Abstract:
OBJECTIVE:Accumulating evidence indicates the beneficial effects of positive emotion on health and general well-being in older age. Less evidence is available on whether positive emotion supports improvement in functional status after an acute medical event such as stroke. This study examined the association between positive emotion at discharge from inpatient medical rehabilitation and functional status 3 months later in persons with stroke. METHODS:A longitudinal study using information from the Stroke Recovery in Underserved Patients database. The study included 823 persons aged 55 years or older with stroke and admitted to an inpatient medical rehabilitation facility. Information was collected during inpatient medical rehabilitation stay and approximately 3 months after discharge. RESULTS:The mean age of the sample was 72.8 years (SD = 9.5), 51.5% were women and 53.8% were married. The sample was mostly non-Hispanic white (79.2%), followed by non-Hispanic black (15.0%) and Hispanic (5.8%). The average length of stay was 20.1 day (SD = 10.1). In multivariate regression analyses, discharge positive emotion score was significantly associated with higher overall functional status (b = 0.70, SE = 0.21, p = .001) as well as with higher motor (b = 0.37, SE = 0.17, p = .003) and cognitive (b = 0.30, SE = 0.05, p = .0001) status at 3-month follow-up after adjustment for relevant risk factors. CONCLUSIONS:Our results indicate positive emotion is associated with gains in functional status after stroke. Findings have implications for stroke recovery programs and suggest the need to include measures of positive emotion inpatient assessments.
journal_name
Psychosom Medjournal_title
Psychosomatic medicineauthors
Ostir GV,Berges IM,Ottenbacher ME,Clow A,Ottenbacher KJdoi
10.1097/PSY.0b013e31816fd7d0subject
Has Abstractpub_date
2008-05-01 00:00:00pages
404-9issue
4eissn
0033-3174issn
1534-7796pii
PSY.0b013e31816fd7d0journal_volume
70pub_type
杂志文章abstract::Social interactions have long-term physiological, psychological, and behavioral consequences. Social isolation is a well-recognized but little understood risk factor and prognostic marker of disease; it can have profoundly detrimental effects on both mental and physical well-being, particularly during states of compro...
journal_title:Psychosomatic medicine
pub_type: 杂志文章,评审
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198909000-00002
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199309000-00001
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
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doi:10.1097/00006842-197705000-00002
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journal_title:Psychosomatic medicine
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Psychosomatic medicine
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doi:10.1097/00006842-198003000-00002
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journal_title:Psychosomatic medicine
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pub_type: 杂志文章
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doi:10.1097/00006842-199607000-00010
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pub_type: 杂志文章
doi:10.1097/00006842-197609000-00003
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198903000-00007
更新日期:1989-03-01 00:00:00
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更新日期:2001-03-01 00:00:00