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Dimensions of social impairment and their effect on depression and recovery following stroke
Author(s)Robert G Robinson, Yuichi Murata, Kengo Shimoda
Journal titleInternational Psychogeriatrics, vol 11, no 4, December 1999
Pagespp 375-384
KeywordsStroke ; Rehabilitation ; Personal relationships ; Informal care ; Depression ; Longitudinal surveys ; United States of America.
AnnotationPrevious studies have identified that quality of social functioning is strongly associated with both physical and cognitive recovery from stroke as well as with the existence of depression. This US study of 50 patients with acute stroke who were assessed in hospital and at short term (3- or 6-month) and long-term (12- or 24-month) follow-up was undertaken to identify specific elements of social functioning related to depression and impaired recovery, and to determine whether these elements are different between acute and chronic periods of stroke. An impaired relationship with the patient's "closest other" prior to the stroke and limited social activities were both associated with depression immediately after the stroke, and with depression, impaired recovery in activities of daily living (ADLs) and cognitive recovery at long-term follow-up. Fears of economic stability and limited social activity were associated with depression at short-term follow-up, whereas loss of job or job satisfaction was associated with depression at long-term follow-up. Future research should examine the effect of enhanced social support on post-stroke depression and physical and cognitive recovery. (RH).
Accession NumberCPA-000208208 A
ClassmarkCQA: LM: DS: P6: ENR: 3J: 7T

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