Coping, Problem Solving, Depression, and Health-Related Quality of Life in Patients Receiving Outpatient Stroke Rehabilitation

Visser, Martijn S.; Heijenbrok‐Kal, Majanka H.; Spijker, Adriaan van’t; Oostra, Kristine; Busschbach, Jan J. V.; Ribbers, Gerard M.

doi:10.1016/j.apmr.2015.04.007

Cited by 37 publications

(39 citation statements)

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“…The above results relating psychological variables (personality, coping and perceived stress) to psychopathology are consistent with previous literature (Alessandri, Caprara, & Tisak, 2012;Caprara et al, 2012;Carver & Connor-Smith, 2010;Malouff et al, 2005;Visser et al, 2015). The influence of socio-demographic variables on the development of psychopathology has also been widely studied (Altemus, Sarvaiya, & Epperson, 2014;Tang, Liu, Liu, Xue, & Zhang, 2014).…”

Section: Discussionsupporting

confidence: 80%

“…En concreto, y según la clasificación de Carver (1997), podrían diferenciarse dos grandes tipos: afrontamiento de compromiso, en el cual el sujeto intenta activamente manejar la situación o las emociones asociadas a la misma; y afrontamiento de falta de compromiso, en el que el sujeto se distancia del estresor o de sentimientos relacionados con el mismo. La literatura ha concluido que el primer tipo suele ser más adaptativo y exitoso, y se ha relacionado con una mejor salud mental, mientras que las formas pasivas y de evitación son consideradas menos exitosas y desadaptativas, prediciendo mayores índices de ansiedad y depresión (Carver y Connor-Smith, 2010;Li, Cooper, Bradley, Shulman y Livingston, 2012;Seiffge-Krenke y Klessinger, 2000;Visser et al, 2015). La personalidad, la otra de las variables consideradas de mayor relevancia en el desarrollo de psicopatología, constituiría una variable que moderaría los diferentes niveles del proceso de estrés, influyendo en los procesos de valoración y en la reacción al estrés, lo que incluiría el desarrollo de síntomas emocionales y el afrontamiento puesto en marcha.…”

Section: Introductionunclassified

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Estrés vital: variables psicológicas y sociodemográficas predictoras del malestar emocional

Vallejo-Sánchez

Pérez-García

2016

Accion psicol.

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ResumenIntroducción: La personalidad y las estrategias de afrontamiento utilizadas ante el estrés juegan un papel importante en el desarrollo de problemas de salud mental. El objetivo de este estudio fue comprobar si estas variables, junto con el estrés percibido y algunas variables sociodemográficas significativas, permitían predecir el nivel de sintomatología ansiosa y depresiva presentada en una muestra de personas con Trastorno Adaptativo (TA), y si las variables predictoras eran las mismas en una muestra control. Método: Se aplicó un protocolo compuesto por cuestionarios de estrés percibido, personalidad, positividad, afrontamiento y síntomas a un grupo de pacientes que acudieron a una Unidad de Salud Mental, diagnosticados de Trastorno Adaptativo (N = 80), y a un grupo control (N = 80). Se realizaron análisis de regresión sobre la sintomatología. Resultados: En general, las variables psicológicas y sociodemográficas consideradas contribuyeron en la predicción de la sintomatología, aunque los resultados variaron dependiendo del grupo considerado y del tipo de síntoma. En el grupo control, un mayor neuroticismo, menor positividad, mayor estrés percibido y estar en paro predijeron mayores puntuaciones en depresión, y mayor neuroticismo, estar en paro y ser mujer predijeron mayor ansiedad (no siendo relevante el afrontamiento en ningún caso). En el grupo clínico, la capacidad predictiva de las variables fue menor, especialmente en el caso de la ansiedad. Las variables que predijeron mayor sintomatología depresiva fueron ser menos positivo, un mayor uso del afrontamiento de falta de compromiso o evitativo, ser hombre y estar en paro, mientras que en la predicción de la sintomatología ansiosa sólo resultó significativo el neuroticismo. Conclusiones: Las características de personalidad y afrontamiento, el estrés percibido y las características sociodemográficas podrían ser factores de vulnerabilidad a considerar en el desarrollo de estrategias de evaluación, preventivas y de intervención en personas sometidas a estrés vital, aunque probablemente es importante considerar el tipo de muestra en la selección de las estrategias más relevantes. AbstractIntroduction: Personality and coping used to manage stress play an important role in the development of mental health problems. The aim of this study was to analyse whether these variables, together with perceived stress and some relevant socio-demographic characteristics, could predict the level of anxiety and depressive symptoms presented in people diagnosed with Adjustment Disorder (AD). As well as analysing if the significant predictor variables were the same in the control group. Method: Perceived stress, personality, positivity, coping and symptoms were assessed in a group of patients with Adjustment Disorder who went to a Mental Health Unit (N = 80) and a control group (N = 80). Regression analyses were carried out to predict symptomatology. Results: Psychological and some socio-demographic variables predicted symptomatology, however, the results were different depending on the group and type of symptom considered. In the control group, higher neuroticism and perceived stress, lower positivity, and unemployment status predicted more depressive symptoms; whereas higher neuroticism, being a female, and unemployment predicted higher anxiety (coping was not relevant in any case). In the clinical group, the predictive capacity of variables was lower, especially in the case of anxiety. Lower positivity, greater use of disengagement or avoidant coping, being a male and unemployment predicted higher depressive symptomatology, whereas only neuroticism predicted symptoms of anxiety. Conclusions: Personality, coping, perceived stress and socio-demographic characteristics could be factors of vulnerability that should be considered in the development of assessment, prevention and treatment strategies with people exposed to life stress. However, the characteristics of the group considered are a key factor in the selection of the most relevant strategy

