ArticleArchives of physical medicine and rehabilitation2023
The Moderating Role of Motivation in the Real-Time Associations of Fatigue, Cognitive Complaints, and Pain With Depressed Mood Among Stroke Survivors: An Ecological Momentary Assessment Study.
Article in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Ecological Momentary Assessment of Daily Activities in Individuals With Neurological Disorders: Scoping Review.JMIR rehabilitation and assistive technologies · 2026Review
- Staying Active: Promoting Activity Engagement for Poststroke Pain Management With Insights From Ecological Momentary Assessment.Archives of physical medicine and rehabilitation · 2026Observational
- Neuroimmune Mechanisms and Emerging Intervention Strategies for Post-Stroke Fatigue: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Unveiling the chain mediation model of sleep quality and fatigue in linking subjective exercise experience to depression in adolescent.PloS one · 2026Article
- Neurorehabilitation needs a qualitative perspective: a case exemplar from stroke recovery and rehabilitation.Frontiers in human neuroscience · 2026Article
- Early functional recovery and clinical risk profiles predict distinct trajectories of post-stroke depression: a one-year longitudinal analysis.BMC neurology · 2025Article
- Differential associations of passively sensed behaviors with in-vivo depression symptoms.Journal of psychopathology and clinical science · 2025Article
- Dynamic influence of mood on subjective cognitive complaints in mild cognitive impairment: A time series network analysis approach.International psychogeriatrics · 2025Article
- Analysis of factors affecting acute fatigue in patients with acute ischemic stroke: A single-center study from China.Clinics (Sao Paulo, Brazil) · 2025Article
- Article
- Daily patterns of fatigue after subarachnoid haemorrhage: an ecological momentary assessment study.Journal of rehabilitation medicine · 2023Observational
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveStroke symptoms fluctuate during the day as stroke survivors participate in daily activities. Understanding the real-time associations among stroke symptoms and depressed mood, as well as the role of motivation for daily activities, informs, and post-stroke symptom management in the context of everyday living. This study aimed to (1) investigate the real-time associations of fatigue, cognitive complaints, and pain with depressed mood and (2) examine the role of motivation for daily activity participation as a potential moderator of these associations in stroke survivors.
designA prospective cohort study involving 7 days of ecological momentary assessment (EMA), during which participants completed 8 EMA surveys per day. Multilevel modeling was used to analyze data.
settingCommunity.
participantsForty community-dwelling stroke survivors (N=40).
interventionsNot applicable.
main outcome measuresEMA measures of depressed mood, stroke symptoms (physical and mental fatigue, cognitive complaints, and pain), and motivation (autonomous motivation, controlled motivation).
resultsHigher levels of within- and between-person physical fatigue, mental fatigue, cognitive complaints, and pain were momentarily associated with greater depressed mood (Ps<.001). Within-person autonomous motivation significantly buffered the momentary associations of physical fatigue (B=-0.06, P<.001), mental fatigue (B=-0.04, P=.032), and pain (B=-0.21, P<.001) with depressed mood.
conclusionsFindings indicate the momentary associations of fatigue, cognitive complaints, and pain with depressed mood in stroke survivors. Autonomous motivation underpinning daily activity participation was found to buffer the associations of fatigue and pain with depressed mood. Promoting autonomous motivation for daily activity participation may be viable for preventing and mitigating poststroke depression.
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