Return to work and depressive symptoms in young stroke survivors after six and twelve months: cross-sectional and longitudinal analyses

Volz, Matthias; Ladwig, Simon; Werheid, Katja

doi:10.1080/10749357.2022.2026562

Cited by 10 publications

(6 citation statements)

References 43 publications

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“…In addition, the adequacy of the Barthel Index may be questioned when the aim is to assess all aspects of functional impairment that are relevant to everyday life 6 months after inpatient stroke rehabilitation. While the Barthel Index assesses impairment in basic tasks, capturing more complex tasks might represent a more relevant risk factor (e.g., Instrumental Activities of Daily Living) ( 47 ), not only for stroke survivors experiencing less physical disability but also for younger stroke survivors which do not only report less physical impairment but also struggle with vocational reintegration after stroke ( 48 ).…”

Section: Discussionmentioning

confidence: 99%

Predictors of post-stroke depression: Validation of established risk factors and introduction of a dynamic perspective in two longitudinal studies

Ladwig

Werheid²,

Südmeyer³

et al. 2023

Front. Psychiatry

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IntroductionCerebral insults lead in many cases not only to cognitive impairment but also to disturbed emotionality. After stroke, one in three survivors develops a depression which impacts quality of life and rehabilitation. Meta-analyses have identified five main predictors of post-stroke depression (PSD): history of mental disorder, stroke severity, physical disability, cognitive impairment, and social support. However, these five established variables have never been conjointly investigated in a sample of stroke survivors. Therefore, their independent predictive values remain unclear. Moreover, predictors are most often used as time-invariant factors (status scores), neglecting the intraindividual dynamics after stroke.MethodsOur study analyses the data of two prospective longitudinal studies, investigating stroke survivors from two rehabilitation hospitals (N1 = 273) and one acute care hospital (N2 = 226). Baseline assessments included the five established predictors and depressive symptoms. After 6 months, depressive symptoms were reassessed in both studies (n1 = 176, n2 = 183), and physical disability and social support were reassessed in study 2. The predictivity of the five predictors and the additional predictivity of intraindividual dynamics for PSD were examined in multiple linear regression analyses.ResultsHistory of mental disorder was a risk factor for depressive symptoms after stroke at all measurement times (B = 3.32 to 3.97; p < 0.01). Physical disability was a risk factor at all measurement times (B = −0.09 to −0.03; p < 0.05) except 6 months after rehabilitation. Social support was a protective factor (B = −2.69 to −1.91; p < 0.01) outside the acute phase (R2 = 0.15–0.39). Intraindividual changes in physical disability and perceived social support were independent predictors of PSD 6 months after the acute phase (B = −0.08/−0.14; p < 0.01), in addition to status scores on established variables (ΔR2 = 0.08, p < 0.001).DiscussionHistory of mental disorder, physical disability, and social support are independent predictors of depressive symptoms in the first year post-stroke, also when considered conjointly. Future studies should control for these variables when investigating new predictors of PSD. In addition, intraindividual changes in known predictors after stroke play a relevant role in the pathogenesis of PSD and should be considered in clinical practice and future research.

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Section: Discussionmentioning

confidence: 99%

Predictors of post-stroke depression: Validation of established risk factors and introduction of a dynamic perspective in two longitudinal studies

Ladwig

Werheid²,

Südmeyer³

et al. 2023

Front. Psychiatry

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“…31 The reliability and validity of the GDS15 have been reported, 30,32 and used in previous stroke patients. 33…”

Section: Methodsmentioning

confidence: 99%

“…31 The reliability and validity of the GDS15 have been reported, 30,32 and used in previous stroke patients. 33 Sleep disorders were assessed using the Japanese version of the Pittsburgh Sleep Quality Index, which comprises questions about sleep quality, time one falls asleep, sleep duration, and the use of sleeping pills, 34 each of which was coded on a 4-point scale (0-3 points), with a score ranging from 0 to 21 points. A score of 6 or higher indicated the presence of a sleep disorder.…”

