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Source: Disability and Rehabilitation
Condition: Anxiety

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Total 29 results found since Jan 2013.

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study.
CONCLUSION: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities. Implications for rehabilitation Stroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a futu...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Parappilly BP, Mortenson WB, Field TS, Eng JJ Tags: Disabil Rehabil Source Type: research

Stroke-Specific Quality of Life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study.
Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATIONThe stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clin...
Source: Disability and Rehabilitation - April 30, 2020 Category: Rehabilitation Authors: Pedersen SG, Friborg O, Heiberg GA, Arntzen C, Stabel HH, Thrane G, Nielsen JF, Anke A Tags: Disabil Rehabil Source Type: research

Nurse-led stroke aftercare addressing long-term psychosocial outcome: a  comparison to care-as-usual.
CONCLUSIONS: Nurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare. Implications for rehabilitation Routine stroke follow-up care should pay attention to psychosocial and emotional outcome in a systematic manner, in addition to secondary prevention. Healthcare professionals such as (specialized) nurses are needed to appropriately address the hidden cognitive and emo...
Source: Disability and Rehabilitation - November 26, 2020 Category: Rehabilitation Authors: Verberne DPJ, Kroese MEAL, Staals J, Ponds RWHM, van Heugten CM Tags: Disabil Rehabil Source Type: research

The course of depressive symptoms in the first 12 months post-stroke and its association with unmet needs
CONCLUSIONS: Depressive symptoms three months post-stroke were likely to persist or recur during the first 12 months post-stroke. Depressive symptoms are associated with unmet needs. These results suggest that routine monitoring of depressive symptoms and unmet needs should be considered post-stroke.Implications for rehabilitationPatients with depressive symptoms three months post-stroke have a high risk of developing persistent or recurrent depressive symptoms during the first 12 months post-stroke.Unmet needs are associated with both non-consistent and persistent depressive symptoms post-stroke.These results suggest that...
Source: Disability and Rehabilitation - February 7, 2022 Category: Rehabilitation Authors: Desi C M Stokman-Meiland Iris F Groeneveld Henk J Arwert St éphanie L van der Pas Jorit J L Meesters Radha D Rambaran Mishre Thea P M Vliet Vlieland Paulien H Goossens Source Type: research

A qualitative study exploring how stroke survivors' expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service
CONCLUSIONS: Ensuring stroke survivors are fully informed about ESD and what to expect, optimises engagement with the services, improves experience and could enhance outcomes.IMPLICATIONS FOR REHABILITATIONInforming stroke survivors about what to expect from ESD services could optimise engagement and improve their experience.The provision of personalised and target focussed therapy at home improves stroke survivors' experience and could potentially accelerate recovery.Preparing stroke survivors early for discharge from ESD can reduce anxiety and enhance engagement with the service.PMID:35895746 | DOI:10.1080/09638288.2022.2102251
Source: Disability and Rehabilitation - July 27, 2022 Category: Rehabilitation Authors: Trudi M Cameron Kristina Koller Adrian Byrne Niki Chouliara Thompson Robinson Peter Langhorne Marion Walker Rebecca J Fisher Source Type: research

Factors associated with community ambulation in chronic stroke.
CONCLUSION: Balance self-efficacy may be a significant determinant in the attainment of independent community ambulation post-stroke. This suggests that physical aspects such as gait speed and walking balance should not be considered in isolation when addressing community ambulation post-stroke. Implications for Rehabilitation Balance self-efficacy may play a significant role in the attainment of independent community ambulation in a chronic stroke population. Physiotherapy interventions addressing community ambulation post-stroke should consider methods for improving balance self-efficacy in chronic stroke, such as self m...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Durcan S, Flavin E, Horgan F Tags: Disabil Rehabil Source Type: research

The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onwards....
Source: Disability and Rehabilitation - August 30, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA Tags: Disabil Rehabil Source Type: research

Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units.
Conclusion: Response rate was modest but included all mainland Scottish regions with active stroke services. Although the majority of responders are assessing cognition and mood there is substantial heterogeneity in measures used and certain commonly used tools are not validated or appropriate for use in stroke. We suggest development of evidence based, standardised assessment protocols. Implications for Rehabilitation Screening stroke survivor's for cognitive and mood issues is recommended but there is little guidance on the preferred assessment strategy Across Scottish stroke services there is a lack of consensus in asse...
Source: Disability and Rehabilitation - May 14, 2013 Category: Rehabilitation Authors: Lees RA, Broomfield NM, Quinn TJ Tags: Disabil Rehabil Source Type: research

The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors.
CONCLUSION: The between-subject results suggest that there was no significant difference between those that received problem solving therapy and a waitlist control group between baseline and post-waitlist/post-therapy. The within-subject design suggests that problem solving therapy may be beneficial for younger stroke survivors when they are given some time to learn and implement the skills into their day to day life. However, additional research with a control group is required to investigate this further. This study provides limited evidence for the provision of support groups for younger stroke survivors post stroke, ho...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Chalmers C, Leathem J, Bennett S, McNaughton H, Mahawish K Tags: Disabil Rehabil Source Type: research

Health anxiety in stroke survivors: a cross-sectional study on the prevalence of health anxiety in stroke survivors and its impact on quality of life
CONCLUSIONS: Almost a third of stroke survivors were experiencing clinical levels of health anxiety, with HiHA significantly associated with lower quality of life. Future research should explore the use of existing evidence based psychological interventions for health anxiety in this population.Implications for rehabilitationOur findings suggest almost one in three stroke survivors residing in the community have clinical levels of health anxiety.High health anxiety in stroke survivors was significantly related to lower levels of quality of life.Given this finding, evidence-based treatments for health anxiety may improve qu...
Source: Disability and Rehabilitation - January 6, 2022 Category: Rehabilitation Authors: Peter R Diamond Leon Dysch Jo Daniels Source Type: research

Association between post-stroke psychological disorders, activity limitations and health-related quality of life in chronic stroke survivors in Benin
CONCLUSIONS: Depression and anxiety had a negative impact on activity limitations and HRQoL in Beninese chronic stroke survivors. This call for action to integrate psychological interventions as part of rehabilitation programs in low and middle-income countries.Implications for rehabilitationPost-stroke depression and anxiety are quite common among stroke survivors in sub-Saharan Africa.Post-stroke depression and anxiety negatively impact activities and health-related quality of life in chronic stroke survivors in sub-Saharan Africa.Managing these post-stroke psychological disorders is necessary to promote the functional r...
Source: Disability and Rehabilitation - June 13, 2022 Category: Rehabilitation Authors: Orthelo L éonel Gbètoho Atigossou Fatimata Ou édraogo Aristide S Honado Etienne Alagnid é Toussaint Godonou Kpadonou Charles S èbiyo Batcho Source Type: research