TY - JOUR
T1 - Ecological Momentary Assessment of Social Interactions
T2 - Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke
AU - Neff, Anna J.
AU - Lee, Yejin
AU - Metts, Christopher L.
AU - Wong, Alex W.K.
N1 - Funding Information:
This research was supported by the National Center for Advancing Translational Sciences (award no. TL1TR002344). This work was also supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development/ National Center for Medical Rehabilitation Research (award no. K01HD095388). The contents of this manuscript do not necessarily represent the policies of the funding agencies. We certify that all financial and material support for this research is clearly identified in the manuscript.
Publisher Copyright:
© 2020 American Congress of Rehabilitation Medicine
PY - 2021/3
Y1 - 2021/3
N2 - Objectives: To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants’ daily environments. Design: Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. Setting: Community. Participants: Adults (N=48) with mild stroke. Interventions: Not applicable. Main Outcome Measures: EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. Results: In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. Conclusions: This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
AB - Objectives: To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants’ daily environments. Design: Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. Setting: Community. Participants: Adults (N=48) with mild stroke. Interventions: Not applicable. Main Outcome Measures: EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. Results: In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. Conclusions: This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
KW - Anxiety
KW - Depression
KW - Ecological momentary assessment
KW - Fatigue
KW - Interpersonal relations
KW - Rehabilitation
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85092450876&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2020.08.007
DO - 10.1016/j.apmr.2020.08.007
M3 - Article
C2 - 32918909
AN - SCOPUS:85092450876
SN - 0003-9993
VL - 102
SP - 395
EP - 405
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 3
ER -