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Modeling the evolution of disability acceptance after hypertensive intracerebral hemorrhage: a latent growth analysis
Zuo Lian Zhang1, Xi Liu2, Song Bin Huang1
1Heyuan People's Hospital, Heyuan, China.
Background:
Psychological adaptation to acquired disability, conceptualized as disability acceptance, is crucial for recovery after hypertensive intracerebral hemorrhage (HICH). However, the longitudinal course of disability acceptance remains unclear.
Objective:
This study aimed to model the developmental trajectory of disability acceptance over six months post-discharge in HICH patients and to examine the effects of self-efficacy (time-varying) and age (time-invariant) on this trajectory.
Methods:
A prospective longitudinal study was conducted with 114 HICH patients. Disability acceptance and self-efficacy were assessed at discharge (T0), 1 month (T1), 3 months (T2), and 6 months (T3) post-discharge. Unconditional and conditional latent growth models (LGMs) were fitted to the data to identify the optimal growth form and to test the predictive effects of covariates.
Results:
The optimal trajectory was nonlinear, showing initial growth then stabilization. Self-efficacy showed a strong, time-specific positive association with concurrent disability acceptance (β: 0.522-0.562, p < 0.001). Age positively predicted the rate of change (slope: β= 0.309, p < 0.01) but not the initial level.
Conclusion:
Disability acceptance in HICH evolves dynamically early on. Self-efficacy consistently supports acceptance, whereas age is associated with the speed of improvement. Early interventions targeting self-efficacy could optimize psychological recovery.
