Josefine Persson1, Lukas Holmegaard2, Ingvar Karlberg2, Petra Redfors2, Katarina Jood2, Christina Jern2, Christian Blomstrand2, Gunilla Forsberg-Wärleby2. 1. From the Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology (J.P., L.H., P.R., K.J., C.B., G.F.-W.), Department of Public Health and Community Medicine, Institute of Medicine (I.K.), and Department of Medical and Clinical Genetics, Institute of Biomedicine (C.J.), Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. josefine.persson@vgregion.se. 2. From the Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology (J.P., L.H., P.R., K.J., C.B., G.F.-W.), Department of Public Health and Community Medicine, Institute of Medicine (I.K.), and Department of Medical and Clinical Genetics, Institute of Biomedicine (C.J.), Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Abstract
BACKGROUND AND PURPOSE: The consequences for the family of stroke survivor are generally studied in a short-term perspective. The aim of this study was to assess long-term aspects of health-related quality of life among spouses of stroke survivors. METHODS: Data on stroke survivors, controls, and spouses were collected from the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS). The health-related quality of life of spouses was assessed by the Short Form-36, and the characteristics of stroke survivors were assessed using the National Institutes of Health Stroke Scale, the Mini-Mental State Examination, the Hospital Anxiety and Depression Scale, the Barthel Index, and the modified Rankin Scale. RESULTS: Dyads of 248 stroke survivors aged <70 at stroke onset and 245 dyads of matched controls were included. Spouses of stroke survivors and spouses of controls had a median age of 64 and 65, respectively; proportion of men was 35% and 34%, respectively. The spouses of stroke survivors reported lower scores in all the mental domains (P=0.045; P<0.001), as well as in the domains of general health (P=0.013) and physical role (P=0.006), compared with the spouses of controls. Predictors of poor physical health of the spouses were their own age and the level of global disability of the stroke survivor. Predictors of poor mental health of the spouses were depressive symptoms, cognitive impairment, and global disability among the stroke survivors. CONCLUSIONS: The health-related quality of life of spouses of stroke survivors is reduced not only during the first years but also in the long-term perspective.
BACKGROUND AND PURPOSE: The consequences for the family of stroke survivor are generally studied in a short-term perspective. The aim of this study was to assess long-term aspects of health-related quality of life among spouses of stroke survivors. METHODS: Data on stroke survivors, controls, and spouses were collected from the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS). The health-related quality of life of spouses was assessed by the Short Form-36, and the characteristics of stroke survivors were assessed using the National Institutes of Health Stroke Scale, the Mini-Mental State Examination, the Hospital Anxiety and Depression Scale, the Barthel Index, and the modified Rankin Scale. RESULTS: Dyads of 248 stroke survivors aged <70 at stroke onset and 245 dyads of matched controls were included. Spouses of stroke survivors and spouses of controls had a median age of 64 and 65, respectively; proportion of men was 35% and 34%, respectively. The spouses of stroke survivors reported lower scores in all the mental domains (P=0.045; P<0.001), as well as in the domains of general health (P=0.013) and physical role (P=0.006), compared with the spouses of controls. Predictors of poor physical health of the spouses were their own age and the level of global disability of the stroke survivor. Predictors of poor mental health of the spouses were depressive symptoms, cognitive impairment, and global disability among the stroke survivors. CONCLUSIONS: The health-related quality of life of spouses of stroke survivors is reduced not only during the first years but also in the long-term perspective.
Authors: Ana Moura; Filipa Teixeira; Mariana Amorim; Ana Henriques; Conceição Nogueira; Elisabete Alves Journal: Qual Life Res Date: 2021-09-13 Impact factor: 4.147
Authors: Josefine Persson; Mattias Aronsson; Lukas Holmegaard; Petra Redfors; Kaj Stenlöf; Katarina Jood; Christina Jern; Christian Blomstrand; Gunilla Forsberg-Wärleby; Lars-Åke Levin Journal: Qual Life Res Date: 2017-06-29 Impact factor: 4.147
Authors: Josefine Persson; Lars-Åke Levin; Lukas Holmegaard; Petra Redfors; Katarina Jood; Christina Jern; Christian Blomstrand; Gunilla Forsberg-Wärleby Journal: Health Qual Life Outcomes Date: 2017-07-25 Impact factor: 3.186
Authors: Annie Pedersen; Tara M Stanne; Petra Redfors; Jo Viken; Hans Samuelsson; Staffan Nilsson; Katarina Jood; Christina Jern Journal: Res Pract Thromb Haemost Date: 2018-01-29