Effects of Self-esteem, Optimism, and Perceived Control on Depressive Symptoms in Stroke Survivor-Spouse Dyads
Autor: | Laura Plue, Misook L. Chung, Tamilyn Bakas, Linda S. Williams |
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Rok vydání: | 2016 |
Předmět: |
Male
Partner effects medicine.medical_specialty media_common.quotation_subject Article 03 medical and health sciences 0302 clinical medicine Optimism Quality of life Adaptation Psychological Humans Medicine Survivors 030212 general & internal medicine Spouses Psychiatry Stroke Aged media_common Advanced and Specialized Nursing business.industry Family caregivers Self-esteem social sciences Middle Aged medicine.disease Self Concept humanities Patient Health Questionnaire Caregivers Spouse Quality of Life behavior and behavior mechanisms Female Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
Zdroj: | Journal of Cardiovascular Nursing. 31:E8-E16 |
ISSN: | 0889-4655 |
Popis: | BACKGROUND Depressive symptoms are common in stroke survivors and their family caregivers. Given the interdependent relationship between the members of dyads in poststroke management, improving depressive symptoms in dyads may depend on their partner's characteristics. Self-esteem, optimism, and perceived control, all known to be associated with depressive symptoms in an individual, may also contribute to their partner's depressive symptoms. PURPOSE The purpose of this study is to examine actor and partner effects of self-esteem, optimism, and perceived control on depression in stroke survivors and their spousal caregivers. METHODS A total of 112 ischemic stroke survivors (78% white, 34% women; mean age, 62.5 ± 12.3 years) and their spouses (mean age, 60.6 ± 12.9 years) completed surveys in which depressive symptoms, self-esteem, optimism, and perceived control were assessed using the Patient Health Questionnaire, the Rosenberg Self-esteem Scale, the Revised Life Orientation Test, and the Sense of Control Scale. Multilevel modeling, actor-partner interdependence model regression was used to determine influences on depressive symptoms within the dyad. RESULTS Individuals with lower self-esteem, optimism, and perceived control had higher levels of depressive symptoms. Stroke survivors whose spouses had lower levels of self-esteem (B = -0.338, P < .001) and optimism (B = -0.361, P < .027) tended to have higher levels of depressive symptoms. Spouses whose stroke survivors had lower levels of self-esteem (B = -0.047, P = .036) also had higher levels of depressive symptoms. CONCLUSION We found significant partner effects of self-esteem on depression for both members and partner effect of optimism on patient's depressive symptoms. These findings suggest that further research is needed to determine if dyadic interventions may help to improve self-esteem, optimism, and depressive symptoms in both patients and their caregivers. |
Databáze: | OpenAIRE |
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