A study in persons later after stroke of the relationships between social participation, environmental factors and depression.
Clin Rehabil
; 31(3): 394-402, 2017 Mar.
Article
em En
| MEDLINE
| ID: mdl-27060096
ABSTRACT
OBJECTIVE:
To explore the impacts of social participation and the environment on depression among people with stroke.DESIGN:
Cross-sectional survey.SETTING:
Structured interviews in the participants' homes.SUBJECTS:
Community-dwelling persons with stroke in the rural areas of China ( N = 639).INTERVENTIONS:
Not applicable. MAINMEASURES:
Depression (Hamilton Rating Scale for Depression-6), activity and social participation (Chinese version of the World Health Organization's Disability Assessment Schedule 2.0), environmental barriers (Craig Hospital Inventory of Environmental Factors), neurological function (Canadian Neurological Scale).RESULTS:
A total of 42% of the variance in depression was explained by the environmental barriers, neurological function, activity, and social participation factors studied. Social participation, services/assistance, and attitudes/support were directly related to depression; their standardized regression coefficients were 0.530, 0.162, and 0.092, respectively ( p ⩽ 0.01). The physical environment, policies, and neurological function indirectly impacted depression. Depression influences social participation in turn, with a standardized regression coefficient of 0.29 ( p ⩽ 0.01).CONCLUSIONS:
Depression and social participation are inversely related. The physical environment, services/assistance, attitudes/support, and policies all impact post-stroke depression.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
/
Acidente Vascular Cerebral
/
Transtorno Depressivo
/
Planejamento Ambiental
/
Participação Social
/
Reabilitação do Acidente Vascular Cerebral
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Clin Rehabil
Assunto da revista:
REABILITACAO
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
China