Stroke, Vol 23, 527-531, Copyright © 1992 by American Heart Association
M Astrom, K Asplund and T Astrom
BACKGROUND AND PURPOSE: This prospective study was designed to describe
different aspects of psychosocial function after stroke and the development
of changes over time. A major aim has been to identify mental, functional,
and social factors associated with low life satisfaction late after stroke.
METHODS: Social network, functional ability, leisure-time activities,
experience of ill health, major depression, and life satisfaction were
assessed repeatedly over 3 years in a population-based sample of 50
long-term survivors of stroke (mean age 71.4 years). RESULTS: Compared with
a general elderly population, patients 3 years poststroke had more
psychiatric symptoms, lower functional ability, and reduced life
satisfaction. Contacts with children were maintained over the 3-year
follow-up period, whereas contacts with friends and neighbors declined
early after stroke and remained lower than in the general elderly
population (p less than 0.05). When time dependency was analyzed,
activities of daily living and somatic/neurological symptoms were found to
change little after 3 months, while psychiatric symptoms showed changes
later. Between 3 and 12 months poststroke, the prevalence of major
depression decreased, leisure-time activities and social contacts were
partly resumed, and life satisfaction improved (p less than 0.01). Once
good life satisfaction was restored it was maintained, and poor life
satisfaction at 1 year remained poor for the entire 3 years. CONCLUSIONS:
It is concluded that major depression early after stroke, functional
disability, and an impaired social network interact to reduce life
satisfaction for the long-term survivors of stroke.
ARTICLES
Psychosocial function and life satisfaction after stroke
Department of Psychiatry, Umea University Hospital, Sweden.
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