Article

OBJECTIVE: To investigate the relative associations of coping strategy and
depression on health-related quality of life in patients in the chronic phase
after stroke. DESIGN: Cross-sectional study. Subjects:
A total of 213 patients
after stroke (> 18 months post-onset), mean age 59 years (standard deviation (SD)
9.86 years), 56% men, mean time post-stroke 53 months (SD 37.8 months). METHODS:
Coping strategy was measured using the assimilative-accommodative coping scale,
depression using the Center for Epidemiologic Studies Depression Scale, and
quality of life using the World Health Organization Quality of Life-BREF.
Multivariable regression analyses were performed, adjusted for patient
characteristics. RESULTS: Depression score was independently related to all
domains of quality of life (Psychological Health (B = -0.924; p = 0.000), Physical Health (B = -0.832; p = 0.000), Social Relationships (B = -0.917; p =
0.000), Environment (B = -0.662, p = 0.000)). Accommodative coping (B = 0.305; p
= 0.024) and assimilative coping (B = 0.235; p = 0.070) were independently
related to the domain Psychological Health, adjusted for depression and education
level. CONCLUSION: Coping strategies and depression score were independently
associated with Psychological Health in patients in the chronic phase after
stroke. Patients who prefer an accommodative coping strategy may show less
symptoms of depression. Preferable coping strategies may be trained in order to
improve both depression score and health-related quality of life in future research.

Langue : ANGLAIS