社会联系和参与如何与功能限制和中风后抑郁症状的结果有关
Joanne Elayoubi1, William E Haley1, Monica E Nelson1
1School of Aging Studies, University of South Florida, Tampa (J.E., W.E.H., M.E.N.).
Stroke
|June 26, 2023
概括
脑卒中后的社会联系和参与与更好的身体功能和更少的抑郁症状有关. 保持社会联系可以改善中风幸存者的康复和整体福祉.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 脑卒中经常导致长期残疾和抑郁.
- 在一般人群中,社交联系和参与是已知的预防功能衰退和抑郁症的保护因素.
研究的目的:
- 研究社会联系和参与对中风后个人功能轨迹和抑郁症状的影响.
主要方法:
- 一项对898名患有中风事件的参与者的纵向研究 (1998-2012).
- 多层次建模分析了社会联系/参与和日常生活工具活动 (IADLs) 变化与抑郁症状之间的关联.
- 对人口因素进行控制的模型;适度分析探讨了对高IADL损伤的影响.
主要成果:
- 社会联系和参与通常与较少的IADL限制和抑郁症状相关,无论是中风前后.
- 脑卒中前的志愿服务与较少的IADL限制增加有关. 卒中后增加的社会联系与较少的IADL限制有关.
- 孤独和缺少中风前的伴侣预测了更多的抑郁症状;附近的孩子与较少的抑郁症状增加有关.
结论:
- 社会联系和参与可以减轻中风的负面身体和心理后果.
- 促进社会参与和减少孤独的干预措施可以提高人口福祉和中风恢复.
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