{"id":2050,"date":"2010-06-20T21:14:12","date_gmt":"2010-06-20T19:14:12","guid":{"rendered":"http:\/\/www.psychologie-aktuell.info\/reha\/?p=2050"},"modified":"2010-06-30T23:05:02","modified_gmt":"2010-06-30T21:05:02","slug":"feeling-sad-and-useless-an-investigation-into-personal-acceptance-of-disability-and-its-association-with-depression-following-stroke","status":"publish","type":"post","link":"https:\/\/www.psychologie-aktuell.info\/reha\/2010\/06\/feeling-sad-and-useless-an-investigation-into-personal-acceptance-of-disability-and-its-association-with-depression-following-stroke\/","title":{"rendered":"\u2018Feeling sad and useless\u2019: an investigation into personal acceptance of disability and its association with depression following stroke"},"content":{"rendered":"<blockquote><p>To study the association of acceptance of disability with depression following stroke and its ability to predict depression at follow-up.<br \/>A prospective cohort mixed (quantitative and qualitative) design was used.<br \/>Patients admitted to a stroke unit were consecutively recruited. Eighty-nine participated at one month and 81 were followed up nine months post stroke.<br \/>Depressive disorder was assessed using a structured clinical interview. Disability and acceptance of disability were measured using self-report scales. At one month post stroke, 60 consecutive participants also participated in open-ended interviews exploring their individual concerns about having had a stroke and their responses were analysed qualitatively.<br \/>One-third of participants were found <!--more-->to have depression (29\/89; 33% at one month and 24\/81; 30% at nine months). Non-acceptance of disability remained associated with depression after controlling for age, gender, original stroke severity and current disability at one month (odds ratio (OR) = 1.27, 95% confidence interval (CI) 1.09\u20141.47) and nine months (OR = 1.46, 95% CI 1.22\u20141.75). Also, non-acceptance of disability measured at one month independently predicted depression measured at nine months (OR = 1.19, 95% CI 1.05\u20141.35). The qualitative findings illustrated a self-reproachful element to non-acceptance of disability. Patients with depression often said that they \u2018should still\u2019 be capable and sometimes referred to themselves as \u2018useless\u2019; whereas patients who were not depressed commonly reported having accepted stroke-related disability.<br \/>These finding suggest that personal beliefs about accepting disability are associated with and predict emotional adaptation following stroke.<\/p><\/blockquote>\n<p>Quelle: <a href=\"http:\/\/cre.sagepub.com\/cgi\/content\/abstract\/24\/6\/555?rss=1\">&#8218;Feeling sad and useless&#8216;: an investigation into personal acceptance of disability and its association with depression following stroke &#8212; Townend et al. 24 (6): 555 &#8212; Clinical Rehabilitation<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>To study the association of acceptance of disability with depression following stroke and its ability to predict depression at follow-up.A prospective cohort mixed (quantitative and qualitative) design was used.Patients admitted to a stroke unit were consecutively recruited. Eighty-nine participated at &hellip; <a href=\"https:\/\/www.psychologie-aktuell.info\/reha\/2010\/06\/feeling-sad-and-useless-an-investigation-into-personal-acceptance-of-disability-and-its-association-with-depression-following-stroke\/\">Weiterlesen <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[22],"tags":[32],"class_list":["post-2050","post","type-post","status-publish","format-standard","hentry","category-allgemein","tag-depression"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1fMVY-x4","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/posts\/2050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/comments?post=2050"}],"version-history":[{"count":1,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/posts\/2050\/revisions"}],"predecessor-version":[{"id":2072,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/posts\/2050\/revisions\/2072"}],"wp:attachment":[{"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/media?parent=2050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/categories?post=2050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.psychologie-aktuell.info\/reha\/wp-json\/wp\/v2\/tags?post=2050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}