Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Department of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Neuropsychol Rehabil. 2023 Jun;33(5):849-870. doi: 10.1080/09602011.2022.2051564. Epub 2022 Mar 17.
Many stroke patients and partners suffer from anxiety, depression, and low life satisfaction. Psychological factors such as coping style and self-efficacy can be protective factors within individuals. The close relationship between stroke patients and partners suggests that there may be interdependence in psychological functioning. The aim of this study was to examine intra- and interpersonal effects of coping style and self-efficacy on anxiety, depression, and life satisfaction in patient-partners couples. In this prospective cohort study, pro-active coping (UPCC), general self-efficacy (GSES), anxiety (HADS-A), depression (HADS-D), and life satisfaction (1-6 scale) were assessed in 215 couples at 2 and 12 months post-stroke. Effects within couples were assessed using structural equation modelling. Several intra- and interpersonal effects of coping style and self-efficacy at 2 months post-stroke were related to emotional health at 12 months post-stroke. Most effects were intrapersonal effects. The interpersonal effects were small but showed that pro-active coping by the patient was associated with lower anxiety of the partner. Higher self-efficacy of the partner was associated with lower depression scores and higher life satisfaction of the patient. This study underscores the importance of a dyadic approach to post-stroke functioning. It supports a family-based approach for treating post-stroke emotional problems.
许多中风患者及其伴侣都患有焦虑、抑郁和生活满意度低等问题。应对方式和自我效能等心理因素可以成为个体的保护因素。中风患者及其伴侣之间的密切关系表明，他们的心理功能可能存在相互依存关系。本研究旨在探讨应对方式和自我效能在中风患者及其伴侣的焦虑、抑郁和生活满意度中的个体内和个体间效应。在这项前瞻性队列研究中，我们在中风后 2 个月和 12 个月评估了 215 对夫妇的积极应对（UPCC）、一般自我效能感（GSES）、焦虑（HADS-A）、抑郁（HADS-D）和生活满意度（1-6 分）。使用结构方程模型评估了夫妻内的效应。中风后 2 个月时应对方式和自我效能的几个个体内和个体间效应与中风后 12 个月时的心理健康有关。大多数效应是个体内效应。人际间效应虽小，但表明患者的积极应对方式与伴侣的焦虑程度降低有关。伴侣的自我效能感越高，患者的抑郁评分越低，生活满意度越高。本研究强调了对中风后功能进行双重视角分析的重要性。它支持了一种基于家庭的方法来治疗中风后的情绪问题。
