Trajectories of health-related quality of life after stroke: results from a one-year prospective cohort study

Abstract

The present study identified four distinct trajectories of physical and psychosocial HRQoL. The findings indicate that psychological factors are the most important factors in identifying stroke patients at risk of unfavorable HRQoL trajectories. Using these factors will help to identify vulnerable patients and guide rehabilitation in the early stages post stroke. Implications for rehabilitation Clinicians should be aware that health-related quality of life follows distinct trajectories stable high, stable low, recovery, or decline, after onset of stroke. Determining relevant psychological factors, in particular helplessness and passive coping, in stroke patients early after stroke is important because these are predictors of unfavorable health-related quality of life trajectories.

Factors predicting the health status of caregivers of stroke survivors: A cross‐sectional study

“…Despite the global advancement in stroke treatment and care, recent literature has reported that 40–60% of stroke survivors experience moderate‐to‐severe disabilities that require rehabilitative or long term care (Van Mierlo, van Heugten, Post, Hoekstra, & Visser‐Meily, ). As a result, stroke survivors rely heavily on their families for ongoing care, recovery, and even palliative care over long periods (Costa, Costa, Martins, Fernandes, & Brito, ; Hayashi, Hai, & Tai, ; Kable, Pond, Baker, Turner, & Levi, ).…”

Psychological factors after stroke: Are they stable over time?

“…In stroke, specifically, previous research has revealed associations between psychological factors and participation or quality of life (3)(4)(5). Research has shown that proactive coping, self-efficacy, extraversion and optimism are related to better outcomes, whereas passive coping, neuroticism and pessimism are related to worse outcomes (3)(4)(5)(6)(7). These strong associations with outcome highlight the importance of gaining knowledge about the properties of these psychological factors, such as their stability after stroke.…”

How do personality characteristics influence recovery after stroke? A literature review

“…The aim of the present study is to provide an overview of the current research, examining the role of personality variables in recovery of stroke survivors. There is growing evidence that personality plays an important role in recovery in patients after stroke (van Mierlo et al, 2017). The review aims to identify the variety of research objectives and most promising issues in current psychological research of the personality in stroke patients and its influence on recovery.…”

“…The recovery or survival of patients is defined mostly as well-being or quality of life (Robinson-Smith, Johnston, & Allen 2000;Afanasiev, Aharon-Peretz, & Granot, 2013;Morris et al, 2013;Teoh et al, 2009;Donnellan et al, 2010;Tielemans et al, 2015;Lapadatu & Moris, 2017;van Mierlo et al, 2017) or physical independence (Hama et al ,2007;Robinson-Smith, Johnston, & Allen, 2000;Gainotti et al, 2001).…”

“…In the field of psychology, other personality characteristics were also examined. Personality characteristic such as high depression, anxiety, passive coping, pessimism, helplessness, less selfefficacy, less acceptance, less extraversion, low proactive coping, less self-worth and low selfesteem were associated with worse quality of life in patients after stroke (Teoh, Sims, & Milgrom, 2009;van Mierlo, Van Heugten, Post, De Kort, & Visser-Meily, 2015;Tielemans, Schepers, Visser-Meily, Post, & Van Heugten, 2015;van Mierlo et al, 2017).…”