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Published on: December 16, 2022
Dyadic adjustment for younger individuals following stroke: A cross-sectional study
Jordan Kwamanakweenda1, Masaru Teramoto1, Alexandra L Terrill1
1Department of Physical Medicine & Rehabilitation, University of Utah.
Rehabilitation Psychology
|June 4, 2026
Summary
Younger couples coping with stroke show greater interdependence in depression and social role satisfaction outcomes. These findings highlight key factors influencing long-term stroke recovery and life participation for both survivors and care partners.
Area of Science:
- Neuroscience
- Psychology
- Sociology
Background:
- Stroke significantly impacts individuals and their care partners, affecting recovery and life participation.
- Understanding dyadic dynamics in stroke recovery is crucial for developing effective support strategies.
- Age-related differences in coping mechanisms and outcomes within couples affected by stroke require further investigation.
Purpose of the Study:
- To examine age-related differences between younger and older couples coping with stroke.
- To investigate the impact of one dyad member's depression and satisfaction on the other.
- To identify factors influencing stroke recovery and long-term outcomes in different age groups.
Main Methods:
- Cross-sectional secondary analysis of baseline data from 34 couples coping with stroke.
- Utilized self-reported measures for depressive symptoms (Patient Health Questionnaire) and satisfaction with social roles (Patient-Reported Outcomes Measurement Information System Satisfaction with Social Roles).
- Employed actor-partner interdependence models to analyze dyadic relationships.
Main Results:
- Younger stroke survivors were more likely to be unemployed, have young children, and lower education levels.
- Significant inverse correlations between depressive symptoms and social role satisfaction were observed, especially in younger dyads.
- In younger couples, survivors' social role satisfaction was linked to both their own and their partner's depression; in older couples, only partner depression showed a significant association.
Conclusions:
- Younger couples coping with stroke exhibit greater mutual influence and poorer recovery outcomes compared to older couples.
- Depression and social role satisfaction are interconnected within stroke survivor dyads, with varying influence based on age.
- These findings emphasize the importance of considering dyadic dynamics and age in stroke recovery interventions and support.
