Depression is an independent determinant of life satisfaction early after stroke

Life satisfaction is reduced in stroke patients. However, as a rule, rehabilitation goals are not aimed at life satisfaction, but at activities and participation. In order to optimize life satisfaction in stroke patients, rehabilitation should take into account the determinants of life satisfaction....

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2017-03, Vol.49 (3), p.223-227
Main Authors: Oosterveer, Daniëlla M, Mishre, Radha Rambaran, van Oort, Andrea, Bodde, Karin, Aerden, Leo A M
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Anxiety
Clinical assessment
Depression - psychology
Female
Humans
Life satisfaction
Male
Medical screening
Mental depression
Patient Discharge
Patient satisfaction
Personal Satisfaction
Physicians
Quality of Life
Regression Analysis
Rehabilitation
Retrospective Studies
Stroke
Stroke - psychology
Stroke Rehabilitation - methods
Surveys and Questionnaires
Survivors - psychology
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Summary:Life satisfaction is reduced in stroke patients. However, as a rule, rehabilitation goals are not aimed at life satisfaction, but at activities and participation. In order to optimize life satisfaction in stroke patients, rehabilitation should take into account the determinants of life satisfaction. The aim of this study was therefore to determine what factors are independent determinants of life satisfaction in a large group of patients early after stroke. Stroke-surviving patients were examined by a specialized nurse 6 weeks after discharge from hospital or rehabilitation setting. A standardized history and several screening lists, including the Lisat-9, were completed. Step-wise regression was used to identify independent determinants of life satisfaction. A total of 284 stroke-surviving patients were included in the study. Of these, 117 answered all of the Lisat-9 questions. Most patients (66.5%) rated their life as a whole as "satisfying" or "very satisfying". More depressive symptoms were independently associated with lower life satisfaction (p < 0.001). Most stroke-surviving patients are satisfied with their life early after a stroke. The score on the Hospital Anxiety and Depression Scale depression items is independently associated with life satisfaction. Physicians should therefore pay close attention to the mood of these patients.
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-2199