyads was analyzed. Stroke survivors were older ( M =70.8, SD=11.9) than their caregivers ( M =52.4, SD=13.1). Stroke survivors predominantly had an ischemic stroke, equally distributed by site. Caregivers were primarily female (66%), with a medium to high educational level (57%). Caregiver preparedness significantly moderated the association between survivor depression and survivor psychological ( B =0.56, P <0.01) and environmental ( B =0.58, P <0.01) QOL at baseline and social QOL over time ( B =0.24, P <0.05). Similarly, caregiver preparedness significantly moderated the association between caregiver depression and caregiver physical ( B =0.25, P <0.01) and environmental ( B =0.18, P <0.05) QOL over time. Conclusions: Caregiver preparedness has a positive influence on both members of the dyad. Assessment of stroke-caregiver preparedness could be helpful to motivate clinicians to develop and implement interventions for stroke survivor-caregiver dyads.

show abstract

mentioning

confidence: 99%

Protective Role of Caregiver Preparedness on the Relationship Between Depression and Quality of Life in Stroke Dyads

Pucciarelli

Lyons

Petrizzo

et al. 2022

Stroke

View full text Add to dashboard Cite

show abstract

“…Some studies also suggest studying anxiety, depression, and other predictors of quality of life after stroke together. According to Boudokhane et al (2021), stroke severity, depression, disability, and advanced age consistently predict reduced levels of quality of life. The physical aspect of quality of life is mainly related to age, stroke assessment in accordance with the NIHSS, and motor deficit.…”

Section: Depression and Anxiety As Predictors Of Quality Of Lifementioning

confidence: 99%

Depression and anxiety as predictors of quality of life after a stroke

Sollár¹,

Dančová²,

Solgajová³

et al. 2022

Kontakt

View full text Add to dashboard Cite

Introduction: Evaluating quality of life in stroke patients is an essential part of treatment. Quality of life can be predicted not only by the physical disability after a stroke, but also by the patient's psychosocial state. The aim of the present study is to examine the relationship between depression, anxiety, and quality of life in the acute phase after strokes. Methods: A cross-sectional descriptive type of study was carried out. The research sample consisted of 79 patients after a stroke (M age = 67.9 ± 12.3). Depression and anxiety were measured using the Hospital Anxiety and Depression Scale, and quality of life using the Stroke Specific Quality of Life Scale. Simple and multiple linear regression analyses were used for data analysis. Results: Depression and anxiety predicted overall quality of life in patients after a stroke. The physical aspect of quality of life and overall quality of life were strongly predicted by depression, while the psychosocial aspect of quality of life was strongly related to anxiety in stroke patients. Higher depression and anxiety are manifested in a worsened quality of life, and it is similar in the physical and psychosocial aspects. Approximately 20% of patients had severe depression and anxiety. Conclusions: A patient's quality of life after a stroke is affected not only by their functional condition, but also by psychosocial distress. Early diagnostics of psychosocial distress should be an important part of the care and treatment of stroke patients.

show abstract

“…The presence of anxiety in stroke survivors shows poor prognostic indicators including the reduced quality of life and recurrence of stroke and death [76,77]. Anxiety disorders also augment the adverse effects of depressive symptoms [78]. Burton et al [79] conducted a systematic review and meta-analysis of observational studies up to March 2011.…”

Section: Post-stroke Anxiety (Psa)mentioning

confidence: 99%

Post-Stroke Psychiatric and Cognitive Symptoms in West Asia, South Asia and Africa: A Systematic Review and Meta-Analysis

Mahadevan

Chan

Moghadas

et al. 2021

JCM

View full text Add to dashboard Cite

Recent research has shown that the prevalence of stroke incidents and the number of survivors in developing countries surpass those from developed countries. This study aimed to enumerate the prevalence of post-stroke psychiatric and cognitive symptoms among stroke survivors from West and South Asia and Africa through a systematic review and meta-analysis. Data from each country was systematically acquired from five major databases (PsycINFO, Web of Science, Scopus, PubMed/Medline, and Google Scholar (for any missing articles and grey literature)). Meta-analytic techniques were then used to estimate the prevalence of various post-stoke psychiatric and cognitive symptoms. A total of 36 articles were accrued from 11 countries, of which 25 were evaluated as part of the meta-analysis. The pooled prevalence of post-stroke depression as per the Hospital Anxiety and Depression Scale (HADS), Hamilton Depression Rating Scale, Patient Health Questionnaire, Schedules for Clinical Assessment in Neuropsychiatry (SCAN), Geriatric Depression Scale, and the Montgomery–Asberg Depression Rating Scale ranged from 28.00 to 50.24%. Pooled prevalence of post-stroke anxiety based on the HADS and SCAN was 44.19% and 10.96%, respectively. The pooled prevalence of post-stroke cognitive impairment as per the Mini-Mental Status Examination was 16.76%. This present review has suggested that both psychiatric and cognitive symptoms are common among stroke survivors. Concerted efforts are needed to institute robust studies using culturally sensitive measures to contemplate mechanisms that address the unmet needs of this vulnerable population.

show abstract

Predictors of Quality of Life in Stroke Survivors: A 1-year Follow-Up Study of a Tunisian Sample

Cited by 22 publications

References 30 publications

Protective Role of Caregiver Preparedness on the Relationship Between Depression and Quality of Life in Stroke Dyads

Protective Role of Caregiver Preparedness on the Relationship Between Depression and Quality of Life in Stroke Dyads

Depression and anxiety as predictors of quality of life after a stroke

Post-Stroke Psychiatric and Cognitive Symptoms in West Asia, South Asia and Africa: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About