Associations among disability, depression, anxiety, stress, and quality of life between stroke survivors and their family caregivers: An Actor‐Partner Interdependence Model

Abstract

Aim: To explore the effects of disability, depressive, anxiety and stress symptoms on patients' and their partners' quality of life (QoL) using the actor-partner interdependence model (APIM). Design:A cross-sectional study using actor-partner interdependence model. Methods:We recruited 183 dyads of stroke survivors and their family caregivers in Indonesia. The World Health Organization Disability Assessment (WHODAS 2.0), Depression, Anxiety and Stress (DASS-42) and Rand Short Form Health Survey (SF-36) were used to measure disability, depressive, anxiety and stress symptoms and QoL of stroke survivors and family caregivers. The actor-partner interdependence model was tested using multilevel modelling. The actor-partner interdependence mediation model (APIMeM) was applied to estimate the direct and indirect effect.Results: Disability had actor effects on stroke survivor's overall QoL and partner effect on family caregiver's overall QoL. More severe disability of stroke survivors was associated with a lower overall QoL of their own and that of family caregiver's overall QoL. Depressive symptoms of stroke survivors had actor effects on stroke survivors' overall QoL and partner effects on family caregivers' overall QoL. Actor and partner effects also exist on family caregiver's depression symptoms to their own overall QoL and stroke survivor's overall QoL. Moreover, higher anxiety symptoms were associated with lower levels of their own and partner's overall QoL in both stroke survivors and family caregivers. Stroke survivor's stress symptoms also negatively associated with their own and family caregiver's overall QoL. However, a family caregiver's stress without a partner effects on stroke survivor's overall QoL. The APIMeM analysis showed that disability of stroke survivors directly decreased their own overall, physical (PCS) and mental QoL (MCS). Also, disability mediated by stroke survivor's depression, anxiety and stress symptoms decreased both stroke survivor's and family caregiver's physical (PCS) and mental QoL (MCS). Conclusion:The findings suggest that stroke survivors and family caregivers may influence each other during the caregiving process and social life. The disability of stroke survivors, and the depression, anxiety and stress symptoms of stroke survivors and

WITHDRAWN: Task-oriented mirrored upper-limb robotic training in subacute patients after stroke: a case control study

“…Stroke is the most common cause of death and disability worldwide (Feigin et al, 2017; GBD 2019 Stroke Collaborators, 2021; Thayabaranathan et al, 2022). About 80% of stroke survivors have upper limb motor impairment (4), which seriously affects their activities of daily living and quality of life (Pollock et al, 2014;Stinear et al, 2020;Schindel et al, 2021;Yuliana et al, 2022). Studies have shown that upper extremity recovery is faster in patients with subacute stroke than in those with chronic periods (Dobkin and Carmichael, 2016;Bernhardt et al, 2017), making the subacute period an essential period for upper extremity rehabilitation in stroke (Dobkin and Carmichael, 2016;Bernhardt et al, 2017).…”

Hubungan Antara Pola Makan Dan Kondisi Penyerta Dengan Prevalensi Strok Pada Usia Dewasa Di Indonesia: Analisis Data Riskesdas 2018

“…1 Strok menyebabkan ketergantungan pasien terhadap orang lain yang berdampak pada penurunan kualitas hidup. 2 Pada tahun 2015, jumlah kematian akibat strok berada pada urutan kedua setelah penyakit jantung iskemik. 3 American Heart Association mencatat sebanyak 17 juta kasus strok dan 6,6 juta kematian terjadi di berbagai negara pada tahun 2019.…”

Built environments to support rehabilitation for people with stroke from the hospital to the home (B-Sure): Protocol for a mixed-method participatory co- design study

“…People with stroke often have long-lasting rehabilitation needs, and recovery is known to be complex, with several care providers involved [7][8][9]. The effects of stroke can be profound and lead to a range of activity and participation limitations [9][10][11], such as reduced quality of life, social isolation [12][13][14] and adverse events such as falls [9,15]. Many patients and families describe the support post-stroke as poor and not patient-centred [16][17][18] and report poor engagement in their care and treatment decisions [7,19].…”