Section: Assessmentsmentioning

confidence: 99%

Effects on sedentary behaviour of an approach to reduce sedentary behaviour in patients with minor ischaemic stroke: A randomised controlled trial

et al. 2022

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Objectives To determine the effects on sedentary behaviour of an approach that promotes reduction in sedentary behaviour in patients with minor ischaemic stroke after intervention and at follow-up. Design A randomised controlled trial. Setting During hospitalisation and after hospital discharge Subjects In total, 86 patients with minor ischaemic stroke admitted to an acute care hospital were assigned to the intervention (n = 43) and control (n = 43) groups. Intervention An intervention group that received an approach to reduce sedentary behaviour upon hospital admission until 3 months after discharge (education, self-monitoring, phone calls, etc.) and a control group that received the usual care during hospitalisation. From 3 to 6 months after discharge, no group received any intervention. Main Outcome The primary outcome was the change (%) in sedentary behaviour from baseline to post-intervention (3 months after discharge) and follow-up (6 months after discharge). Sedentary behaviour was measured at baseline (upon hospital admission), post-intervention, and at follow-up using accelerometers. Results At the post-intervention stage, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, −22.7%; control group, −14.9%; P = 0.013; effect size = 0.58). At follow-up too, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, −20.4%; control group, −13.6%; P = 0.025; effect size = 0.54). Conclusions An approach to reduce sedentary behaviour in patients with minor ischaemic stroke effectively reduces sedentary behaviour, which is sustained up to follow-up. Trial registration This study is registered at www.umin.ac.jp/ctr/index/htm UMIN000038616.

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“…The younger stroke survivors often have a chronic stroke recovery process from regaining independent living to returning to work and establishing self-management 7 . Their health-related quality of life is likely adversely impacted by the associated stroke deficits during the recovery process 8 and returning to pre-stroke functional and work status involves substantial changes to roles and social relationships 9 . The associated psychosocial risk factors, such as fear and uncertainty, could predispose them to emotional distress 10 , 11 .…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the 12-item Stroke-Specific Quality of Life Scale among stroke survivors in Hong Kong

Fong

2023

Sci Rep

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The present study examined the psychometric properties of the 12-item Stroke-Specific Quality of Life Scale (SSQOL-12) in 184 stroke survivors in Hong Kong. The participants completed a self-report questionnaire including the SSQOL-12, SF-12 health survey, and validating variables at baseline and 148 stroke survivors completed SSQOL-12 two months later. Confirmatory factor analysis investigated the construct validity, reliability, and measurement invariance of SSQOL-12 across two months. Concurrent, convergent, and divergent validity was examined with respect to SF-12, hope, self-esteem, functional disability, anxiety, and depression. The original 2-factor model did not reveal a superior fit over the 1-factor model and a modified 1-factor model provided an acceptable fit to the data in both waves. The SSQOL-12 factor displayed substantial factor loadings (λ = 0.40–0.87), good internal consistency (Ω = 0.88), temporal stability (r = 0.70), and scalar measurement invariance across time. Stroke-specific quality of life was significantly associated with higher levels of SF-12, hope, and self-esteem and lower levels of functional disability, anxiety, and depression. Most correlations remained significant after controlling for demographic covariates and SF-12. The present findings offered empirical support for the validity and reliability of the unidimensional structure for SSQOL-12 as a measure of stroke-specific quality of life among stroke survivors.

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Return to work and depressive symptoms in young stroke survivors after six and twelve months: cross-sectional and longitudinal analyses

Cited by 10 publications

References 43 publications

Predictors of post-stroke depression: Validation of established risk factors and introduction of a dynamic perspective in two longitudinal studies

Predictors of post-stroke depression: Validation of established risk factors and introduction of a dynamic perspective in two longitudinal studies

Effects on sedentary behaviour of an approach to reduce sedentary behaviour in patients with minor ischaemic stroke: A randomised controlled trial

Psychometric properties of the 12-item Stroke-Specific Quality of Life Scale among stroke survivors in Hong Kong

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