Changes in life habits affected by mild stroke and their association with depressive symptoms

Rozon, Joanie; Rochette, Annie

doi:10.2340/16501977-1959

Cited by 16 publications

(29 citation statements)

References 21 publications

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“…Not only survivors have to deal with the emotional charge of having experienced a stroke but living after the accident involves many adjustments in life habits in the short, middle and long terms (Salter et al, 2008; Peoples et al, 2011). Those modifications of stroke survivors’ daily life and the way they deal with daily stroke-related consequences influence psychological outcomes (Darlington et al, 2007; Rozon and Rochette, 2015; Visser et al, 2015). Indeed, coping strategies have been identified as a reliable predictors of depression and anxiety after a stroke (Rochette et al, 2007; Kootker et al, 2016; Wei et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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Context: Stroke has several consequences on survivors’ daily life even for those who experience short-lasting neurological symptoms with no functional disability. Depression and anxiety are common psychological disorders occurring after a stroke. They affect long-term outcomes and quality of life but they are difficult to diagnose because of the neurobiological consequences of brain lesions. Current research priority is given to the improvement of the detection and prevention of those post-stroke psychological disorders. Although previous studies have brought promising perspectives, their designs based on retrospective tools involve some limits regarding their ecological validity. Ecological Momentary Assessment (EMA) is an alternative to conventional instruments that could be a key in research for understanding processes that underlined post-stroke depression and anxiety onset. We aim to evaluate the feasibility and validity of anxiety, depression and coping EMA for minor stroke patients.Methods: Patients hospitalized in an Intensive Neuro-vascular Care Unit between April 2016 and January 2017 for a minor stroke is involved in a study based on an EMA methodology. We use a smartphone application in order to assess anxiety and depression symptoms and coping strategies four times a day during 1 week at three different times after stroke (hospital discharge, 2 and 4 months). Participants’ self-reports and clinician-rates of anxiety, depression and coping are collected simultaneously using conventional and standard instruments. Feasibility of the EMA method will be assessed considering the participation and compliance rate. Validity will be the assessed by comparing EMA and conventional self-report and clinician-rated measures.Discussion: We expect this study to contribute to the development of EMA using smartphone in minor stroke population. EMA method offers promising research perspective in the assessment and understanding of post-stroke psychological disorders. The development of EMA in stroke population could lead to clinical implications such as remotely psychological follow-ups during early supported discharge.Trial registration: European Clinical Trials Database Number 2014-A01937-40

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Section: Introductionmentioning

confidence: 99%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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“…For example, there are four different cut‐off scores for minor stroke on the National Institutes of Health Stroke Scale (Brott et al, ): less than 3 (Pan et al, ), less than or equal to 5 (Edwards, Hahn, Baum, & Dromerick, ), less than 6 (Hildebrand, Brewer, & Wolf, ), and less than 8 (Tellier & Rochette, ). Using a descriptive approach, Rozon and Rochette () defined minor stroke as a stroke that results in a minimal compromise of motor function or ability to carry out basic activities of daily living. Green and King () used a broader definition, classifying minor stroke as a cerebrovascular event that results in mild neurological impairment or disability, potentially encompassing difficulties with motor function, sensation and/or communication.…”

Section: Introductionmentioning

confidence: 99%

Exploring changing needs following minor stroke

Finch

Foster

Fleming

et al. 2019

Health Soc Care Community

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Medical advances have led to many of the severe consequences of stroke being averted. Consequently, more people are being discharged from hospital following treatment for what is classed as minor stroke. The needs of people with minor stroke have received little research attention. The aim of the current study was to conduct an exploratory prospective needs analysis to document the unmet health, rehabilitation and psychosocial needs of a recently hospitalised minor stroke cohort approximately 2 weeks (T1) and 2 months (T2) post‐hospital discharge. An exploratory cohort design was used to explore the unmet health, service and social needs of 20 patients with minor stroke. Participants completed questionnaires (Survey of Unmet Needs and Service Use, Mayo‐Portland Adaptability Inventory‐4, Exeter Identity Transition Scales, RAND 36‐Item Health Survey 1.0) at T1 and T2. Nine participants reported unmet needs at T1 and seven participants reported unmet needs at T2. Between T1 and T2, there was a significant improvement in perceived role limitations due to physical health. Participation in society was significantly better at T2. In conclusion, patients with minor stroke report health, service and social needs that are unmet by existing services. This patient cohort urgently requires co‐ordinated services to detect and manage these unmet needs.

