Latent profiles of psychosocial adaptation in hospitalized persons with stroke and their association with coping styles and illness uncertainty: A cross-sectional study

Abstract

Objective

Current studies on psychosocial adaptation of persons with stroke mainly focused on the overall level and ignored its heterogeneity. The aim of the current study was to identify the latent profiles of psychosocial adaptation of persons with stroke and further explore their association with coping styles and illness uncertainty.

Methods

A total of 361 hospitalized persons with stroke were recruited at two affiliated hospitals of a medical university in southeastern China from October 2023 to March 2024. Latent profile analysis was used to identify latent profiles of psychosocial adaptation of persons with stroke.

Results

Three different profiles of psychosocial adaptation of persons with stroke were identified: good adaptation group (with the lowest item mean scores of the dimensions, accounted for 32.4 %), moderate adaptation-poor social environment group (with moderate item mean scores of the dimensions and with a high score in the social environment dimension, accounted for 51.5 %) and poor adaptation group (with the highest item mean scores of the dimensions, accounted for 16.1 %). Living status (OR = 0.20, p = 0.018; OR = 7.72, p < 0.001), per capita monthly household income (OR = 13.32, p = 0.015; OR = 13.08, p = 0.003; OR = 5.11, p = 0.038), medical payment methods (OR = 5.74, p = 0.015), mRS (OR = 0.37, p = 0.015), confrontation (OR = 0.77, p = 0.010), ambiguity (OR = 1.26, p < 0.001; OR = 1.22, p = 0.014) and complexity (OR = 1.15, p = 0.045) were associated with different profiles of psychosocial adaptation.

Conclusions

Nearly two-thirds of the persons with stroke exhibited moderate psychosocial adaptation or poor psychosocial adaptation, which needs further improvement. Healthcare providers need to adopt individualized approaches to improve their level of psychosocial adaptation in practice.