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Titre : | Coping, Problem Solving, Depression, and Health-Related Quality of Life in Patients Receiving Outpatient Stroke Rehabilitation (2015) |
Auteurs : | Marieke M. Visser ; Majanka Heijenbrok-Kal ; Adriaan van't Spijker |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/8, 2015) |
Article en page(s) : | p. 14921498 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Adaptation ; Adaptation psychologique ; Dépression ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Psychological ; Quality of life ; Stroke |
Résumé : |
Objectives To investigate whether patients with high and low depression scores after stroke use different coping strategies and problem-solving skills and whether these variables are related to psychosocial health-related quality of life (HRQOL) independent of depression. Design Cross-sectional study. Setting Two rehabilitation centers. Participants Patients participating in outpatient stroke rehabilitation (N=166; mean age, 53.06+10.19y; 53% men; median time poststroke, 7.29mo). Interventions Not applicable. Main Outcome Measures Coping strategy was measured using the Coping Inventory for Stressful Situations; problem-solving skills were measured using the Social Problem Solving InventoryRevised: Short Form; depression was assessed using the Center for Epidemiologic Studies Depression Scale; and HRQOL was measured using the five-level EuroQol five-dimensional questionnaire and the Stroke-Specific Quality of Life Scale. Independent samples t tests and multivariable regression analyses, adjusted for patient characteristics, were performed. Results Compared with patients with low depression scores, patients with high depression scores used less positive problem orientation (P=.002) and emotion-oriented coping (P<.001 and more negative problem orientation avoidance style depression score was related to all domains of both general hrqol analog scale: p utility: stroke-specific hrqol: psychosocial total positive independently> Conclusions Patients with high depression scores use different coping strategies and problem-solving skills than do patients with low depression scores. Independent of depression, positive problem-solving skills appear to be most significantly related to better HRQOL. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315003731 |