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  11. Latent Profiles Of Psychosocial Adaptation In Hospitalized Persons With Stroke And Their Association With Coping Styles And Illness Uncertainty: A Cross-sectional Study

Latent profiles of psychosocial adaptation in hospitalized persons with stroke and their association with coping styles and illness uncertainty: A cross-sectional study

Qianying Deng1, Yingjie Fu2, Yuenv Wang2

  • 1School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Zhejiang, China.

Journal of Psychosomatic Research
|March 12, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Most stroke survivors show moderate to poor psychosocial adaptation, highlighting the need for tailored healthcare interventions. Understanding individual coping styles and illness uncertainty is key to improving adaptation in stroke patients.

Area of Science:

  • Neurology
  • Psychology
  • Rehabilitation Medicine

Background:

  • Psychosocial adaptation in stroke survivors is complex and often overlooked in its heterogeneity.
  • Previous research has primarily focused on overall adaptation levels, neglecting distinct patient subgroups.

Purpose of the Study:

  • To identify distinct latent profiles of psychosocial adaptation among stroke survivors.
  • To investigate the association between these profiles, coping styles, and illness uncertainty.

Main Methods:

  • Latent profile analysis was employed to categorize psychosocial adaptation.
  • 361 hospitalized stroke patients in southeastern China participated between October 2023 and March 2024.

Main Results:

  • Three psychosocial adaptation profiles were identified: good (32.4%), moderate with a poor social environment (51.5%), and poor (16.1%).
Keywords:
Coping stylesIllness uncertaintyLatent profile analysisPersons with stroke

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  • Living status, income, medical payment, modified Rankin Scale scores, and illness uncertainty (ambiguity, complexity) were significantly associated with adaptation profiles.

    • Conclusions:

    • A significant majority of stroke survivors (nearly two-thirds) exhibit moderate or poor psychosocial adaptation.
    • Individualized healthcare strategies are essential to enhance psychosocial adaptation in stroke patients.
    Psychosocial adaptation