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Cited by 16Stroke Rehabilitation and RecoveryCancer survivorship and careAcute Ischemic Stroke Management

Anxiety subtypes in rural ischaemic stroke survivors: A latent profile analysis

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Zhang, Huimin, Ma, Junyan, Sun, Yuyan, Xiao, Lily Dongxia, Yan, Fang, Tang, Siyuan·2023·Nursing Open
DOI 10.1002/nop2.1668PMC PMC10170921
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Abstract

Aim: To determine the potential profile classes of anxiety reported by ischaemic stroke survivors in rural China, and to explore the characteristics of patients having different types of post‐stroke anxiety. Design: A cross‐sectional survey. Methods: A cross‐sectional survey was conducted by using convenience sampling to collect data from 661 ischaemic stroke survivors in rural Anyang city, Henan Province, China, from July 2021 to September 2021. The parameters included in the study were the socio‐demographic characteristics, self‐rating anxiety scale (SAS), self‐rating depression scale (SDS) and the Barthel index of daily activity ability. Potential profile analysis was done to recognize subgroups of post‐stroke anxiety. The Chi‐square test was performed to explore the characteristics of individuals with different types of post‐stroke anxiety. Results: The model fitting indices of stroke survivors supported three classes of anxiety models which were as follows: (a) Class 1, low‐level, stable group (65.3%, N = 431); (b) Class 2, moderate‐level, unstable group (17.9%, N = 118) and (c) Class 3, high‐level, stable group (16.9%, N = 112). The risk factors associated with post‐stroke anxiety were female patients, lower levels of education, living alone, lower monthly household income, other chronic diseases, impaired daily activity ability and depression. Conclusions: This study identified three different subgroups of post‐ischaemic stroke anxiety and their characteristics in patients in rural China. Impact: This study has significance in providing evidence for the development of targeted intervention measures to reduce negative emotions in different subgroups of post‐stroke anxiety patients. Patient or Public Contribution: In this study, the researchers arranged the time of questionnaire collection with the village committee in advance, gathered the patients to the village committee for face‐to‐face questionnaire survey and collected the household data of the patients with mobility difficulties.

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  • Younger and female stroke patients were more likely to be anxious.

    “In this study, it was found that the overall level of anxiety in stroke patients was mild and that younger, female patients were more likely to be anxious (Zhang et al. 2023;Solgajová et al. 2017), which requires urgent attention from healthcare professionals.”

    From The Relationship Between Knowledge, Psychological Flexibility, Anxiety and Healthy Behaviour in Stroke Patients: A Chain Mediation Model. (2026) · cites this paper as Zhang et al. 2023

    The Discussion identifies female sex as a risk factor for post-stroke anxiety in the study’s rural ischaemic stroke survivors. It does not support the younger-age part: the Results subgroup analysis reports no significant difference in anxiety profiles by age (p = 0.541). (LLM, conf=0.90)

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Authors
Zhang, H., Ma, J., Sun, Y., Xiao, L. D., Yan, F., & Tang, S.
Affiliations
  • Central South University (CN)
  • Henan Medical University (CN)
  • Flinders University (AU)
  • Xiangya School of Nursing Central South University Changsha Hunan China
Corresponding author
Tang, Siyuan
ORCID
Venue
Nursing Open
Publisher
Wiley
Published
2023-02-20
Volume
10
Issue
6
Pages
4083-4092
ISSN
2054-1058 (ISSN-L)
DOI
10.1002/nop2.1668
PMC
PMC10170921
OpenAlex
W4321373418
Cited by
16
References
30
Citations by year
2026: 5 · 2025: 6 · 2024: 3 · 2023: 2
FWCI
1.76
Type
journal article
Language
en
Open access
Licence
Locations
  • Nursing Open (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Jilin Office of Philosophy and Social Science
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
post-stroke anxiety, rural China, anxiety subtypes, latent profile analysis, depression, activities of daily living, risk factors, household income, living alone, educational attainment, chronic disease
MeSH terms
Ischemic Stroke, Anxiety, Brain Ischemia, Cross-Sectional Studies, Depression, Female, Humans, Male, Survivors, Stroke

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