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Coping strategies as determinants of quality of life in stroke patients: a longitudinal study

Coping strategies as determinants of quality of life in stroke patients: a longitudinal study
Coping strategies as determinants of quality of life in stroke patients: a longitudinal study
Background: quality of life (QoL) is reduced for stroke patients and coping strategies have been suggested as determinants of QoL. Thus far the relationship between coping and QoL has only been examined in small-scale cross-sectional designs. Therefore, the current study set out to examine this relationship in a longitudinal setting.

Methods: stroke patients who were discharged home were interviewed at 4 different time points; just before discharge (T1), and 2 months (T2), 5 months (T3) and 9–12 months after discharge (T4). QoL was measured by the EQ-5D index score and the SF-36 utility score and coping expressed in terms of tenacious goal pursuit and flexible goal adjustment. Modified Rankin scale was assessed as a measure of general functioning.

Results: eighty stroke patients were included. Coping was not predictive of QoL at T1 and T2 but rather at T3 and T4. At T4 both coping strategies determined the levels of QoL as measured with the EQ-5D index score; higher levels of tenacious goal pursuit as well as flexible goal adjustment were associated with higher levels of QoL. This regression model explained 44% of the variance. Conclusions: Coping is a powerful determinant of QoL, but only more than 5 months after discharge; before this time QoL is mainly determined by general functioning. Both coping strategies were important determinants of QoL
1015-9770
401-407
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Dippel, Diederik W.J.
a4c7d5b9-3ff0-4ac0-984d-62d2d77b51e0
Ribbers, Gerard M.
8ec3b578-6bf6-4bce-ae67-f4446430c7ed
van Balen, Romke
827ccfff-c9f5-490c-a706-de50030c630b
Passchier, Jan
d380f180-41f2-4fcf-a481-5c5dfc8fe643
Busschbach, Jan J.V.
e9d1f8e3-316b-445a-b449-831889685d0e
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Dippel, Diederik W.J.
a4c7d5b9-3ff0-4ac0-984d-62d2d77b51e0
Ribbers, Gerard M.
8ec3b578-6bf6-4bce-ae67-f4446430c7ed
van Balen, Romke
827ccfff-c9f5-490c-a706-de50030c630b
Passchier, Jan
d380f180-41f2-4fcf-a481-5c5dfc8fe643
Busschbach, Jan J.V.
e9d1f8e3-316b-445a-b449-831889685d0e

Darlington, Anne-Sophie E., Dippel, Diederik W.J., Ribbers, Gerard M., van Balen, Romke, Passchier, Jan and Busschbach, Jan J.V. (2007) Coping strategies as determinants of quality of life in stroke patients: a longitudinal study. Cerebrovascular Diseases, 23 (5-6), 401-407. (doi:10.1159/000101463). (PMID:17406109)

Record type: Article

Abstract

Background: quality of life (QoL) is reduced for stroke patients and coping strategies have been suggested as determinants of QoL. Thus far the relationship between coping and QoL has only been examined in small-scale cross-sectional designs. Therefore, the current study set out to examine this relationship in a longitudinal setting.

Methods: stroke patients who were discharged home were interviewed at 4 different time points; just before discharge (T1), and 2 months (T2), 5 months (T3) and 9–12 months after discharge (T4). QoL was measured by the EQ-5D index score and the SF-36 utility score and coping expressed in terms of tenacious goal pursuit and flexible goal adjustment. Modified Rankin scale was assessed as a measure of general functioning.

Results: eighty stroke patients were included. Coping was not predictive of QoL at T1 and T2 but rather at T3 and T4. At T4 both coping strategies determined the levels of QoL as measured with the EQ-5D index score; higher levels of tenacious goal pursuit as well as flexible goal adjustment were associated with higher levels of QoL. This regression model explained 44% of the variance. Conclusions: Coping is a powerful determinant of QoL, but only more than 5 months after discharge; before this time QoL is mainly determined by general functioning. Both coping strategies were important determinants of QoL

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Published date: May 2007
Organisations: Faculty of Medicine, Faculty of Health Sciences

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Local EPrints ID: 198683
URI: http://eprints.soton.ac.uk/id/eprint/198683
ISSN: 1015-9770
PURE UUID: a3ab5682-4fd4-4be5-b812-9b449b610ba1

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Date deposited: 05 Oct 2011 14:11
Last modified: 16 Jul 2019 23:23

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Contributors

Author: Diederik W.J. Dippel
Author: Gerard M. Ribbers
Author: Romke van Balen
Author: Jan Passchier
Author: Jan J.V. Busschbach

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