Marieke M Visser1, Majanka H Heijenbrok-Kal2, Adriaan Van't Spijker3, Kristine M Oostra4, Jan J Busschbach3, Gerard M Ribbers2. 1. Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands; Rotterdam Neurorehabilitation Research (RoNeRes), Rijndam Rehabilitation Center, Rotterdam, The Netherlands. Electronic address: mvisser@rijndam.nl. 2. Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands; Rotterdam Neurorehabilitation Research (RoNeRes), Rijndam Rehabilitation Center, Rotterdam, The Netherlands. 3. Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus University Medical Center, Rotterdam, The Netherlands. 4. Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium.
Abstract
OBJECTIVES: To investigate whether patients with high and low depression scores after stroke use different coping strategies and problem-solving skills and whether these variables are related to psychosocial health-related quality of life (HRQOL) independent of depression. DESIGN: Cross-sectional study. SETTING: Two rehabilitation centers. PARTICIPANTS: Patients participating in outpatient stroke rehabilitation (N=166; mean age, 53.06±10.19y; 53% men; median time poststroke, 7.29mo). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Coping strategy was measured using the Coping Inventory for Stressful Situations; problem-solving skills were measured using the Social Problem Solving Inventory-Revised: Short Form; depression was assessed using the Center for Epidemiologic Studies Depression Scale; and HRQOL was measured using the five-level EuroQol five-dimensional questionnaire and the Stroke-Specific Quality of Life Scale. Independent samples t tests and multivariable regression analyses, adjusted for patient characteristics, were performed. RESULTS: Compared with patients with low depression scores, patients with high depression scores used less positive problem orientation (P=.002) and emotion-oriented coping (P<.001) and more negative problem orientation (P<.001) and avoidance style (P<.001). Depression score was related to all domains of both general HRQOL (visual analog scale: β=-.679; P<.001; utility: β=-.009; P<.001) and stroke-specific HRQOL (physical HRQOL: β=-.020; P=.001; psychosocial HRQOL: β=-.054, P<.001; total HRQOL: β=-.037; P<.001). Positive problem orientation was independently related to psychosocial HRQOL (β=.086; P=.018) and total HRQOL (β=.058; P=.031). CONCLUSIONS: Patients with high depression scores use different coping strategies and problem-solving skills than do patients with low depression scores. Independent of depression, positive problem-solving skills appear to be most significantly related to better HRQOL.
OBJECTIVES: To investigate whether patients with high and low depression scores after stroke use different coping strategies and problem-solving skills and whether these variables are related to psychosocial health-related quality of life (HRQOL) independent of depression. DESIGN: Cross-sectional study. SETTING: Two rehabilitation centers. PARTICIPANTS: Patients participating in outpatientstroke rehabilitation (N=166; mean age, 53.06±10.19y; 53% men; median time poststroke, 7.29mo). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Coping strategy was measured using the Coping Inventory for Stressful Situations; problem-solving skills were measured using the Social Problem Solving Inventory-Revised: Short Form; depression was assessed using the Center for Epidemiologic Studies Depression Scale; and HRQOL was measured using the five-level EuroQol five-dimensional questionnaire and the Stroke-Specific Quality of Life Scale. Independent samples t tests and multivariable regression analyses, adjusted for patient characteristics, were performed. RESULTS: Compared with patients with low depression scores, patients with high depression scores used less positive problem orientation (P=.002) and emotion-oriented coping (P<.001) and more negative problem orientation (P<.001) and avoidance style (P<.001). Depression score was related to all domains of both general HRQOL (visual analog scale: β=-.679; P<.001; utility: β=-.009; P<.001) and stroke-specific HRQOL (physical HRQOL: β=-.020; P=.001; psychosocial HRQOL: β=-.054, P<.001; total HRQOL: β=-.037; P<.001). Positive problem orientation was independently related to psychosocial HRQOL (β=.086; P=.018) and total HRQOL (β=.058; P=.031). CONCLUSIONS:Patients with high depression scores use different coping strategies and problem-solving skills than do patients with low depression scores. Independent of depression, positive problem-solving skills appear to be most significantly related to better HRQOL.
Authors: Sarah Dewilde; Lieven Annemans; Andrew Lloyd; Andre Peeters; Dimitri Hemelsoet; Yves Vandermeeren; Philippe Desfontaines; Raf Brouns; Geert Vanhooren; Patrick Cras; Boudewijn Michielsens; Patricia Redondo; Vincent Thijs Journal: Health Qual Life Outcomes Date: 2019-02-07 Impact factor: 3.186
Authors: Simon Körver; Gert J Geurtsen; Carla E M Hollak; Ivo N van Schaik; Maria G F Longo; Marjana R Lima; Leonardo Vedolin; Marcel G W Dijkgraaf; Mirjam Langeveld Journal: Orphanet J Rare Dis Date: 2020-01-28 Impact factor: 4.123
Authors: Elisabeth A De Vries; Wendy Boerboom; Rita J G Van den Berg-Emons; Fop Van Kooten; Johanna M A Visser-Meily; Gerard M Ribbers; Majanka H Heijenbrok-Kal Journal: J Rehabil Med Date: 2022-05-11 Impact factor: 3.959
Authors: Raed A Joundi; Joel Adekanye; Alexander A Leung; Paul Ronksley; Eric E Smith; Alexander D Rebchuk; Thalia S Field; Michael D Hill; Stephen B Wilton; Lauren C Bresee Journal: J Am Heart Assoc Date: 2022-06-22 Impact factor: 6.106
Authors: Simon Körver; Gert J Geurtsen; Carla E M Hollak; Ivo N van Schaik; Maria G F Longo; Marjana R Lima; Marcel G W Dijkgraaf; Mirjam Langeveld Journal: J Inherit Metab Dis Date: 2020-06-25 Impact factor: 4.982