The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study

Wu, Ming-Hsiu; Lee, Sheuan; Su, Hui-Yi; Pai, Hsiang‐Chu

doi:10.1111/jocn.12926

Cited by 14 publications

(17 citation statements)

References 29 publications

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“…We also found that female stroke survivors were 57% more likely to suffer from issues with IADL compared to their male counterparts. This finding is consistent with previous work that suggests that middle-aged female stroke survivors suffer from cognitive appraisal deficits, depression, low quality of life, and poor activities of daily living 17,18…”

Section: Resultssupporting

confidence: 92%

“…For our study, we found a similar pattern where long sleep duration, not short sleep duration, remained significant in predicting IADL difficulty among stroke survivors. Older individuals are more likely to have vascular disease and mild cognitive impairment, with or without a stroke, which can affect their ability to successfully perform IADL 18,19. Longer sleep duration in these individuals may therefore be a risk indicator of undiagnosed neurodegenerative disease or early dementia.…”

Section: Discussionmentioning

confidence: 99%

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The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors

Seixas¹,

Chung²,

Richards³

et al. 2019

NDT

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ObjectiveStroke survivors generally have problems completing instrumental activities of daily living (IADL; eg, preparing meals, chores, taking a bath, and managing finances). However, it is unclear how stroke survivors might stave off IADL issues. Studies indicating that sleep has restorative neurological effects provide potential mechanisms to address issues with IADL. The aim of this study was to ascertain the association between sleep duration (short or long sleep duration) and IADL among stroke survivors and those without a stroke history.MethodsData of 486,619 participants were analyzed from the 2000 to 2015 National Health Interview Survey (NHIS), a nationally representative sample. Measures of self-reported stroke, sociodemographic variables, sleep duration, and IADL problems were collected. Binary logistic regression was utilized to analyze the relationship of short (≤6 hours) and long (≥9 hours) sleep duration with limitations to IADL.ResultsOf the sample, 3% reported a physician-diagnosed stroke event. The mean age was 45.73 years; 52.7% were female; 77.4% were White; 14.2% were Black; 41.3% were married, 62.7% were employed; 31.1% reported that annual family income was less than $35,000; 87% reported good-to-excellent health; and 29.7% reported short sleep (≤6 hours). Approximately 30% of stroke survivors reported IADL problems, and 34.4% who reported IADL problems were short sleepers. Among stroke survivors, long sleepers were 97% more likely than average sleepers to report IADL problems (OR =1.97, 95% CI =1.71–2.26, P<0.001) adjusting for age, sex, race, marital status, poverty, and health.ConclusionFindings from our study indicate that, among stroke survivors, long sleepers were more likely to report IADL problems compared to average sleepers (7–8 hours). Future studies should investigate other potential mediators such as severity of stroke, medication, comorbidities, level of impairment, and whether improving sleep among stroke survivors may improve IADL.

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Section: Resultssupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors

Seixas¹,

Chung²,

Richards³

et al. 2019

NDT

View full text Add to dashboard Cite

show abstract

“…A similar trend was found in cognitively well nursing home residents, over 3 years 40 . Specific research in caregiving is not entirely consistent about this: some reports favour SOC stability 41–43 but that was not the case of the study by Välimäki et al., reporting a decrease over 3 years in the mean SOC of dementia caregivers 19 . Of note, baseline SOC levels (mean 148.8, SD 4.8) were about 20 points higher than in our study.…”

Section: Discussionsupporting

confidence: 47%

Positive and negative experiences of caregiving in dementia: The role of sense of coherence

Gonçalves‐Pereira

Zarit

Papoila

et al. 2020

Int J Geriat Psychiatry

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ObjectivesSense of coherence (SOC) is increasingly recognized as an important health determinant, particularly for mental health. Part of the evidence comes from informal caregivers in diverse clinical conditions. The extent to which SOC influences caregiving outcomes, however, is relatively under‐researched in dementia, particularly regarding positive experiences. We analysed the association of SOC with dementia caregivers' subjective burden, psychological distress and positive aspects of care.Methods/DesignThis is a secondary analysis of cross‐sectional data from the Lisbon study of Families of Persons with Dementia, involving a convenience sample of 99 primary caregivers of community‐dwelling patients of neurology and psychiatry services. SOC was assessed with the Orientation for Life Scale. Measures of caregivers' outcomes were: the Zarit Burden Interview, the General Health Questionnaire for psychological distress and the Positive Aspects of Caregiving scale. Analyses controlled for demographics, caregiving arrangements, objective burden, social support, patients' neuropsychiatric symptoms and dementia stage.ResultsLower SOC was associated with higher psychological distress (p = 0.001). No significant associations were found for subjective burden (p = 0.081) or positive aspects of caregiving (p = 0.688). Additional analyses showed that lower SOC was associated with less emotional support (p < 0.001) and past psychiatric illness (p = 0.044).ConclusionsThese findings support previous research suggesting that SOC is protective for psychological distress, and extend evidence to the positive aspects of care in dementia. The cross‐sectional design and small‐scale convenience sampling preclude both causality presumptions and generalizability. SOC assessments may be useful to define subgroups of dementia caregivers at risk for anxiety and depression.

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“…Negative cognitive appraisals are tainted, distorted perceptions that cause an individual to have negative feelings about an event they experience; these appraisals are intrinsic, personal qualities of cognitive styles. There is evidence that patients who have negative cognitive appraisals also have worse mental health outcomes post-stroke 38–39 . In post-stroke PTSD specifically, cognitive appraisals are predictive of symptoms such that greater negative trauma appraisals resulted in more PTSD symptoms 30 .…”

Section: Predictive Factors Of Post-stroke Ptsdmentioning

confidence: 99%

Poststroke Post-Traumatic Stress Disorder

Garton

Sisti

Gupta³

et al. 2017

Stroke

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The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study

Cited by 14 publications

References 29 publications

The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors

The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors

Positive and negative experiences of caregiving in dementia: The role of sense of coherence

Poststroke Post-Traumatic Stress Disorder

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