Social dysfunctioning after mild to moderate first-ever stroke at vocational age
| Autor: | Sandra Trabucco-Miguel, Marc Hommel, Nicolas Gonnet, Sabine Joray, Assia Jaillard, Bernadette Naegele |
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| Přispěvatelé: | CHU Grenoble, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble, CIC - Grenoble, Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Department of Neurology, University Hospital, Lausanne, Grenoble Institut des Neurosciences (GIN), DRRC CHU Grenoble, Lausanne University Hospital, Dojat, Michel |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Male
Work Activities of daily living MESH: Social Behavior Disorders [SDV.MHEP.PSM] Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health MESH: Logistic Models Neuropsychological Tests Hospital Anxiety and Depression Scale MESH: Magnetic Resonance Imaging 0302 clinical medicine Modified Rankin Scale Activities of Daily Living Prospective Studies 030212 general & internal medicine Stroke MESH: Aged MESH: Middle Aged MESH: Neuropsychological Tests Middle Aged Prognosis Magnetic Resonance Imaging 3. Good health Psychiatry and Mental health MESH: Young Adult Data Interpretation Statistical MESH: Personality Tests Female [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] Psychology Social Adjustment MESH: Social Behavior Adult Personality Tests medicine.medical_specialty Adolescent Psychometrics MESH: Prognosis MESH: Stroke Central nervous system disease Young Adult 03 medical and health sciences Personality changes MESH: Psychometrics medicine Humans [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] cardiovascular diseases Social Behavior Aged MESH: Adolescent MESH: Humans MESH: Activities of Daily Living MESH: Work Social Behavior Disorders MESH: Adult medicine.disease MESH: Social Adjustment MESH: Prospective Studies MESH: Male Long-term care Logistic Models [SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health Physical therapy Surgery Neurology (clinical) Ordered logit MESH: Data Interpretation Statistical MESH: Female 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurology, Neurosurgery and Psychiatry Journal of Neurology, Neurosurgery and Psychiatry, BMJ Publishing Group, 2009, 80 (4), pp.371-5. ⟨10.1136/jnnp.2008.157875⟩ |
| ISSN: | 0022-3050 1468-330X |
| DOI: | 10.1136/jnnp.2008.157875⟩ |
| Popis: | International audience; BACKGROUND: With improvements in stroke treatments, the number of patients with dramatic recovery is increasing. However, many of them are still complaining of difficulties in returning to work and every day activities. The aim was to assess work and social dysfunctioning in patients with minor to moderate stroke and explore its contributing factors. METHODS: Consecutive patients were prospectively included at a median 7 months after a first-ever stroke. Scores on the Work and Social Adjustment Scale (WSAS), a generic self-reported scale for assessing social functioning, were correlated with scores on the National Institutes of Health Stroke Scale (NIHSS), activities of daily living, Hospital Anxiety and Depression scale (HAD) and MMSE, Iowa Scale of Personality Changes and return to work at 1 year. RESULTS: Among the 84 included patients (mean age 43.5 years), 57 (68%; 95% CI 57 to 78%) complained of significant perturbation of functioning attributed to stroke. WSAS was highly significantly related to modified Rankin scale, daily living activities, Iowa Scale of Personality Changes and return to work at 1 year. Using ordinal logistic regression, the contributors to WSAS were initial neurological severity (NIHSS at admission), HAD and MMSE. CONCLUSIONS: The study showed that up to 68% of our patients complained of significant work and social dysfunction due to stroke, despite a good clinical outcome. This self-estimation was correlated to external validation criteria, stressing the high burden of stroke from the patient's viewpoint. Moreover, when compared across diseases, social dysfunctioning after mild stroke was as important as in other major disabling diseases. |
| Databáze: | OpenAIRE |
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