Depressive symptoms moderate the relationship among physical capacity, balance self-efficacy, and participation in people after stroke

Do you not understand that the solution to depression is 100% recovery protocols? Your patients will be too busy counting reps and looking forward to recovery to get depressed.  If you can't see that and aren't working towards that. GET THE HELL OUT OF STROKE!

Depressive symptoms moderate the relationship among physical capacity, balance self-efficacy, and participation in people after stroke

Physical Therapy , Volume 101(12)

NARIC Accession Number: J89003.  What's this?
ISSN: 0031-9023.
Author(s): French, Margaret A.; Miller, Allison; Pohlig, Ryan T.; Reisman, Darcy S..
Publication Year: 2021.
Number of Pages: 10.

Abstract: 

Study examined the effect of symptoms of depression on the mediated relationship between physical capacity and participation by balance self-efficacy in individuals after stroke. Two hundred eighty-two people with chronic stroke (>6 months) were classified as having either low or high Geriatric Depression Scale scores. A multiple-group structural equation model was used to test moderated mediation by comparing a constrained model (indicating no effect of depression on the mediation) and an unconstrained model (indicating an effect of depression on the mediation). The models were compared using a chi-squared difference test. The chi-squared difference test suggested that the unconstrained model was a better fit, indicating that depressive symptoms moderated the mediated relationship between physical capacity and participation. In the low-depression group, a significant indirect effect indicated that balance self-efficacy did mediate the relationship between physical capacity and participation. There was no significant indirect effect in the high-depression group. The results suggest the relationship between physical capacity and participation appears to be mediated by balance self-efficacy in stroke survivors with low reports of depressive symptoms, but in those with high reports of depressive symptoms, physical capacity and balance self-efficacy are unrelated to participation. Therefore, targeting balance self-efficacy to improve post-stroke participation may be beneficial only for individuals with low reports of depression. In individuals after stroke with high reports of depression, treatment should include and emphasize the treatment of those depressive symptoms.
Descriptor Terms: COMMUNITY LIVING, DEPRESSION, EQUILIBRIUM, PHYSICAL FITNESS, PHYSICAL THERAPY, POSTURE, SELF CONCEPT, STROKE.


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Citation: French, Margaret A., Miller, Allison, Pohlig, Ryan T., Reisman, Darcy S.. (2021). Depressive symptoms moderate the relationship among physical capacity, balance self-efficacy, and participation in people after stroke.  Physical Therapy , 101(12) Retrieved 6/23/2022, from REHABDATA database.