Willeke J Kruithof1, Marcel W M Post2, Maria L van Mierlo1, Geertrudis A M van den Bos3, Janneke M de Man-van Ginkel1, Johanna M A Visser-Meily4. 1. Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. 2. Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands; Department of Rehabilitation Medicine, Center for Rehabilitation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. 3. Department of Social Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. 4. Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. Electronic address: j.m.a.visser-meily@umcutrecht.nl.
Abstract
OBJECTIVES: (a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months post-stroke. METHODS: Prospective cohort study. Partners of stroke patients (N=183) were included. Main outcome measures were the Caregiver Strain Index and the Hospital Anxiety and Depression Scale. RESULTS: Many partners experienced high burden, anxiety and depressive symptoms. At two months post-stroke, these outcomes were associated with the partner variables: age, relationship satisfaction, pro-active coping, self-efficacy, everyday social support, burden, anxiety and depressive symptoms; and the patient variables: stroke severity and depressive symptoms. Partner outcomes at one year post-stroke were mainly predicted by the level of these outcomes at two months post-stroke. CONCLUSIONS: Partner outcomes at two months post-stroke predict to a large degree partner outcomes at one year post-stroke. PRACTICE IMPLICATIONS: Measuring partners' burden and anxiety and depressive symptoms in the post-acute phase is recommended to trace partners at risk of long-term burden and emotional problems.
OBJECTIVES: (a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months post-stroke. METHODS: Prospective cohort study. Partners of strokepatients (N=183) were included. Main outcome measures were the Caregiver Strain Index and the Hospital Anxiety and Depression Scale. RESULTS: Many partners experienced high burden, anxiety and depressive symptoms. At two months post-stroke, these outcomes were associated with the partner variables: age, relationship satisfaction, pro-active coping, self-efficacy, everyday social support, burden, anxiety and depressive symptoms; and the patient variables: stroke severity and depressive symptoms. Partner outcomes at one year post-stroke were mainly predicted by the level of these outcomes at two months post-stroke. CONCLUSIONS: Partner outcomes at two months post-stroke predict to a large degree partner outcomes at one year post-stroke. PRACTICE IMPLICATIONS: Measuring partners' burden and anxiety and depressive symptoms in the post-acute phase is recommended to trace partners at risk of long-term burden and emotional problems.
Authors: Eline W M Scholten; Anneroos Kieftenbelt; Chantal F Hillebregt; Sonja de Groot; Marjolijn Ketelaar; Johanna M A Visser-Meily; Marcel W M Post Journal: Spinal Cord Date: 2018-01-16 Impact factor: 2.772
Authors: Rafael Del-Pino-Casado; Antonio Frías-Osuna; Pedro A Palomino-Moral; María Ruzafa-Martínez; Antonio J Ramos-Morcillo Journal: PLoS One Date: 2018-01-02 Impact factor: 3.240
Authors: Judith D M Vloothuis; Marijn Mulder; Rinske H M Nijland; Quirine S Goedhart; Manin Konijnenbelt; Henry Mulder; Cees M P M Hertogh; Maurits van Tulder; Erwin E H van Wegen; Gert Kwakkel Journal: PLoS One Date: 2019-04-08 Impact factor: 3.240
Authors: Vincent Cm Cox; Vera Pm Schepers; Marjolijn Ketelaar; Caroline M van Heugten; Johanna Ma Visser-Meily Journal: JMIR Res Protoc Date: 2018-02-16