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Post-stroke quality of life and depression

Published online by Cambridge University Press:  24 June 2014

Krystyna Jaracz ,
Jan Jaracz ,
Wojciech Kozubski  and
Janusz K Rybakowski
Krystyna Jaracz*
Affiliation:
Department of Nursing
Jan Jaracz
Affiliation:
Department of Adult Psychiatry
Wojciech Kozubski
Affiliation:
Department of Neurology, University of Medical Sciences, Poznan, Poland
Janusz K Rybakowski
Affiliation:
Department of Adult Psychiatry
*
Dr Krystyna Jaracz, Chair of Nursing, University of Medical Sciences, Dabrowskiego 79, 60-529 Poznan, Poland. Tel: +0 61 847 74 91; Fax: +0 61 847 74 90; E-mail: [email protected]
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Abstract

Background:

Studies on the determinants of the quality of life (QOL) after stroke bring differing results depending on the applied concept of QOL. This may lead to confusion about the contribution of various factors to the post-stroke QOL.

Objective:

The aim of the study was: (i) to investigate functional and psychological QOL in the individuals after the first ischemic stroke; (ii) to identify the most important correlates of QOL; and (iii) to examine the significance of depression among the other possible predictors of QOL.

Methods:

A hospital-based sample of 72 stroke patients was followed up to 6 months after stroke onset. QOL was assessed using the Polish version of the Quality of Life Index and the Sickness Impact Profile. A multiple regression procedure was performed to examine relationships between QOL and the study variables.

Results:

In spite of good recovery, the psychological and functional QOL of the examined patients was impaired, although the negative impact of stroke was greater on the objective QOL than on the subjective QOL. Stroke-related impairment, depression, functional disability and marital status predicted 80% of the variance in the functional QOL. Emotional support, depression and functional disability explained 38% of the variance in psychological well-being.

Conclusions:

Depression and physical disability were the most important predictors of QOL after stroke since their impact on QOL was more robust in comparison to the remaining variables. For improving QOL, a comprehensive care for patients aimed at reducing physical dependence and ameliorating depressive symptoms could be recommended.

Keywords

depressionquality of lifestroke
Type
Original Article
Information
Acta Neuropsychiatrica , Volume 14 , Issue 5 , October 2002 , pp. 219 - 225
Copyright
Copyright © Acta Neuropsychiatrica 2002

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