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Section: Discussionsupporting

confidence: 80%

Section: Introductionunclassified

Estrés vital: variables psicológicas y sociodemográficas predictoras del malestar emocional

Vallejo-Sánchez

Pérez-García

2016

Accion psicol.

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“…Outpatient stroke rehabilitation is defined as a type of treatment where patients go to a clinic or hospital to attend sessions and then return home the same day 22. However, for some economical and sociodemographic factors, along with an expanding number of stroke survivors, there is growing enthusiasm for outpatient stroke rehabilitation 23.…”

Section: Stroke Rehabilitation In the Outpatient Settingmentioning

confidence: 99%

Stroke rehabilitation

Bindawas

Vennu

2016

NSJ

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Stroke is a major cause of death and other complications worldwide. In Saudi Arabia, stroke has become an emerging health issue leading to disability and death. However, stroke care including rehabilitation services, in Saudi Arabia lags behind developed countries. Stroke rehabilitation is an essential recovery option after stroke and should start as early as possible to avoid potential complications. The growing evidence on stroke rehabilitation effectiveness in different health care settings and outcome measures used widely are reviewed in this call to action paper.

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“…Personality problems, including increased neuroticism, are moderately related to lower assessment of HRQL perspectives, whereas coping, internal locus of control, sense of self-worth, hope, and optimism are moderately positively correlated with HRQL, and extrovertedness does not have a relationship with HRQL (Van Mierlo et al, 2014). Undoubtedly, the ability to cope in difficult situations, such as everyday functioning with the consequences of stroke, and the ability to positively solve problems are associated with higher quality of life, which was proved by the Dutch team of researchers led by Visser (Visser et al, 2015). Strategies of active coping are associated with higher quality of life not only in post-stroke individuals, but also among older individuals in general (Gamrowska & Steuden, 2014).…”

Section: Quality Of Life Post-stroke and Its Determinantsmentioning

confidence: 96%

“…Depression is a result of disability (Shi et al, 2016) and the associated dependence on others in everyday functioning (Oros et al, 2016). Research suggests that symptoms of depression experienced a month after stroke correlate with lower long-term assessment of HRQL: at 3 months (Guajardo et al, 2015) or 7 months after stroke (Visser et al, 2015). Researchers stress that psychological support and treatment of depression can significantly increase HRQL (Chen et al, 2015b;Chou, 2015).…”

Section: Quality Of Life Post-stroke and Its Determinantsmentioning

confidence: 99%