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Titre : | Time-Varying Effects of Psychological Distress on the Functional Recovery of Stroke Patients (2017) |
Auteurs : | Hui-Chuan Huang ; Chien-Hung Chang ; Chaur-Jong Hu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 722-729 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Troubles mentaux |
Mots-clés: | Mental disorders ; Recovery of function ; Récupération fonctionnelle ; Stroke |
Résumé : |
Objective To explore the temporal effects of psychological distress on the functional recovery of stroke survivors. Design A longitudinal follow-up study. All participants were interviewed at 5 days after stroke onset, and at 1, 2, 3, and 6 months after discharge from acute care hospitals. Setting Neurology inpatient and outpatient departments and rehabilitation clinics. Participants First-time stroke participants (N=62) without cognitive impairment, psychiatric disorders, or cancer were recruited. Interventions Not applicable. Main Outcome Measures Measurements consisted of demographic characteristics, disease severity, social support, the Chinese version of the Emotional and Social Dysfunction Questionnaire (ESDQ_C), and the Barthel Index. Results Our findings showed that psychological distress had a dynamic effect on functional recovery over time, and as the total ESDQ_C score increased by 1 point, the concurrent functional recovery decreased by .23 points (P<.001 additionally subscales of the esdq_c including anger emotional dyscontrol helplessness indifference and euphoria also had dynamic effects on functional recovery over time regardless when a single form or various forms psychological distress occurred from stroke onset was simultaneously affected.> Conclusions The time-varying effect of psychological distress on functional recovery was significant. Adopting comprehensive instruments and regular assessments for the early detection of various psychological distresses while under clinical care is needed. Effective interventions targeting both physical and mental functions would further improve the functional recovery and overall health of stroke patients. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316311455 |