ArticleBMC psychiatry2019
Associations of psychological distress with positive psychological variables and activities of daily living among stroke patients: a cross-sectional study.
Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Hope and Anxiety: A Meta-analytic Review.Journal of clinical psychology · 2026Pooled it
- The burden of psychological distress in stroke survivors: a systematic review and meta-analysis of sociodemographic and behavioral factors.Frontiers in public health · 2026Pooled it
- Effects of Positive Event Recording on Rehabilitation Outcomes in Elderly Patients with Coronary Heart Disease and Anxiety.Clinical interventions in aging · 2026Trial
- Impact of Hope on Stroke Patients Receiving a Spiritual Care Program in Iran: A Randomized Controlled Trial.Journal of religion and health · 2024Trial
- Effects of Functional Electrical Stimulation Combined With Usual Physiotherapy on Hand Pain and Function in Stroke: Protocol for a Double-Blind Randomized Controlled Trial.Health science reports · 2026Article
- Association between Life Satisfaction and Incident Stroke in Middle-Aged and Older Chinese Adults: A Prospective Cohort Study from the CHARLS.Cerebrovascular diseases extra · 2026Article
- Psychological distress in stroke patients: latent class analysis and influencing factors.Frontiers in psychiatry · 2026Article
- Self-efficacy mediates the effect of hope on health promotion intention in Chinese stroke patients.Scientific reports · 2025Article
- Leisure activities indirectly affect depression in older chinese adults through activities of daily living and self-rated health.Scientific reports · 2025Article
- Predictive factors of stigma in stroke patients based on logistic regression and decision tree mode.Pakistan journal of medical sciences · 2025Article
- Enhancing long-term adherence in elderly stroke rehabilitation through a digital health approach based on multimodal feedback and personalized intervention.Scientific reports · 2025Article
- Relationships Between Symptom Distress and Positive Psychological Variables Among Stroke Patients: A Network Analysis.International journal of general medicine · 2025Article
- Health Belief Clusters Among Stroke Patients: Insights for Tailored Interventions Using Latent Profile Analysis.Patient preference and adherence · 2025Article
- A Bibliometric Analysis of Research Trends in Psychological Interventions for Stroke Survivors: Focusing on Resilience and Psychological Well-Being (2000-2024).Journal of multidisciplinary healthcare · 2025Review
- Psychometric properties of the Chinese-version Behavioral Inhibition System/Behavioral Activation System Scales among stroke survivors with depressive symptoms.International journal of nursing sciences · 2025Article
- Adherence to rehabilitation exercise and influencing factors among people with acute stroke: a cross-sectional study.Frontiers in neurology · 2025Article
- Clinical observational studies of potential participants' current negative affect status for a clinical study of stem cell therapy for ischemic stroke: study protocol.Frontiers in neurology · 2025Article
- The moderating role of caring for grandchildren in the relationship between functional abilities and depression of aged parents in rural China.Frontiers in public health · 2025Article
- Association between social participation and hope levels in stroke patients: a cross-sectional study.Frontiers in psychology · 2025Article
- Health-Related Quality of Life of Post-Stroke Patients in a Public Hospital.Brain & NeuroRehabilitation · 2024Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDepression and anxiety result in psychological distress, which can further affect mental status and quality of life in stroke patients. Exploring the associations between positive psychological variables and symptoms of psychological distress following stroke is of great significance for further psychological interventions.
methodsA total of 710 stroke patients from the five largest cities in Liaoning Province in China were enrolled into the present study in July 2014. All patients independently completed the questionnaires with respect to psychological distress and positive psychological variables. Depressive and anxiety symptoms were evaluated using Center for Epidemiologic Studies Depression Scale (CES-D) and Self-Rating Anxiety Scale, respectively. Positive psychological variables were evaluated using Perceived Social Support Scale, Adult Hope Scale (AHS), General Perceived Self-Efficacy Scale and Resilience Scale-14 (RS-14). Activities of Daily Living (ADL) was measured using Barthel Index. Factors associated with psychological variables and depressive and anxiety symptoms were identified using t-test, ANOVA, correlation and hierarchical linear regression analysis.
resultsDepressive and anxiety symptoms were present in 600 of 710 (84.51%) and 537 of 710 (75.63%) stroke patients enrolled, respectively. Social support (β = - 0.111, p < 0.001) and hope (β = - 0.120, p < 0.001) were negatively associated with both depressive and anxiety symptoms. Resilience (β = - 0.179, p < 0.001) was negatively associated with depressive symptoms. Self-efficacy (β = - 0.135, p < 0.001) was negatively associated with anxiety symptoms. Hierarchical regression analyses indicated that ADL accounted for 10.0 and 6.0% of the variance of depressive and anxiety symptoms, respectively. Social support, resilience, self-efficacy and hope as a whole accounted for 7.5 and 5.3% of the variance of depressive and anxiety symptoms.
conclusionsThe high frequency of depressive and anxiety symptoms among Chinese stroke survivors should receive attentions from all stakeholders. Findings suggested that intervention strategies on ADL, social support, hope, resilience and self-efficacy could be developed to improve psychosocial outcomes for stroke survivors.
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