Psychosocial adjustment following a stroke

Thompson, Suzanne C.; Sobolew-Shubin, Alexandria; Graham, Melody A.; Janigian, Aris S.

doi:10.1016/0277-9536(89)90267-0

Cited by 107 publications

(70 citation statements)

References 24 publications

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“…25,26 Three studies 6,7,16 found that depression of stroke patients was positively associated with the caregivers' depression; the third study 16 found this positive relationship at the acute stroke phase, but the first 2 studies 6,7 did not specify the time interval between data collection and stroke onset. One study 27 did not find a relationship between stroke patients' depression and caregivers' depression at the chronic stroke phase. Moreover, 1 study found that the severity of the patients' depression was positively associated with the severity of the caregivers' depression at 3 months after stroke.…”

Section: Stroke Patient Symptomsmentioning

confidence: 98%

Family Caregiving for Patients With Stroke

Han

Haley

1999

Stroke

397

351

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Background-The literature on family caregiving for stroke patients is reviewed with the goals of (1) evaluating the effects of stroke caregiving on caregivers' well-being, (2) outlining deficiencies and methodological limitations of current research, and (3) outlining policy and practice implications of current studies. Summary of Review-A total of 20 published stroke caregiving research articles were included in this review. Across studies, the effects of stroke caregiving on caregivers' well-being and the significant predictors of caregivers' depression were analyzed. Current evidence suggests that stroke caregivers have elevated levels of depression at both the acute stroke phase and the chronic stroke phase. However, major gaps are apparent in this literature, with few studies addressing such areas as caregiver physical health, ethnicity, and caregiver interventions. Conclusions-Given the increasing prevalence of stroke as well as the increasing pressures on families to provide care, more research is needed to guide policy and practice in this understudied topic.

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Section: Stroke Patient Symptomsmentioning

confidence: 98%

Family Caregiving for Patients With Stroke

Han

Haley

1999

Stroke

397

351

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“…Taken together, some measures include aspects that have been viewed as distinct from meaning (e.g., sources of meaning as assessed by the PIL), and it is unclear whether one measure offers more construct validity than others. In this context, many investigators have simply relied on their own strategies to measure meaning, including qualitative interviews or development of their own items (e.g., [11,19]). While the latter is understandable in the short term, it magnifies the difficulty of finding empirical consensus and advancing theory.…”

Section: Introductionmentioning

confidence: 99%

Measuring meaning in life following cancer

et al. 2006

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Meaning in life is a multi-faceted construct that has been conceptualized in diverse ways. It refers broadly to the value and purpose of life, important life goals, and for some, spirituality. We developed a measure of meaning in life derived from this conceptualization and designed to be a synthesis of relevant theoretical and empirical traditions. Two samples, all cancer patients, provided data for scale development and psychometric study. From exploratory and confirmatory factor analyses the Meaning in Life Scale (MiLS) emerged, and includes four aspects: Harmony and Peace, Life Perspective, Purpose and Goals, Confusion and Lessened Meaning, and Benefits of Spirituality. Supporting data for reliability (internal consistency, test-retest) and construct validity (convergent, discriminant, individual differences) are provided. The MiLS offers a theoretically based and psychometrically sound assessment of meaning in life suitable for use with cancer patients.

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“…3 These negative impacts of stroke may be long standing. 13 Thompson et al 16 found that physical impairment of the patient was an important predictor of depression amongst caregivers. Previous research showing carer strain focuses primarily on characteristics of the patients.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with strain in co-resident spouses of patients following stroke

Blake¹,

Lincoln

2000

Clin Rehabil

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Objective: To identify the factors associated with carer strain following stroke.Design: Co-resident spouses of stroke patients were sent questionnaire measures of their perceptions of strain, stress, mood, handicap, adjustment, social support, life satisfaction and personality, and patient's mood and independence in activities of daily living.Setting: Stroke spouses were identified from the stroke register at City Hospital, Nottingham.Results: In a sample of 222 carers, 37% had significant strain. Strain was highly correlated with negative affectivity on the Positive and Negative Affectivity Scale, carer mood on the General Health Questionnaire-12 (GHQ-12) and carer's perceptions of patient's independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL). Logistic regression analysis of 96 of these carers supported the correlations and showed three factors, carer GHQ-12, patient EADL and negative affectivity, were independently associated with carer strain. Conclusion:The relationship between these factors and strain needs to be tested prospectively. Early identification of carers who may be at risk of strain later on will enable services to be targeted at prevention rather than cure.

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Psychosocial adjustment following a stroke

Cited by 107 publications

References 24 publications

Family Caregiving for Patients With Stroke

Family Caregiving for Patients With Stroke

Measuring meaning in life following cancer

Factors associated with strain in co-resident spouses of patients following stroke

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