Predictors of psychological health in spouses of persons affected by stroke.

AIM

To identify predictors of psychological health and examine if these predictors change over time in spouses of stroke patients during the first year after stroke. A second aim was to identify gender differences in psychological health among the spouses.

BACKGROUND

The impact of burden in long-term caregivers may result in psychological consequences for the spouse. The rehabilitation process for the patient can be negatively affected by a stressed caregiver and result in long-term hospitalization. To identify spouses at risk for physical and psychological distress is, therefore, essential to support those in need.

DESIGN

Longitudinal, comparative study.

METHODS

One hundred spouses of stroke patients were assessed at baseline, as well as after six and 12 months, regarding psychological health, well-being, own illness, need of assistance from general practitioner and/or district nurse, social network and knowledge about stroke. Stepwise multiple regression analyses were conducted for baseline, six- and 12-month assessments, respectively, with psychological health as the dependent variable.

RESULTS

General well-being and presence of illness in spouse were the most prominent predictors of psychological health, throughout the first year.

CONCLUSIONS

Enhancing psychological health and preventing medical problems in the caregiver are essential considerations to enable patients with stroke-related disabilities to continue to live at home.

RELEVANCE TO CLINICAL PRACTICE

Evaluating the situation for spouses of stroke patients is an important component when planning for the future care of the patient.