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“…Estudos anteriores demonstraram que, após o AVE, os indivíduos preferem a segurança do ambiente doméstico e substituem atividades sociais e de lazer ativo, como atividades esportivas, recreativas, artísticas ou culturais, por atividades individuais e de lazer passivo, o que inclui a leitura e assistir televisão 22 . Outro aspecto a ser destacado, que pode ter contribuído para a restrição nessa e em outras áreas da participação social, é a presença de sintomas depressivos, como reportado em estudo prévio, que observou restrição na participação em esportes, atividades recreativas e relações interpessoais em indivíduos pós-AVE com sintomas depressivos 23 . Na análise por grupos, quanto às deficiências e limitações de mobilidade, os indivíduos, com presença de comprometimento motor de membros inferiores, marcha comunitária limitada e risco de quedas, apresentaram maior restrição na participação social, quando considerado o escore total do LIFE-H 3. .…”

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“…Semelhante às deficiências e limitações referentes aos membros inferiores, os indivíduos com sintomas depressivos apresentaram maior restrição na participação social, considerando o escore total, subescalas e a maioria das áreas. Este resultado é corroborado por estudo prévio, que demonstrou que indivíduos com sintomas depressivos na fase crônica de evolução pós-AVE apresentaram maior restrição na participação social 23 . Em indivíduos pós-AVE, a presença de sintomas depressivos foi associada a uma menor percepção de autoeficácia relacionada ao autocuidado 24 .…”

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“…Uma possível explicação para este achado pode ser o desenvolvimento de estratégias de adaptação. Segundo Rozon e Rochette 23 , na fase crônica de evolução pós-AVE, pode ocorrer um aumento da participação social, quando comparado aos indivíduos na fase aguda. Este fato pode ser explicado pelo desenvolvimento de estratégias de adaptação pelo indivíduo, frente à sua nova condição de saúde.…”

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Caracterização da participação social de indivíduos na fase crônica pós-acidente vascular encefálico

Faria‐Fortini¹,

Basílio²,

Polese³

et al. 2017

Rev. Ter. Ocup. Univ. São Paulo (Online)

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O objetivo foi descrever e comparar diferenças na restrição na participação social de indivíduos após acidente vascular encefálico (AVE) na fase crônica, considerando as deficiências, limitações em mobilidade e fatores pessoais. A restrição na participação social foi mensurada pelo LIFE-H 3.1-Brasil; as deficiências pela Escala de Depressão Geriátrica e Escala de Fugl-Meyer (EFM); as limitações em mobilidade pela velocidade de marcha e Timed Up & Go (TUG) e os fatores pessoais incluíram sexo, idade, situação familiar e tempo de evolução pós-AVE. Observou-se restrição significativa na área de recreação. Em geral, restrições na participação social foram observadas em participantes com escores ≤28 na EFM-membro inferior, sintomas de depressão, marcha comunitária limitada, risco de quedas e tempo de evolução ≤5 anos. Aqueles com escores ≤45 na EFM-membro superior apresentaram maior restrição em algumas áreas das atividades diárias. As mulheres apresentaram maior restrição em papéis sociais. Os resultados sugerem que deficiências e limitações relacionadas aos membros inferiores, sintomas depressivos e tempo de evolução devem ser considerados na avaliação, quando o objetivo da reabilitação for aumentar a participação social de indivíduos pós-AVE.

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Changes in life habits affected by mild stroke and their association with depressive symptoms

Abstract: Objectives: To examine changes in sleep, driving, employment, relationships and leisure in the first year after a mild stroke and explore the association between the presence of depressive symptoms and improvement in participation 6 months later.

Cited by 16 publications

References 21 publications

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Exploring changing needs following minor stroke

Caracterização da participação social de indivíduos na fase crônica pós-acidente vascular encefálico

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