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Acta Neuropsychiatrica Acta Neuropsychiatrica

Article contents

Post-stroke quality of life and depression

Published online by Cambridge University Press:  24 June 2014

Krystyna Jaracz ,
Jan Jaracz ,
Wojciech Kozubski  and
Janusz K Rybakowski
Krystyna Jaracz*
Affiliation:
Department of Nursing
Jan Jaracz
Affiliation:
Department of Adult Psychiatry
Wojciech Kozubski
Affiliation:
Department of Neurology, University of Medical Sciences, Poznan, Poland
Janusz K Rybakowski
Affiliation:
Department of Adult Psychiatry
*
Dr Krystyna Jaracz, Chair of Nursing, University of Medical Sciences, Dabrowskiego 79, 60-529 Poznan, Poland. Tel: +0 61 847 74 91; Fax: +0 61 847 74 90; E-mail: jakrystyna@poczta.onet.pl
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Abstract

Background:

Studies on the determinants of the quality of life (QOL) after stroke bring differing results depending on the applied concept of QOL. This may lead to confusion about the contribution of various factors to the post-stroke QOL.

Objective:

The aim of the study was: (i) to investigate functional and psychological QOL in the individuals after the first ischemic stroke; (ii) to identify the most important correlates of QOL; and (iii) to examine the significance of depression among the other possible predictors of QOL.

Methods:

A hospital-based sample of 72 stroke patients was followed up to 6 months after stroke onset. QOL was assessed using the Polish version of the Quality of Life Index and the Sickness Impact Profile. A multiple regression procedure was performed to examine relationships between QOL and the study variables.

Results:

In spite of good recovery, the psychological and functional QOL of the examined patients was impaired, although the negative impact of stroke was greater on the objective QOL than on the subjective QOL. Stroke-related impairment, depression, functional disability and marital status predicted 80% of the variance in the functional QOL. Emotional support, depression and functional disability explained 38% of the variance in psychological well-being.

Conclusions:

Depression and physical disability were the most important predictors of QOL after stroke since their impact on QOL was more robust in comparison to the remaining variables. For improving QOL, a comprehensive care for patients aimed at reducing physical dependence and ameliorating depressive symptoms could be recommended.

Keywords

depressionquality of lifestroke
Type
Original Article
Information
Acta Neuropsychiatrica , Volume 14 , Issue 5 , October 2002 , pp. 219 - 225
Copyright
Copyright © Acta Neuropsychiatrica 2002

