Abstract

Aims and objectives: To explore varied forms of psychological distress and to determine the mediating influence of psychological distress on functional outcomes in stroke patients. Background: Previous studies attest to the influence of depression on poststroke functional recovery. While there is evidence for neuropathological deficits that occur after stroke to be associated with psychological distress, few studies have explored the effect of various types of psychological distress on functional recovery. Design: A cross-sectional study was used. Methods: Data were collected from 178 first-time stroke patients. Study variables included demographic and disease characteristics (stroke location and stroke syndrome classification), psychological distress (the Chinese language version of the Emotional and Social Dysfunction Questionnaire) and functional outcome (Barthel index). Regression and mediation models were used to evaluate the effect of psychological distress on functional outcome. Results: Results revealed that stroke patients experience various forms of mild psychological distress, including anger, helplessness, emotional dyscontrol, indifference, inertia and euphoria, after stroke. Regression and mediation analyses further confirmed that various forms of psychological distress significantly mediated the effect of severe stroke syndromes on functional dependence. Conclusion: The various forms of psychological distress after stroke might play a mediating role in functional recovery and explain how stroke severity affects functional dependence. Relevance to clinical practice: By understanding the nature of various forms of psychological distress, healthcare professionals should adopt appropriate assessment instruments and design effective interventions to help improve mental and physical function of stroke patients.

Original languageEnglish
Pages (from-to)3533-3543
Number of pages11
JournalJournal of Clinical Nursing
Volume23
Issue number23-24
DOIs
Publication statusPublished - Dec 1 2014

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Stroke
Psychology
Anger
Language
Cross-Sectional Studies
Regression Analysis
Demography
Depression
Delivery of Health Care

Keywords

  • Function
  • Psychological distress
  • Stroke

ASJC Scopus subject areas

  • Nursing(all)

Cite this

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title = "The mediating effect of psychological distress on functional dependence in stroke patients",
abstract = "Aims and objectives: To explore varied forms of psychological distress and to determine the mediating influence of psychological distress on functional outcomes in stroke patients. Background: Previous studies attest to the influence of depression on poststroke functional recovery. While there is evidence for neuropathological deficits that occur after stroke to be associated with psychological distress, few studies have explored the effect of various types of psychological distress on functional recovery. Design: A cross-sectional study was used. Methods: Data were collected from 178 first-time stroke patients. Study variables included demographic and disease characteristics (stroke location and stroke syndrome classification), psychological distress (the Chinese language version of the Emotional and Social Dysfunction Questionnaire) and functional outcome (Barthel index). Regression and mediation models were used to evaluate the effect of psychological distress on functional outcome. Results: Results revealed that stroke patients experience various forms of mild psychological distress, including anger, helplessness, emotional dyscontrol, indifference, inertia and euphoria, after stroke. Regression and mediation analyses further confirmed that various forms of psychological distress significantly mediated the effect of severe stroke syndromes on functional dependence. Conclusion: The various forms of psychological distress after stroke might play a mediating role in functional recovery and explain how stroke severity affects functional dependence. Relevance to clinical practice: By understanding the nature of various forms of psychological distress, healthcare professionals should adopt appropriate assessment instruments and design effective interventions to help improve mental and physical function of stroke patients.",
keywords = "Function, Psychological distress, Stroke",
author = "Hui-Chuan Huang and Huang, {Li Kai} and Chaur-Jong Hu and Chang, {Chien Hung} and Hsin-Chien Lee and Nai-Fang Chi and Meei-Ling Shyu and Hsiu-Ju Chang",
year = "2014",
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T1 - The mediating effect of psychological distress on functional dependence in stroke patients

AU - Huang, Hui-Chuan

AU - Huang, Li Kai

AU - Hu, Chaur-Jong

AU - Chang, Chien Hung

AU - Lee, Hsin-Chien

AU - Chi, Nai-Fang

AU - Shyu, Meei-Ling

AU - Chang, Hsiu-Ju

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Aims and objectives: To explore varied forms of psychological distress and to determine the mediating influence of psychological distress on functional outcomes in stroke patients. Background: Previous studies attest to the influence of depression on poststroke functional recovery. While there is evidence for neuropathological deficits that occur after stroke to be associated with psychological distress, few studies have explored the effect of various types of psychological distress on functional recovery. Design: A cross-sectional study was used. Methods: Data were collected from 178 first-time stroke patients. Study variables included demographic and disease characteristics (stroke location and stroke syndrome classification), psychological distress (the Chinese language version of the Emotional and Social Dysfunction Questionnaire) and functional outcome (Barthel index). Regression and mediation models were used to evaluate the effect of psychological distress on functional outcome. Results: Results revealed that stroke patients experience various forms of mild psychological distress, including anger, helplessness, emotional dyscontrol, indifference, inertia and euphoria, after stroke. Regression and mediation analyses further confirmed that various forms of psychological distress significantly mediated the effect of severe stroke syndromes on functional dependence. Conclusion: The various forms of psychological distress after stroke might play a mediating role in functional recovery and explain how stroke severity affects functional dependence. Relevance to clinical practice: By understanding the nature of various forms of psychological distress, healthcare professionals should adopt appropriate assessment instruments and design effective interventions to help improve mental and physical function of stroke patients.

AB - Aims and objectives: To explore varied forms of psychological distress and to determine the mediating influence of psychological distress on functional outcomes in stroke patients. Background: Previous studies attest to the influence of depression on poststroke functional recovery. While there is evidence for neuropathological deficits that occur after stroke to be associated with psychological distress, few studies have explored the effect of various types of psychological distress on functional recovery. Design: A cross-sectional study was used. Methods: Data were collected from 178 first-time stroke patients. Study variables included demographic and disease characteristics (stroke location and stroke syndrome classification), psychological distress (the Chinese language version of the Emotional and Social Dysfunction Questionnaire) and functional outcome (Barthel index). Regression and mediation models were used to evaluate the effect of psychological distress on functional outcome. Results: Results revealed that stroke patients experience various forms of mild psychological distress, including anger, helplessness, emotional dyscontrol, indifference, inertia and euphoria, after stroke. Regression and mediation analyses further confirmed that various forms of psychological distress significantly mediated the effect of severe stroke syndromes on functional dependence. Conclusion: The various forms of psychological distress after stroke might play a mediating role in functional recovery and explain how stroke severity affects functional dependence. Relevance to clinical practice: By understanding the nature of various forms of psychological distress, healthcare professionals should adopt appropriate assessment instruments and design effective interventions to help improve mental and physical function of stroke patients.

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