Åsa Franzén-Dahlin , Minh Tuan Hoang , Lena von Koch , Ann Charlotte Laska
{"title":"脑卒中幸存者残疾与照顾者负担维度之间关系的横断面研究","authors":"Åsa Franzén-Dahlin , Minh Tuan Hoang , Lena von Koch , Ann Charlotte Laska","doi":"10.1016/j.jocn.2025.111599","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Caregivers of stroke survivors, mostly spouses, experience significant strain. This study examined the associations between stroke survivors’ disabilities and their spouses’ psychological health and caregiver reactions.</div></div><div><h3>Materials and methods</h3><div>Six months post-stroke, we recruited four groups (30 dyads each) based on the stroke survivors’ disabilities at inclusion. A total of 118 dyads were included. Survivors were assessed using the Barthel Index, Mini–mental State, and modified Rankin Score. Groups included: No disability, Physical disability (Barthel Index ≤ 90), Cognitive disability (Mini-mental state ≤ 23), and Cognitive and Physical disability. Spouses were assessed using the Comprehensive Psychopathological Rating Scale–Self-Affective and the Caregiver Reaction Assessment Scale, which includes <em>Disrupted schedule, Lack of family support, Health problems, Financial problems,</em> and <em>Self-esteem.</em></div></div><div><h3>Results</h3><div>Any disability was associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems.</em> There were no significant differences between groups in the <em>Self-esteem</em> dimension. Physical disability, alone or combined with cognitive disability, was associated with <em>Financial problems</em>, whereas cognitive disability alone was not. An adjusted logistic regression model showed caregiver depression was significantly associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems.</em></div></div><div><h3>Conclusion and implications</h3><div>Six months post-stroke, any disability and caregiveŕs possible depression are associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems</em> among spouses of stroke survivors<em>.</em> Early rehabilitation should be provided to maximize stroke survivors’ functioning and minimize caregiver burden. Additionally, families should receive social support to help mitigate these challenges.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"141 ","pages":"Article 111599"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A cross-sectional study of associations between stroke survivors’ disability and caregiver burden dimensions\",\"authors\":\"Åsa Franzén-Dahlin , Minh Tuan Hoang , Lena von Koch , Ann Charlotte Laska\",\"doi\":\"10.1016/j.jocn.2025.111599\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>Caregivers of stroke survivors, mostly spouses, experience significant strain. This study examined the associations between stroke survivors’ disabilities and their spouses’ psychological health and caregiver reactions.</div></div><div><h3>Materials and methods</h3><div>Six months post-stroke, we recruited four groups (30 dyads each) based on the stroke survivors’ disabilities at inclusion. A total of 118 dyads were included. Survivors were assessed using the Barthel Index, Mini–mental State, and modified Rankin Score. Groups included: No disability, Physical disability (Barthel Index ≤ 90), Cognitive disability (Mini-mental state ≤ 23), and Cognitive and Physical disability. Spouses were assessed using the Comprehensive Psychopathological Rating Scale–Self-Affective and the Caregiver Reaction Assessment Scale, which includes <em>Disrupted schedule, Lack of family support, Health problems, Financial problems,</em> and <em>Self-esteem.</em></div></div><div><h3>Results</h3><div>Any disability was associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems.</em> There were no significant differences between groups in the <em>Self-esteem</em> dimension. Physical disability, alone or combined with cognitive disability, was associated with <em>Financial problems</em>, whereas cognitive disability alone was not. An adjusted logistic regression model showed caregiver depression was significantly associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems.</em></div></div><div><h3>Conclusion and implications</h3><div>Six months post-stroke, any disability and caregiveŕs possible depression are associated with <em>Disrupted schedule, Lack of family support,</em> and <em>Health problems</em> among spouses of stroke survivors<em>.</em> Early rehabilitation should be provided to maximize stroke survivors’ functioning and minimize caregiver burden. Additionally, families should receive social support to help mitigate these challenges.</div></div>\",\"PeriodicalId\":15487,\"journal\":{\"name\":\"Journal of Clinical Neuroscience\",\"volume\":\"141 \",\"pages\":\"Article 111599\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Neuroscience\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0967586825005727\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0967586825005727","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
A cross-sectional study of associations between stroke survivors’ disability and caregiver burden dimensions
Objectives
Caregivers of stroke survivors, mostly spouses, experience significant strain. This study examined the associations between stroke survivors’ disabilities and their spouses’ psychological health and caregiver reactions.
Materials and methods
Six months post-stroke, we recruited four groups (30 dyads each) based on the stroke survivors’ disabilities at inclusion. A total of 118 dyads were included. Survivors were assessed using the Barthel Index, Mini–mental State, and modified Rankin Score. Groups included: No disability, Physical disability (Barthel Index ≤ 90), Cognitive disability (Mini-mental state ≤ 23), and Cognitive and Physical disability. Spouses were assessed using the Comprehensive Psychopathological Rating Scale–Self-Affective and the Caregiver Reaction Assessment Scale, which includes Disrupted schedule, Lack of family support, Health problems, Financial problems, and Self-esteem.
Results
Any disability was associated with Disrupted schedule, Lack of family support, and Health problems. There were no significant differences between groups in the Self-esteem dimension. Physical disability, alone or combined with cognitive disability, was associated with Financial problems, whereas cognitive disability alone was not. An adjusted logistic regression model showed caregiver depression was significantly associated with Disrupted schedule, Lack of family support, and Health problems.
Conclusion and implications
Six months post-stroke, any disability and caregiveŕs possible depression are associated with Disrupted schedule, Lack of family support, and Health problems among spouses of stroke survivors. Early rehabilitation should be provided to maximize stroke survivors’ functioning and minimize caregiver burden. Additionally, families should receive social support to help mitigate these challenges.
期刊介绍:
This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology.
The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.