Self-Esteem Level and Stability, Admission Functional Status, and Depressive Symptoms in Acute Inpatient Stroke Rehabilitation

• Published in: Rehabilitation psychology 2009-11, Vol.54 (4), p.432-439
• Main Authors: Vickery, Chad D, Sepehri, Arash, Evans, Clea C, Jabeen, Linsa N
• Format: Article
• Language: English
• Subjects: Activities of Daily Living - classification; Activities of Daily Living - psychology; Adaptation, Psychological; Admissions; Adult; Aged; Aged, 80 and over; Cerebrovascular Accidents; Depression; Depressive Disorder - diagnosis; Depressive Disorder - psychology; Disability Evaluation; Female; Functional Status; Human; Humans; Inpatient; Major Depression; Male; Middle Aged; Mobility; Mobility Limitation; Outcome Assessment (Health Care); Patient Admission; Patient Discharge; Personality Inventory; Recurrence; Rehabilitation; Self Care - psychology; Self Concept; Self-Esteem; Selfesteem; Sick Role; Stroke - psychology; Stroke Rehabilitation
• ISSN: 0090-5550; 1939-1544
• DOI: 10.1037/a0017752

Objectives: Explore the relationship of self-esteem level, self-esteem stability, and admission functional status on discharge depressive symptoms in acute stroke rehabilitation. Research Method: One hundred twenty stroke survivors serially completed a measure of state self-esteem during inpatient rehabilitation and completed a measure of depressive symptoms at discharge. Functional status was rated at admission using the Functional Independence Measure (FIM). Regressions explored main effects and interactions of self-esteem level and stability and admission FIM self-care, mobility, and cognitive functioning on discharge depressive symptoms. Results: After controlling for potential moderating variables, self-esteem level interacted with FIM self-care and cognitive functioning to predict discharge depressive symptoms, such that survivors with lower self-rated self-esteem and poorer functional status indicated higher levels of depressive symptoms. Self-esteem stability interacted with FIM mobility functioning, such that self-esteem instability in the presence of lower mobility functioning at admission was related to higher depressive symptoms at discharge. Implications: These results suggest that self-esteem variables may moderate the relationship between functional status and depressive symptoms. Self-esteem level and stability may differentially moderate functional domains, although this conclusion requires further empirical support.