Division of Rehabilitation Sciences, Sealy Center on Aging, Galveston, Texas, USA.
Disabil Rehabil. 2012;34(25):2119-23. doi: 10.3109/09638288.2012.673684. Epub 2012 Apr 16.
To examine the association between positive affect and social participation in adults with first-time stroke after in-patient medical rehabilitation.
A prospective cohort design using information from the Stroke Recovery in Underserved Populations database (SRUP) for the years 2005-2006. Data were collected at discharge from in-patient medical rehabilitation and 3 months post-discharge. Participants were aged 50 and older with first-time stroke (n = 605) and admitted to 1 of 11 in-patient medical rehabilitation facilities across the United States. Primary measures included a positive affect scale and a home and community social participation instrument.
The mean age was 71.6 years, 50.3% were women, and 56.5% were married. Results of cumulative logit models showed each 1 point increase in positive affect was significantly associated with a 17% odds of higher social participation (OR: 1.17, 95% CI 1.10, 1.25), after adjusting for demographics, clinical characteristics, and negative affect.
High positive affect at discharge from in-patient medical rehabilitation was associated with higher levels of social participation 3 months post-discharge. The significant association between higher positive affect and higher levels of social participation adds to accumulating evidence linking positive affect with beneficial physical and psychological outcomes after an acute event such as stroke.
探讨首次住院康复后成人中风后积极情绪与社会参与之间的关系。
采用前瞻性队列设计，利用 2005-2006 年中风弱势群体康复数据库（SRUP）的信息。数据在住院康复出院时和出院后 3 个月收集。参与者年龄在 50 岁及以上，患有首次中风（n=605），并在美国 11 家住院康复设施之一接受治疗。主要措施包括积极情绪量表和家庭与社区社会参与工具。
平均年龄为 71.6 岁，50.3%为女性，56.5%已婚。累积对数模型的结果表明，积极情绪每增加 1 分，社会参与度就会显著增加 17%（OR：1.17，95%CI 1.10，1.25），调整了人口统计学、临床特征和消极情绪因素后。
住院康复出院时的高积极情绪与出院后 3 个月的更高水平的社会参与相关。高积极情绪与更高水平的社会参与之间的显著关联，增加了积极情绪与中风等急性事件后有益的生理和心理结果之间的关联证据。