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References

Duncan, PW.Stroke disability. Phys Ther 1994;74: 399–407.CrossRefGoogle Scholar
Mayo, NE.Disablement following stroke. Disabil Rehabil 1999;21: 258–268.CrossRefGoogle ScholarPubMed
Jorgensen, HS, Nakayama, H, Raaschou, HO, Vive-Larsen, J, Stoier, M, Olsen, TS.Outcome and time course of recovery in stroke. Part I. Outcome. The Copenhagen Stroke Study. Arch Phys Med Rehabil 1995;76: 399–405.CrossRefGoogle Scholar
Pedersen, PM, Jorgensen, HS, Nakayama, H, Raaschou, HO, Olsen, ST.Aphasia in acute stroke: incidence, determinants and recovery. Ann Neurol 1995;38: 659–666.CrossRefGoogle ScholarPubMed
Schuling, J, Greidanus, J.Meyboom-De Jong B. Measuring functional status of stroke patients with the Sickness Impact Profile. Disabil Rehabil 1993;15: 19–23.CrossRefGoogle ScholarPubMed
Nydevik, I.Hulter-Asberg K. Subjective dysfunction after stroke. A study with Sickness Impact Profile. Scan J Prim Health Care 1991;9: 271–275. CrossRefGoogle ScholarPubMed
Parikh, RM, Lipsey, JR, Robinson, RG, Price, T.Two-year longitudinal study of post-stroke mood disorders: dynamic changes in correlates of depression at one and two years. Stroke 1987;18: 579–584.CrossRefGoogle ScholarPubMed
Parikh, RM, Robinson, RG, Lipsey, JR, Starkstein, SE, Fedoroff, JP, Price, T.The impact of poststroke depression on recovery in activities of daily living over 2-year follow-up. Arch Neurol 1990;47: 787–789. CrossRefGoogle ScholarPubMed
Shimoda, K, Robinson, R.The relationship between social impairment and recovery from stroke. Psychiatry 1998;61: 101–111.CrossRefGoogle Scholar
WHO MONICA Project Principal Investigators. The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. J Clin Epidemiol 1988;41: 105–114.CrossRefGoogle Scholar
Ferrans, CE, Powers, MJ.Psychometric assessment of the quality of life index. Res Nurs Health 1992;5: 29–38. CrossRefGoogle Scholar
King, RB.Quality of life after stroke. Stroke 1996;27: 1467–1472.CrossRefGoogle Scholar
Jaracz, K, Wolowicka, L, Baczyk, G.Analiza walidacyjna polskiej wersji Indeksu Jakosci Zycia Ferrans i Powers. Post Rehabil 2001;4: 67–73. Google Scholar
Jaracz, K, Kozubski, W.Jakosc zycia po udarze mózgu (wyniki wstepne). Post Rehab 1999;3: 45–55. Google Scholar
Schipper, H, Clinch, JJ, Olweny Ch, LM.Quality of life studies: definitions and conceptual issues. In: Spilker, B, ed. Quality of Life and Pharmacoeconomics in Clinical Trials, 2nd edn. Philadelphia: Lippincott-Raven Publishers, 1996: 11–23. Google Scholar
Bergner, M, Bobbit, R, Kressel, S, Pollard, WE, Gilson, BS, Morris, JR.The Sickness Impact Profile: conceptual formulation and methodology for the development of a health status measure. Int J Health Services 1976;6: 393–415. CrossRefGoogle ScholarPubMed
Scandinavian Stroke Study Group. Multicenter trial of hemodilution in ischemic stroke. Background and study protocol. Stroke 1985;16: 885–890.CrossRefGoogle ScholarPubMed
Mahoney, FD, Barthel, DW.Functional evaluation: the Barthel Index. MD State Med J 1965;14: 61–65.Google ScholarPubMed
Zung, WW K.A self-rating depression scale. Arch General Psychiatry 1965;12: 63–70. CrossRefGoogle ScholarPubMed
Pfeiffer, E.A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975;23: 433–441.CrossRefGoogle Scholar
Wade, DT, Hewer, RL.Functional abilities after stroke. measurement, natural history and prognosis. J Neurol Neurosurg Psychiatry 1987;50: 177–182.CrossRefGoogle ScholarPubMed
Carod-Artal, J, Egido, JA, Gonzalez, JL, Varela de Seijas, E.Quality of life among survivors evaluated 1 year after stroke. Experience of a stroke unit. Stroke 2000;31: 2995–3000.CrossRefGoogle ScholarPubMed
Kim, P, Warren, S, Madill, H, Hadley, M.Quality of stroke survivors. Qual Life Res 1999;8: 293–301.CrossRefGoogle Scholar
Robinson-Smith, G, Johnston, MV, Allen, J.Self-care self-efficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil 2000;81: 460–464.CrossRefGoogle Scholar
Jonkman, E, De Weerd, AW, Vrijens, NLH.Quality of life after a first ischemic stroke. Long-term developments and correlations with changes in neurological deficit, mood and cognitive impairment. Acta Neurol Scand 1998;98: 169–175.CrossRefGoogle ScholarPubMed
Kauhanen, M, Korpelainen, JT, Hiltunen, P, Nieminen, P, Sotaniemi, KA, Myllyl, VV.Domains and determinants of quality of life after stroke caused by brain infarction. Arch Phys Med Rehabil 2000;81: 1541–1546.CrossRefGoogle Scholar
Lau, A, Mckenna, K.Conceptualizing quality of life for elderly people with stroke. Disabil Rehabil 2001;23: 227–238.Google ScholarPubMed
de Haan, RJ, Limburg, M, Van der Meulen, JHP, Jacobs, HM, Aarnson, NK.Quality of life after stroke. Impact of stroke type and lesion location. Stroke 1995;26: 402–408.CrossRefGoogle Scholar
Clarke, PJ, Black, SE, Badley, EM, Lawrence, JM, Williams, JI.Handicap in stroke survivors. Disabil Rehabil 1999;21: 116–123.CrossRefGoogle Scholar
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