ArticleJournal of neuropsychology2026
Self-concept and depressive symptoms three years after stroke: An evaluation of predictive value, the role of subdomains and individual importance.
Article in Journal of neuropsychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Depressive symptoms (DS) after stroke are associated with marked negative consequences for rehabilitation. Identifying determinants of DS is needed to enable prediction and develop psychological interventions. A promising candidate may be self-concept and changes thereof, so-called self-discrepancy. Consulting recent self-concept models, we investigated the role of self-concept subdomains and their individual importance. Within a prospective longitudinal study, 120 stroke survivors were interviewed via telephone 3 years post-ictus to assess present and past self-concept, self-discrepancy, self-concept subdomains and DS. The association of self-concept measures and DS was investigated using an ANCOVA. Controlling for established determinants (age, sex, history of depression, functional independence, social support), multiple regression analyses were used to examine the independent influence of self-concept measures and the role of subdomains and importance-weightings. Self-discrepancy showed a significant interaction with DS (F (1, 118) = 32.69, p < .001, η
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