Multilevel modeling of self-esteem change during acute inpatient stroke rehabilitation

Autor: Jae Eun Lee, Arash Sepehri, Chad D. Vickery, Linsa N. Jabeen, Clea C. Evans
Rok vydání: 2009
Předmět:
Adult
Male
medicine.medical_specialty
Personality Inventory
media_common.quotation_subject
medicine.medical_treatment
Physical Therapy
Sports Therapy and Rehabilitation
Models
Psychological
Rehabilitation Centers
behavioral disciplines and activities
Physical medicine and rehabilitation
Activities of Daily Living
medicine
Humans
Dominance
Cerebral
Stroke
Depression (differential diagnoses)
Aged
media_common
Aged
80 and over
Rehabilitation
Multilevel model
Age Factors
Stroke Rehabilitation
Self-esteem
Cognition
Recovery of Function
social sciences
Middle Aged
medicine.disease
Functional Independence Measure
Self Concept
humanities
Hospitalization
Self Care
Affect
Psychiatry and Mental health
Clinical Psychology
Mood
behavior and behavior mechanisms
Physical therapy
Female
sense organs
Psychology
Follow-Up Studies
Zdroj: Rehabilitation Psychology. 54:372-380
ISSN: 1939-1544
0090-5550
DOI: 10.1037/a0017854
Popis: OBJECTIVE To explore self-esteem change during inpatient stroke rehabilitation and moderators of change. RESEARCH METHOD One hundred twenty survivors of stroke serially completed the State Self-Esteem Scale (SSES) during inpatient rehabilitation, as well as measures of mood and perceived recovery as potential moderators of change. Age, gender, prior stroke, prestroke depression, stroke laterality, and admission Functional Independence Measure (FIM) self-care, mobility, and cognitive scores were also included as moderators. RESULTS Multilevel modeling of the repeated administrations of the SSES indicated that self-esteem significantly improved during rehabilitation. Female gender, left hemisphere stroke, prior stroke, and lower admission FIM cognitive scores were associated with lower self-esteem ratings at admission, but only age and admission FIM self-care and mobility scores were associated with self-esteem change. Older individuals showed less self-esteem improvement than younger individuals, and higher self-care and mobility scores at admission were associated with greater self-esteem improvement. While mood change significantly covaried with self-esteem, the rate of mood change did not appear to influence rate of self-esteem change. Greater improvement in self-esteem over time was related to lower levels of perceived recovery, but this was likely because of the relationship between perceived recovery and self-esteem at rehabilitation admission. IMPLICATIONS These results suggest that self-esteem improves during inpatient rehabilitation, and this change may be partially dependent on functional status. Implications for facilitating self-esteem change by the clinician are discussed, as well as future research directions.
Databáze: OpenAIRE
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