Self-esteem stability and depressive symptoms in acute stroke rehabilitation: methodological and conceptual expansion
| Autor: | Clea C. Evans, Linsa N. Jabeen, Chad D. Vickery, Arash Sepehri, Monee Gayden |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Self Disclosure medicine.medical_treatment media_common.quotation_subject Vulnerability Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Predictive Value of Tests medicine Humans Psychiatry Stroke Geriatric Assessment Depressive symptoms media_common Acute stroke Aged Aged 80 and over Psychiatric Status Rating Scales Depressive Disorder Rehabilitation Self-esteem Stroke Rehabilitation Regression analysis Middle Aged medicine.disease Self Concept Psychiatry and Mental health Clinical Psychology Distress Acute Disease Female Perception Psychology Attitude to Health Stress Psychological |
| Zdroj: | Rehabilitation psychology. 54(3) |
| ISSN: | 0090-5550 |
| Popis: | OBJECTIVES Explore the relationship of self-esteem level, self-esteem stability, and other moderating variables with depressive symptoms in acute stroke rehabilitation. MEASURES One hundred twenty participants completed measures of state self-esteem, perceived recovery, hospitalization-based hassles, impairment-related distress, and tendency to overgeneralize negative self-connotations of bad events. Self-report of depressive symptoms was collected at admission and on discharge. Four regression analyses explored the relationship of self-esteem level and stability and each of 4 moderating variables (perceived recovery, hassles, impairment-related distress, and overgeneralization) with depressive symptoms at discharge. RESULTS Analyses indicated significant 3-way interactions in the 4 regression models. In general, individuals with unstable high self-esteem endorsed greater depressive symptoms under conditions of vulnerability (e.g., lower perceived recovery) than did individuals with stable high self-esteem. Under conditions of vulnerability, participants with stable low self-esteem indicated the highest levels of depressive symptoms. IMPLICATIONS Self-esteem level and stability interact with psychological, environmental, and stroke-specific variables to predict depressive symptoms at discharge from stroke rehabilitation. This suggests the viability of self-esteem stability in exploring depressive symptoms in this setting and the complexity of emotional adjustment early after stroke. |
| Databáze: | OpenAIRE |
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