TY - JOUR
T1 - Illness perceptions of stroke survivors
T2 - Predictors and changes over time – A 1 year follow-up study
AU - SCORE-study group
AU - Groeneveld, I. F.
AU - van der Pas, S. L.
AU - Meesters, J. J.L.
AU - Schuurman, J. M.
AU - van Meijeren-Pont, W.
AU - Jagersma, E.
AU - Goossens, P. H.
AU - Kaptein, A. A.
AU - Vliet Vlieland, T. P.M.
N1 - Funding Information: This work was supported by the Stichting Kwaliteitsgelden Medisch Specialisten (Medical Specialist Quality Fund; the Netherlands, project nr 328534072014 ). Publisher Copyright: © 2018 Elsevier Inc. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/1
Y1 - 2019/1
N2 - Objective: To describe the illness perceptions (IP) of stroke patients in the first year post stroke; to identify patient clusters with comparable IP trajectories and determine their associations with health. Methods: This prospective study included consecutive stroke patients after medical rehabilitation. Three and 12 months post stroke they completed the Brief Illness Perception Questionnaire (B-IPQ) and questionnaires on physical and mental health. All eight IP and their changes over time were described. Clusters of patients with comparable IP trajectories were constructed by k-means clustering, with subsequent comparison of patient characteristics. Multivariable logistic regression analyses were conducted to determine the association between IP clusters and 12-month mental health. Results: Hundred-and-eighty-four patients were included (men n = 107 [58.2%]; mean age 61.1 [SD 12.7] years). At 3 months, the scores of the IP coherence (mean 3.0, SD 2.3) and treatment control (mean 3.2, SD 2.5) were lowest (best), and consequences (mean 6.1, SD 2.8) and anticipated timeline (mean 6.0, SD 2.7) were highest (worst). At 12 months, the timeline and treatment control scores had significantly worsened. Three clusters of the trajectories of IP were identified, and designated as ‘favourable’, ‘average’, and ‘unfavourable’. The unfavourable cluster was significantly associated with worse physical and mental health at 3 months (unadjusted) and depressive symptoms at 12 months. Conclusion: Stroke patients' IP partly changed between 3 and 12 months post stroke. Patients with an unfavourable IP trajectory had a higher chance of depressive symptoms at 12 months. Illness perceptions could be considered as an additional target of treatment.
AB - Objective: To describe the illness perceptions (IP) of stroke patients in the first year post stroke; to identify patient clusters with comparable IP trajectories and determine their associations with health. Methods: This prospective study included consecutive stroke patients after medical rehabilitation. Three and 12 months post stroke they completed the Brief Illness Perception Questionnaire (B-IPQ) and questionnaires on physical and mental health. All eight IP and their changes over time were described. Clusters of patients with comparable IP trajectories were constructed by k-means clustering, with subsequent comparison of patient characteristics. Multivariable logistic regression analyses were conducted to determine the association between IP clusters and 12-month mental health. Results: Hundred-and-eighty-four patients were included (men n = 107 [58.2%]; mean age 61.1 [SD 12.7] years). At 3 months, the scores of the IP coherence (mean 3.0, SD 2.3) and treatment control (mean 3.2, SD 2.5) were lowest (best), and consequences (mean 6.1, SD 2.8) and anticipated timeline (mean 6.0, SD 2.7) were highest (worst). At 12 months, the timeline and treatment control scores had significantly worsened. Three clusters of the trajectories of IP were identified, and designated as ‘favourable’, ‘average’, and ‘unfavourable’. The unfavourable cluster was significantly associated with worse physical and mental health at 3 months (unadjusted) and depressive symptoms at 12 months. Conclusion: Stroke patients' IP partly changed between 3 and 12 months post stroke. Patients with an unfavourable IP trajectory had a higher chance of depressive symptoms at 12 months. Illness perceptions could be considered as an additional target of treatment.
KW - “Depressive symptoms”
KW - “Health outcomes”
KW - “Illness perceptions”
KW - “Longitudinal study”
KW - “Rehabilitation”
KW - “Stroke”
UR - http://www.scopus.com/inward/record.url?scp=85057265034&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jpsychores.2018.10.019
DO - https://doi.org/10.1016/j.jpsychores.2018.10.019
M3 - Article
C2 - 30654994
SN - 0022-3999
VL - 116
SP - 54
EP - 61
JO - Journal of psychosomatic research
JF - Journal of psychosomatic research
ER -