Predictors of distress following an acute stroke: Disability, control cognitions, and satisfaction with care

V Morrison, Marie Johnston, R MacWalter

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Whilst clinical predictors of distress following acute stroke have been identified (e.g., lesion site), this study hypothesised that greater prediction would be achieved by addressing individual differences in patients' cognitions (e.g., perceived control, satisfaction with care, recovery confidence) and coping responses. We examined these relationships in a longitudinal study of 71 survivors of acute stroke. Measures were collected at three time points: 10-20 days after the stroke, and one month and six months after hospital discharge. Stepwise multiple regression analyses were performed using only significant bivariate correlates and where the dependent variables were residualised scores which controlled for baseline levels of anxiety and depression. Satisfaction with treatment and confidence in recovery at one month predicted anxiety outcome at six months, and satisfaction with advice and confidence in recovery at one month predicted depression outcome at six months. These results offer tentative suggestions for interventions targeting patient cognitions and improving patient satisfaction.
Original languageEnglish
Pages (from-to)395-407
Number of pages13
JournalPsychology & Health
Volume15
Issue number3
DOIs
Publication statusPublished - May 2000

Fingerprint

Cognition
Stroke
Anxiety
Depression
Patient Satisfaction
Individuality
Longitudinal Studies
Survivors
Regression Analysis
Therapeutics

Keywords

  • acute stroke
  • depression
  • anxiety
  • perceived control
  • patient satisfaction

Cite this

Predictors of distress following an acute stroke : Disability, control cognitions, and satisfaction with care . / Morrison, V; Johnston, Marie; MacWalter, R.

In: Psychology & Health, Vol. 15, No. 3, 05.2000, p. 395-407.

Research output: Contribution to journalArticle

@article{4caf2bdaabcc4829bf13ce63487c3428,
title = "Predictors of distress following an acute stroke: Disability, control cognitions, and satisfaction with care",
abstract = "Whilst clinical predictors of distress following acute stroke have been identified (e.g., lesion site), this study hypothesised that greater prediction would be achieved by addressing individual differences in patients' cognitions (e.g., perceived control, satisfaction with care, recovery confidence) and coping responses. We examined these relationships in a longitudinal study of 71 survivors of acute stroke. Measures were collected at three time points: 10-20 days after the stroke, and one month and six months after hospital discharge. Stepwise multiple regression analyses were performed using only significant bivariate correlates and where the dependent variables were residualised scores which controlled for baseline levels of anxiety and depression. Satisfaction with treatment and confidence in recovery at one month predicted anxiety outcome at six months, and satisfaction with advice and confidence in recovery at one month predicted depression outcome at six months. These results offer tentative suggestions for interventions targeting patient cognitions and improving patient satisfaction.",
keywords = "acute stroke, depression, anxiety, perceived control, patient satisfaction",
author = "V Morrison and Marie Johnston and R MacWalter",
year = "2000",
month = "5",
doi = "10.1080/08870440008402001",
language = "English",
volume = "15",
pages = "395--407",
journal = "Psychology & Health",
issn = "0887-0446",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Predictors of distress following an acute stroke

T2 - Disability, control cognitions, and satisfaction with care

AU - Morrison, V

AU - Johnston, Marie

AU - MacWalter, R

PY - 2000/5

Y1 - 2000/5

N2 - Whilst clinical predictors of distress following acute stroke have been identified (e.g., lesion site), this study hypothesised that greater prediction would be achieved by addressing individual differences in patients' cognitions (e.g., perceived control, satisfaction with care, recovery confidence) and coping responses. We examined these relationships in a longitudinal study of 71 survivors of acute stroke. Measures were collected at three time points: 10-20 days after the stroke, and one month and six months after hospital discharge. Stepwise multiple regression analyses were performed using only significant bivariate correlates and where the dependent variables were residualised scores which controlled for baseline levels of anxiety and depression. Satisfaction with treatment and confidence in recovery at one month predicted anxiety outcome at six months, and satisfaction with advice and confidence in recovery at one month predicted depression outcome at six months. These results offer tentative suggestions for interventions targeting patient cognitions and improving patient satisfaction.

AB - Whilst clinical predictors of distress following acute stroke have been identified (e.g., lesion site), this study hypothesised that greater prediction would be achieved by addressing individual differences in patients' cognitions (e.g., perceived control, satisfaction with care, recovery confidence) and coping responses. We examined these relationships in a longitudinal study of 71 survivors of acute stroke. Measures were collected at three time points: 10-20 days after the stroke, and one month and six months after hospital discharge. Stepwise multiple regression analyses were performed using only significant bivariate correlates and where the dependent variables were residualised scores which controlled for baseline levels of anxiety and depression. Satisfaction with treatment and confidence in recovery at one month predicted anxiety outcome at six months, and satisfaction with advice and confidence in recovery at one month predicted depression outcome at six months. These results offer tentative suggestions for interventions targeting patient cognitions and improving patient satisfaction.

KW - acute stroke

KW - depression

KW - anxiety

KW - perceived control

KW - patient satisfaction

U2 - 10.1080/08870440008402001

DO - 10.1080/08870440008402001

M3 - Article

VL - 15

SP - 395

EP - 407

JO - Psychology & Health

JF - Psychology & Health

SN - 0887-0446

IS - 3

ER -