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|Title: ||Exploring discrepant views of the quality of life of stroke survivors: a means of investigating adjustment to stroke|
|Authors: ||Todman, Jonathan|
|Supervisor(s): ||Laidlaw, Ken|
|Issue Date: ||2009|
|Publisher: ||The University of Edinburgh|
|Abstract: ||Objectives: Reviews have suggested that stroke patients and family members
frequently hold different impressions of the patient’s quality of life. Understanding such
differences may be particularly useful for clinicians who wish to help clients adjust to
the effects of a stroke. The aim of this study was to investigate how the responses of
stroke survivors and their family members differ when indicating the stroke survivors’
quality of life, and whether such differences are associated with greater time elapsed
since the stroke onset.
Design and Method: A related-subject design and a correlational design were utilised in
this study. People who had suffered a stroke within five years were compared with
nominated members of their family. All participants indicated the perceived quality of
life of the stroke survivor using the WHOQOL-BREF. The time elapsed since their
stroke was recorded and the participants’ mood was assessed.
Results: No significant differences were found between the stroke survivors and the
family members’ views of the stroke survivors’ quality of life. However, agreement
between these groups was found to be low in the Social domain of the WHOQOLBREF.
Greater time since the stroke onset was found to correlate with greater
discrepancy between groups in the Social domain, but not in the other domains.
Conclusions: The results suggest that families’ adjustment to stroke does not conclude
when improvement in function slows. Instead, a stroke continues to affect families years
after the initial stroke. These findings may be interpreted within the context of quality
of life response shift, where changes in the stroke survivors’ evaluation of their social
lives may not be identified by their families. This may reflect a common trajectory
following stroke. The methodological limitations of this study and suggestions for
future research are discussed.|
quality of life
|Appears in Collections:||Clinical Psychology thesis collection|
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