Abstract

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, 5 subscales of the ESDQ_C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time (P<.05). Regardless of when a single form or various forms of psychological distress occurred over time from stroke onset, the functional recovery over time 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.

Original languageEnglish
Pages (from-to)722-729
JournalArchives of Physical Medicine and Rehabilitation
Volume98
Issue number4
DOIs
Publication statusPublished - Apr 1 2017

Fingerprint

Stroke
Psychology
Anger
Neurology
Social Support
Psychiatry
Survivors
Inpatients
Outpatients
Rehabilitation
Demography
Outcome Assessment (Health Care)
Health
Neoplasms

Keywords

  • Mental disorders
  • Recovery of function
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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title = "Time-Varying Effects of Psychological Distress on the Functional Recovery of Stroke Patients",
abstract = "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, 5 subscales of the ESDQ_C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time (P<.05). Regardless of when a single form or various forms of psychological distress occurred over time from stroke onset, the functional recovery over time 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.",
keywords = "Mental disorders, Recovery of function, Rehabilitation, Stroke",
author = "Hui-Chuan Huang and Chang, {Chien Hung} and Chaur-Jong Hu and Meei-Ling Shyu and Chen, {Chin I.} and Huang, {Chih Shan} and Hsiu-Ting Tsai and Hsiu-Ju Chang",
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doi = "10.1016/j.apmr.2016.09.120",
language = "English",
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T1 - Time-Varying Effects of Psychological Distress on the Functional Recovery of Stroke Patients

AU - Huang, Hui-Chuan

AU - Chang, Chien Hung

AU - Hu, Chaur-Jong

AU - Shyu, Meei-Ling

AU - Chen, Chin I.

AU - Huang, Chih Shan

AU - Tsai, Hsiu-Ting

AU - Chang, Hsiu-Ju

PY - 2017/4/1

Y1 - 2017/4/1

N2 - 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, 5 subscales of the ESDQ_C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time (P<.05). Regardless of when a single form or various forms of psychological distress occurred over time from stroke onset, the functional recovery over time 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.

AB - 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, 5 subscales of the ESDQ_C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time (P<.05). Regardless of when a single form or various forms of psychological distress occurred over time from stroke onset, the functional recovery over time 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.

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KW - Recovery of function

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