Evidence map›Paper›PMID 41930108›Full record

ArticleFrontiers in medicine2026

Factors associated with return to work in young and middle-aged stroke survivors: a prospective cohort study with a focus on psychological resilience.

Lili Wang, Xinping Bai, Xiaoxi Tan

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Lili WangDepartment of Neurology, Fuyang People's Hospital, Fuyang, China.
Xinping BaiDepartment of Neurology, Fuyang People's Hospital, Fuyang, China.
Xiaoxi TanDepartment of Neurology, Fuyang People's Hospital, Fuyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Return to work (RTW) is a core indicator for evaluating social functional recovery in young and middle-aged stroke survivors, holding significant importance for individuals, families, and society. However, RTW is influenced by multiple factors, and its predictive models remain underdeveloped, particularly regarding the independent contribution of psychosocial factors such as psychological resilience. Objective: To explore the multidimensional factors affecting RTW in young and middle-aged stroke survivors and to clarify the predictive value of psychological resilience. Methods: This prospective cohort study enrolled 253 young and middle-aged stroke survivors (aged 18-59 years) from Fuyang People's Hospital (January 2022-December 2024). Baseline assessments included demographic characteristics, clinical severity [National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS)], psychological resilience [10-item Connor-Davidson Resilience Scale (CD-RISC-10)], and physiological indicators. Return to work (RTW) status was assessed at 6 months post-stroke. Multivariable logistic regression identified independent factors associated with RTW, with results reported as adjusted odds ratios (aOR) and 95% confidence intervals (CI). Model discrimination was evaluated using the area under the receiver operating characteristic curve (AUC). Results: At 6 months post-stroke, 131 participants (51.8%) had returned to work. In multivariable analysis, higher psychological resilience (aOR per 1-point increase: 1.149; 95% CI: 1.088-1.213; Conclusion: The RTW status of young and middle-aged stroke survivors is jointly influenced by multiple factors, including age, severity of neurological deficits, economic income, and psychological resilience. Psychological resilience is a key protective predictive factor independent of traditional variables. Clinical rehabilitation assessment and intervention should integrate the evaluation of psychosocial resources, and implement early interventions for individuals with low psychological resilience to optimize their socio-occupational rehabilitation outcomes.

Indexed as

influencing factorslogistic regressionpsychological resiliencereturn to workstroke

Identifiers

PMID41930108
PMCPMC13038594

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