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Defining and quantifying coping strategies after stroke: a review.
C Donnellan1, D Hevey, A Hickey
1Department of Medical Gerontology, Trinity College Dublin, Ireland. cdonnel@tcd.ie
Journal of Neurology, Neurosurgery, and Psychiatry
|October 18, 2006
Summary
Coping strategies after stroke significantly impact recovery. This review highlights limitations in current coping measures, emphasizing the need for clearer definitions and robust psychometric data in future stroke research.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Coping strategies mediate the relationship between stressors like stroke and patient outcomes.
- Psychological adaptation post-stroke is influenced by the coping mechanisms employed.
- Existing coping measures require evaluation for their utility in stroke recovery studies.
Purpose of the Study:
- To review and evaluate measures used to quantify coping strategies in psychological adaptation to stroke.
- To assess the conceptual basis, domains, strategies, and psychometric properties of coping measures in stroke patients.
Main Methods:
- Systematic literature search across four databases: Medline, CINAHL, PsychINFO, and Cochrane Systematic Reviews.
- Inclusion of 14 studies that assessed coping strategies in post-stroke patients.
- Analysis of ten different coping measures utilized in the reviewed studies.
Main Results:
- Significant limitations were identified across the reviewed studies.
- Few studies provided clear definitions of "coping".
- Psychometric properties (reliability and validity) of the coping measures were frequently under-reported.
Conclusions:
- There is a critical need for future research to clearly define the coping process in stroke survivors.
- Future studies must report comprehensive data on the reliability and validity of coping measures.
- Improved measurement tools are essential for accurately assessing coping strategies and their impact on stroke recovery.
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