Division of Rehabilitation Sciences, University of Texas Medical Branch.
Rehabil Psychol. 2010 Feb;55(1):33-39. doi: 10.1037/a0018744.
To investigate change in positive emotion over a 3-month follow-up period and determine whether this change is associated with recovery of functional status in persons with stroke.
A longitudinal study using information from the Stroke Recovery in Underserved Patients (SRUP) database. Positive emotion and functional status were assessed within 72 hours of discharge from an in-patient medical rehabilitation facility and at 3-month follow-up using established measurement instruments.
The study included 840 adults 55 years old or older with a first-time stroke and admitted to one of eleven in-patient medical rehabilitation facilities in the United States.
The mean age was 72.9 (SD = 9.52) years, 78.6% were non-Hispanic white and 51.7% were women. The average length of stay was 20.2 (SD =10.1) days and the most prevalent type of stroke was ischemic (75.0%). Positive emotion increased for 35.6% of the sample, decreased for 29.2%, and 35.2% reported no change. Increases in positive emotion change score compared to no change (b = -3.2, SE = 1.5, p = .032) or a decline (b = -8.9, SE = 1.4, p = or <.001) was significantly associated with improved functional status at the 3-month follow-up after adjusting for sociodemographic and clinical variables as well as depressive symptoms.
Positive emotion is a dynamic process and can change over time. In persons with stroke, increases in positive emotion over a 3-month period was significantly associated with an increasing likelihood of recovery of functional status compared to no change or a decline in positive emotion. Understanding factors that influence both increases and decreases in positive emotion has implications for stroke rehabilitation programming and quality of life post-hospital discharge.
调查 3 个月随访期间积极情绪的变化，并确定这种变化是否与脑卒中患者功能状态的恢复有关。
一项使用 Stroke Recovery in Underserved Patients（SRUP）数据库中的信息进行的纵向研究。在住院康复治疗机构出院后 72 小时内和 3 个月随访时，使用已建立的测量工具评估积极情绪和功能状态。
这项研究包括 840 名年龄在 55 岁及以上、首次发生脑卒中且入住美国 11 家住院康复治疗机构之一的成年人。
平均年龄为 72.9（SD=9.52）岁，78.6%为非西班牙裔白人，51.7%为女性。平均住院时间为 20.2（SD=10.1）天，最常见的脑卒中类型为缺血性（75.0%）。35.6%的样本积极情绪增加，29.2%的样本积极情绪减少，35.2%的样本报告无变化。与无变化（b=-3.2，SE=1.5，p=.032）或下降（b=-8.9，SE=1.4，p=.001 或<.001）相比，积极情绪变化评分增加与 3 个月随访时功能状态的改善显著相关，调整了社会人口统计学和临床变量以及抑郁症状后。
积极情绪是一个动态的过程，可以随时间而变化。在脑卒中患者中，与无变化或积极情绪下降相比，3 个月内积极情绪增加与功能状态恢复的可能性增加显著相关。了解影响积极情绪增加和减少的因素对脑卒中康复计划和出院后生活质量有影响。
