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Jeong BO, Kang HJ, Bae KY, et al. Determinants of quality of life in the acute stage following stroke. Psychiatry Investig. 2012;9(2):127-33doi: 10.4306/pi.2012.9.2.127.
Jeong, B. O., Kang, H. J., Bae, K. Y., Kim, S. W., Kim, J. M., Shin, I. S., Kim, J. T., Park, M. S., Cho, K. H., & Yoon, J. S. (2012). Determinants of quality of life in the acute stage following stroke. Psychiatry investigation, 9(2), 127-33. https://doi.org/10.4306/pi.2012.9.2.127
Jeong, Bo-Ok, et al. "Determinants of quality of life in the acute stage following stroke." Psychiatry investigation vol. 9,2 (2012): 127-33. doi: https://doi.org/10.4306/pi.2012.9.2.127
Jeong BO, Kang HJ, Bae KY, Kim SW, Kim JM, Shin IS, Kim JT, Park MS, Cho KH, Yoon JS. Determinants of quality of life in the acute stage following stroke. Psychiatry Investig. 2012 Jun;9(2):127-33. doi: 10.4306/pi.2012.9.2.127. Epub 2012 Apr 02. PMID: 22707962; PMCID: PMC3372559.
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Psychiatry Investig. 2012 Jun;9(2):127-33. doi: 10.4306/pi.2012.9.2.127. Epub 2012 Apr 02.

Determinants of quality of life in the acute stage following stroke.

Psychiatry investigation

Bo-Ok Jeong, Hee-Ju Kang, Kyung-Yeol Bae, Sung-Wan Kim, Jae-Min Kim, Il-Seon Shin, Joon-Tae Kim, Man-Seok Park, Ki-Hyun Cho, Jin-Sang Yoon

Affiliations

  1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.

PMID: 22707962 PMCID: PMC3372559 DOI: 10.4306/pi.2012.9.2.127

Abstract

OBJECTIVE: This study aimed to investigate the factors influence the quality of life (QOL) of survivors of an acute stroke.

METHODS: For 422 stroke patients, assessments were made within two weeks of the index event. QOL was measured using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF), which has four domains related to physical factors, psychological factors, social relationships, and environmental context. Associations of each four WHOQOL-BREF domain score with socio-demographic characteristics (age, sex, education, marital status, religion, and occupation), stroke severity (National Institutes of Health Stroke Scale), physical disability (Barthel Index), cognitive function (Mini-Mental Status Examination: MMSE), grip strength, and psychological distress (Hospital Anxiety and Depression Scale depression and anxiety subscale: HADS-D and HADS-A) were investigated using the linear regression models.

RESULTS: Higher physical domain scores were independently associated with higher MMSE scores, stronger hand-grip strength, and lower HADS-D and HADS-A scores; higher psychological domain scores were independently associated with higher educational level, higher MMSE scores, and lower HADS-D and HADS-A scores; higher social relationships domain scores were independently associated with lower HADS-D and HADS-A scores; and higher environmental domain scores were independently associated with higher educational level, higher MMSE scores, and lower HADS-D scores.

CONCLUSION: Psychological distress and impaired cognitive function were independently associated with lower QOL in patients with acute stroke. However, stroke severity, physical disability and other socio-demographic factors were less significantly associated with QOL. These findings underscore the importance of psychological interventions for improving QOL during the acute phase following stroke.

Keywords: Anxiety; Cognitive function; Depression; Quality of life; Stroke

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