Deans' stroke musings: Psychological factors after stroke: Are they stable over time?

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, September 17, 2019

Psychological factors after stroke: Are they stable over time?

Wrong focus. Stop focusing on secondary problems. Solve the primary problem, 100% recovery.

Psychological factors after stroke: Are they stable over time?

Journal of Rehabilitation Medicine (formerly the Scandinavian Journal of Rehabilitation Medicine) , Volume 51(1) , Pgs. 18-25.

NARIC Accession Number: J81526. What's this?
ISSN: 1650-1977.
Author(s): Wijenberg, Melloney L. M.; Van Heugten, Caroline M.; Van Mierlo, Maria L.; Visser-Meily, Johanna M. A.; Post, Marcel W. M..
Publication Year: 2019.
Number of Pages: 8.
Abstract: Study followed 324 patients in the first 2 years after stroke to examine whether psychological factors are stable over time. The following psychological factors were assessed using self-report questionnaires at 2 months and at 2 years post-stroke: proactive coping, self-efficacy, extraversion, optimism, passive coping, neuroticism and pessimism. Changes over time, associations and dimensions among psychological factors were considered. Only passive coping scores showed no change between 2 months and 2 years post-stroke. Participants showed less proactive coping, lower self-efficacy, less extraversion, less optimism, more neuroticism and more pessimism over time. At both time-points, the psychological factors clustered into an “adaptive psychological factor” (proactive coping, self-efficacy, extraversion) and a “maladaptive psychological factor” (passive coping, neuroticism). Across all psychological factors, changes toward less-favorable outcomes were found. Clinicians should pay attention to adaptive and maladaptive psychological factors among stroke patients during long-term care.(Wrong, wrong, wrong. Get survivors 100% recovered and this problem goes away. Does no one in stroke have any brains at all?)
Descriptor Terms: LONGITUDINAL STUDIES, PERSONALITY, PSYCHOLOGICAL ASPECTS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.medicaljournals.se/jrm/content/abstract/10.2340/16501977-2688.

Citation: Wijenberg, Melloney L. M., Van Heugten, Caroline M., Van Mierlo, Maria L., Visser-Meily, Johanna M. A., Post, Marcel W. M.. (2019). Psychological factors after stroke: Are they stable over time?. Journal of Rehabilitation Medicine (formerly the Scandinavian Journal of Rehabilitation Medicine) , 51(1), Pgs. 18-25. Retrieved 9/17/2019, from REHABDATA database.