Time-varying effects of psychological distress on the functional recovery of stroke patients

I'd be distressed too if my doctor gave me no information on how to get 100% recovered.
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Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 722-729.

NARIC Accession Number: J75827.  What's this?
ISSN: 0003-9993.
Author(s): Huang, Hui-Chuan; Chang, Chien-Hung; Hu, Chaur-Jong; Shyu, Meei-Ling; Chen, Chin-I.; Huang, Chih-Shan; Tsai, Hsiu-Ting; Chang, Hsiu-Ju.
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study explored the temporal effects of psychological distress on the functional recovery of stroke survivors. A total of 62 participants were interviewed at 5 days after stroke onset, and at 1, 2, 3, and 6 months after discharge from acute care hospitals. 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 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. Additionally, 5 subscales of the ESDQ-C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time. 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. 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.
Descriptor Terms: FUNCTIONAL STATUS, HEALTH PROMOTION, LONGITUDINAL STUDIES, MENTAL STRESS, OUTCOMES, STROKE.


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Citation: Huang, Hui-Chuan, Chang, Chien-Hung, Hu, Chaur-Jong, Shyu, Meei-Ling, Chen, Chin-I., Huang, Chih-Shan, Tsai, Hsiu-Ting, Chang, Hsiu-Ju. (2017). Time-varying effects of psychological distress on the functional recovery of stroke patients.  Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 722-729. Retrieved 5/13/2017, from REHABDATA database.


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More information about this publication:
Archives of Physical Medicine and Rehabilitation.