Saturday, September 14, 2024

Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data

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 Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data

Archives of Physical Medicine and Rehabilitation. Volume 105(7), Pgs. 1314-1321.

NARIC Accession Number: J94136. What's this?
Author(s): Shi, Yun, Fong, Mandy W. M., Metts, Christopher L., LaVela, Sherri L., Bombardier, Charles, Hu, Lu, Wong, Alex W. K..
Publication Year: 2024.
Abstract: Study assessed the dynamic relationships among perceived social isolation (PSI), secondary conditions, and daily activity patterns in 202 individuals with mild-to-moderate chronic stroke. Dynamic network analyses (contemporaneous and temporal) were applied to ecological momentary assessment (EMA) data to investigate the longitudinal relationships among these factors. EMA survey questions measured PSI, secondary conditions (pain, tiredness, stress, anxiety, worthlessness, difficulty concentrating, and cheerfulness), and daily activity patterns (being at home, being alone, and participating in productive activities). The median EMA response rate was 84 percent. Results indicated that PSI was contemporaneously related to all symptoms (fatigue; negative emotions (worthlessness, concentration difficulty, cheerlessness, stress, and anxiety) except pain, and being at home and alone. The temporal model revealed a pathway indicating that feelings of worthlessness predicted PSI, and then PSI predicted stress. After this chain, feeling stressed was followed by a tendency not to be at home. These findings suggest that engaging in out-of-home or outdoor activities may mitigate PSI and negative emotions.
Descriptor Terms: DAILY LIVING, DEPRESSION, EMOTIONS, INTERPERSONAL RELATIONS, MENTAL STRESS, SECONDARY CONDITIONS, SELF CONCEPT, SOCIAL SKILLS, STROKE.


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Citation: Shi, Yun, Fong, Mandy W. M., Metts, Christopher L., LaVela, Sherri L., Bombardier, Charles, Hu, Lu, Wong, Alex W. K.. (2024.) Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data. Archives of Physical Medicine and Rehabilitation., 105(7), Pgs. 1314-1321. Retrieved 9/14/2024, from REHABDATA database.

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