Characteristics of anxiety and psychological well-being in chronic post-stroke patients

J Neurol Sci. 2014 Mar 15;338(1-2):191-6. doi: 10.1016/j.jns.2014.01.005. Epub 2014 Jan 9.

Abstract

Background and purpose: Anxiety and depression are common psychological conditions in post-stroke patients. In the present study, their relation with perceived quality of life and psychophysical well-being was investigated.

Methods: In the present cross-sectional study, chronic post-stroke patients (n=81; average years from stroke=4 ± 4.6) were assessed with the Hospital Anxiety and Depression Scale (HADS), the 36-item Short-Form Healthy Survey (SF-36) and the Psychological General Well-Being Index (PGWBI), as well as a brief neuropsychological assessment focused on the thinking ability and executive functions.

Results: Higher levels of anxiety compared to depressive symptoms were found. Hierarchical multiple regressions indicated that SF-36 predicts neither anxiety nor depression, and PGWBI subscales only partially.

Conclusion: Post-stroke anxiety can be a largely observed psychological distress in chronic patients: this pattern would be interpreted in relation to patients' expectations about their health status during a rehabilitation follow-up. SF-36 and PGWBI questionnaires did not provide satisfactory and reliable indexes: the relation between anxiety and both quality of life and psychological well-being needs further exploration.

Keywords: Anxiety; Cognition; Depression; Quality of life; Stroke; Well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / etiology*
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology*
  • Cross-Sectional Studies
  • Depression / etiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Stroke / complications*
  • Stroke / psychology*
  • Surveys and Questionnaires