Psychosocial consequences of stroke: A long-term population-based follow-up
- 1 December 2005
- journal article
- research article
- Published by Taylor & Francis Ltd in Brain Injury
- Vol. 19 (12), 1049-1058
- https://doi.org/10.1080/02699050500110421
Abstract
Primary objective: To investigate psychosocial status among nationally representative groups of stroke patients at long intervals post-stroke. Methods and procedures: From a Danish national register of hospitalizations, three representative groups of surviving patients were selected who had suffered a stroke 5, 10 and 15 years previously. A follow-up postal questionnaire was sent to them comprising items concerning symptomatology, functioning and social conditions, together with the Nottingham Health Profile (NHP). Main outcomes and results: Longer follow-up intervals were associated with younger age at stroke and better functioning at discharge. At follow-up, the majority of patients reported difficulties with attention, memory and emotional control, irrespective of follow-up interval. Return to employment, social relations and leisure activities were affected, but were comparatively better at longer follow-up intervals, as was self-rated functioning and several NHP symptom scales. However, multi-variate analyses suggest that these positive changes with time appear to be mediated by attrition related to age at stroke and discharge functioning rather than time since stroke itself. Conclusions: Symptomatology, functioning and social conditions remain affected and perhaps stagnant in long-term survivors of stroke.Keywords
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