Article

OBJECTIVE: To explore reciprocal effects between participation and emotional and
physical well-being during the first 2 years poststroke. DESIGN: Prospective
cohort study. SETTING: Community. PARTICIPANTS: An inception cohort of adults
(N=67) who had been discharged from an acute stroke unit or stroke rehabilitation
unit after a first stroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Participation (Reintegration to Normal Living Index), emotional well-being
(General Well-being Schedule), and physical well-being (General Self-rating of
Health Question) were measured at 6, 9, 12, 18, and 24 months poststroke.
Hierarchical linear modeling was used to examine the association between
participation and change in well-being, controlling for sex, age, impairment
(discharge FIM), and median neighborhood income. RESULTS: Greater engagement in
valued activities was significantly associated with subsequent improvement in
emotional well-being. The effect of participation on change in physical
well-being was marginal. Higher levels of well-being also predicted subsequent
increases in participation, with emotional well-being effects moderated by
income, and physical well-being effects moderated by level of impairment.
CONCLUSIONS: Our results support a 2-pronged approach to addressing well-being
poststroke where efforts to improve affect and boost participation are
simultaneously applied.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS