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Staying married after stroke: a constructivist grounded theory qualitative study.

Sharon Anderson1, Norah C Keating2,3,4,5, Donna M Wilson6

  • 1a Department of Human Ecology , University of Alberta , Edmonton , Alberta , Canada.

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Summary
This summary is machine-generated.

Marriages significantly impact health after stroke. This study found that couples reconstruct their marital identity by recalibrating roles, managing conflict, and finding value, which is crucial for well-being.

Keywords:
Marriageidentityinterpersonal relationsqualitativestroketransition

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Area of Science:

  • Stroke research
  • Marital dynamics
  • Health outcomes

Background:

  • Marriages are strong predictors of health and longevity.
  • Stroke research has historically separated survivor impairments from spousal caregiving experiences.

Purpose of the Study:

  • To explore marital reconstruction or breakdown after stroke.
  • To identify key themes in long-term marriages following a stroke event.

Main Methods:

  • A constructivist grounded theory approach was used.
  • Semi-structured interviews were conducted with 18 couples (long-term marriages).
  • Constant comparison analysis differentiated couples experiencing positive relationship outcomes from those who separated or had parallel marriages.

Main Results:

  • An overarching process of reconstructing compatible role-identities was identified.
  • Key themes included feeling overwhelmed, resolving conflict, and perceiving value in the marriage.
  • These themes influenced marital reconstruction or breakdown post-stroke.

Conclusions:

  • Marriages serve as a context for survivors and spouses to recalibrate role-identities.
  • Marital relationships are fundamental to managing stroke impairments and promoting couple well-being.
  • Marriage is integral, not peripheral, to post-stroke outcomes.