TY - JOUR
T1 - Apathy and residual neurological impairment are associated with community reintegration after mild stroke
AU - Graves, Rachel
AU - Connor, Lisa Tabor
AU - Nicholas, Marjorie L.
N1 - Funding Information:
The author(s) reported there is no funding associated with the work featured in this article. We would like to thank the members of our lab for providing constructive feedback on this work, particularly Chaitali Dagli, Yejin Lee, Beth Lynch, Ashley Juniper, Cori Ianni, Stephanie Judycki, and Isaiah Jackson.
Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - This study investigated the influence of apathy and positive social support on community reintegration after stroke. A prospective, correlational, cross-sectional design was used. 85 community dwelling participants with and without aphasia were included (≥ 18 years of age, first stroke, ≥ 6 months post-stroke). The Reintegration to Normal Living Index (RNL) measured poststroke participation. The Apathy Evaluation Scale (AES) and Positive Social Interaction domain of the Medical Outcomes Study Social Support Survey assessed apathy and social support respectively. NIH Stroke Scale measured residual neurological impairment. Apathy, social support, and stroke impairment together were strongly associated with the RNL and accounted for 51% of total variance in the RNL. The AES and NIHSS were independent predictors of the RNL, though positive social interaction failed to reach significance. Persons with and without apathy differed significantly on the RNL. Therefore, stroke rehabilitation should address apathy as a potential target for intervention. Future research should determine factors that mediate the relationship between poststroke apathy and community reintegration.
AB - This study investigated the influence of apathy and positive social support on community reintegration after stroke. A prospective, correlational, cross-sectional design was used. 85 community dwelling participants with and without aphasia were included (≥ 18 years of age, first stroke, ≥ 6 months post-stroke). The Reintegration to Normal Living Index (RNL) measured poststroke participation. The Apathy Evaluation Scale (AES) and Positive Social Interaction domain of the Medical Outcomes Study Social Support Survey assessed apathy and social support respectively. NIH Stroke Scale measured residual neurological impairment. Apathy, social support, and stroke impairment together were strongly associated with the RNL and accounted for 51% of total variance in the RNL. The AES and NIHSS were independent predictors of the RNL, though positive social interaction failed to reach significance. Persons with and without apathy differed significantly on the RNL. Therefore, stroke rehabilitation should address apathy as a potential target for intervention. Future research should determine factors that mediate the relationship between poststroke apathy and community reintegration.
KW - apathy
KW - community reintegration
KW - rehabilitation
KW - social support
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85121697059&partnerID=8YFLogxK
U2 - 10.1080/09602011.2021.2019059
DO - 10.1080/09602011.2021.2019059
M3 - Article
C2 - 34931592
AN - SCOPUS:85121697059
SN - 0960-2011
VL - 33
SP - 379
EP - 392
JO - Neuropsychological Rehabilitation
JF - Neuropsychological Rehabilitation
IS - 3
ER -