TY - JOUR
T1 - Lived experiences of chronic cognitive and mood symptoms among community-dwelling adults following stroke
T2 - a mixed-methods analysis
AU - Pappadis, Monique R.
AU - Krishnan, Shilpa
AU - Hay, Catherine C.
AU - Jones, Beata
AU - Sander, Angelle M.
AU - Weller, Susan C.
AU - Reistetter, Timothy A.
N1 - Funding Information:
This work was supported by the Agency for Healthcare Research and Quality (AHRQ) under Grants [R24 HS022134 and R01 HS024711]; the National Institute on Aging (NIA) under Grant [P30 AG024832]; UTMB Institute for Translational Sciences supported by the National Institutes of Health (NIH) Clinical and Translational Science Award under Grants [UL1TR001439 and KL2TR000072]; the National Institute on Minority Health and Health Disparities (NIMHD) [L60 MD009326]; and the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) under Grants [90AR5009 and 90SFGE0002]. NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the policy of AHRQ, NIH/NIA, NIMHD, NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ, NIH, NIA, NIMHD or NIDILRR.
Funding Information:
This work was supported by the Agency for Healthcare Research and Quality (AHRQ) under Grants [R24 HS022134 and R01 HS024711]; the National Institute on Aging (NIA) under Grant [P30 AG024832]; UTMB Institute for Translational Sciences supported by the National Institutes of Health (NIH) Clinical and Translational Science Award under Grants [UL1TR001439 and KL2TR000072]; the National Institute on Minority Health and Health Disparities (NIMHD) [L60 MD009326]; and the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) under Grants [90AR5009 and 90SFGE0002]. NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the policy of AHRQ, NIH/NIA, NIMHD, NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ, NIH, NIA, NIMHD or NIDILRR. This work was presented in part as a poster at the 2016 Annual Pepper Conference, April 18, 2016, Arlington, Virginia; and at the American Congress of Rehabilitation Medicine (ACRM) 2016 Annual Conference, November 3, 2016, Chicago, Illinois.
Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/9/2
Y1 - 2019/9/2
N2 - Objectives: Few studies have explored the lived experiences of chronic cognitive and mood symptoms following stroke using a racially/ethnically diverse sample. Therefore, we aimed to explore the perceptions of chronic post-stroke cognition and mood symptoms and goals among a racially/ethnically diverse sample of community-dwelling adults aging with stroke. Method: This qualitative study using mixed-methods analysis included semi-structured interviews regarding perceived post-stroke cognitive and mood symptoms among community-dwelling stroke survivors at least one-year post stroke. Transcripts were subjected to thematic content analysis, and differences in theme usage patterns by age, gender, race/ethnicity, and post-acute rehabilitation setting were assessed using an inferential clustering technique. Results: The majority of participants (93%) reported cognition-related themes, including language and communication, memory, thinking abilities, comprehension, visual-spatial processing, and cognitive assessments and training. Nearly half of participants mentioned mood-related themes, including depression, aggression and anger, mood fluctuations, anxiety, and psychological services and medication. Nearly half reported an unmet need for cognition or mood-related treatment. Inferential clustering analysis revealed that older participants reported a different pattern of cognitive and mood symptoms than those aged younger than 65 (p = 0.02). Older adults were more likely to describe post-stroke language/communication changes, while younger adults described post-stroke mood changes. Conclusion: Stroke survivors experienced cognitive and mood-related symptoms beyond one-year post stroke, which has implications for long-term assessment and management. Incorporation of continued symptom monitoring into existing community-based services is needed to address chronic cognitive and mood symptoms affecting the quality of life of persons with stroke.
AB - Objectives: Few studies have explored the lived experiences of chronic cognitive and mood symptoms following stroke using a racially/ethnically diverse sample. Therefore, we aimed to explore the perceptions of chronic post-stroke cognition and mood symptoms and goals among a racially/ethnically diverse sample of community-dwelling adults aging with stroke. Method: This qualitative study using mixed-methods analysis included semi-structured interviews regarding perceived post-stroke cognitive and mood symptoms among community-dwelling stroke survivors at least one-year post stroke. Transcripts were subjected to thematic content analysis, and differences in theme usage patterns by age, gender, race/ethnicity, and post-acute rehabilitation setting were assessed using an inferential clustering technique. Results: The majority of participants (93%) reported cognition-related themes, including language and communication, memory, thinking abilities, comprehension, visual-spatial processing, and cognitive assessments and training. Nearly half of participants mentioned mood-related themes, including depression, aggression and anger, mood fluctuations, anxiety, and psychological services and medication. Nearly half reported an unmet need for cognition or mood-related treatment. Inferential clustering analysis revealed that older participants reported a different pattern of cognitive and mood symptoms than those aged younger than 65 (p = 0.02). Older adults were more likely to describe post-stroke language/communication changes, while younger adults described post-stroke mood changes. Conclusion: Stroke survivors experienced cognitive and mood-related symptoms beyond one-year post stroke, which has implications for long-term assessment and management. Incorporation of continued symptom monitoring into existing community-based services is needed to address chronic cognitive and mood symptoms affecting the quality of life of persons with stroke.
KW - Cognition
KW - psychological and behavioral symptoms
KW - qualitative methods
KW - quality of life/wellbeing
KW - stroke
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U2 - 10.1080/13607863.2018.1481927
DO - 10.1080/13607863.2018.1481927
M3 - Article
C2 - 30369243
AN - SCOPUS:85055722655
SN - 1360-7863
VL - 23
SP - 1227
EP - 1233
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 9
ER -