Change in positive emotion and recovery of functional status following stroke.
Open accessAbstract
OBJECTIVES: To investigate change in positive emotion over a 3-month follow-up period and determine whether this change is associated with recovery of functional status in persons with stroke. DESIGN: A longitudinal study using information from the Stroke Recovery in Underserved Patients (SRUP) database. Positive emotion and functional status were assessed within 72 hours of discharge from an in-patient medical rehabilitation facility and at 3-month follow-up using established measurement instruments. PARTICIPANTS: The study included 840 adults 55 years old or older with a first-time stroke and admitted to one of eleven in-patient medical rehabilitation facilities in the United States. RESULTS: The mean age was 72.9 (SD = 9.52) years, 78.6% were non-Hispanic white and 51.7% were women. The average length of stay was 20.2 (SD =10.1) days and the most prevalent type of stroke was ischemic (75.0%). Positive emotion increased for 35.6% of the sample, decreased for 29.2%, and 35.2% reported no change. Increases in positive emotion change score compared to no change (b = -3.2, SE = 1.5, p = .032) or a decline (b = -8.9, SE = 1.4, p = or <.001) was significantly associated with improved functional status at the 3-month follow-up after adjusting for sociodemographic and clinical variables as well as depressive symptoms. CONCLUSION: Positive emotion is a dynamic process and can change over time. In persons with stroke, increases in positive emotion over a 3-month period was significantly associated with an increasing likelihood of recovery of functional status compared to no change or a decline in positive emotion. Understanding factors that influence both increases and decreases in positive emotion has implications for stroke rehabilitation programming and quality of life post-hospital discharge.
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Deficiencies in psychological aspects are a crucial component in the development and course of depression in aphasia.
“and various authors have stressed that deficiencies in these psychological aspects are a crucial component in the development and course of depression in aphasia [75–78].”
From Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia (2020) · cites this paper as [76]
The Discussion (page unavailable) links changes in positive emotion to functional recovery after stroke and says positive emotion and depressive symptoms are independent. The Study Population section describes people with stroke, but our copy does not address whether psychological deficiencies contribute to the development or course of depression in aphasia. Searches for aphasia and that proposed relationship found no relevant passage. (LLM, conf=0.76)
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Ratings of Emotions During Daily Occupational Performance Among Community-Dwelling Stroke Survivors
Hebert, K. R. (2025) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2025.2489162
Huang, B., Lv, J. C., & Qiang, L. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2556228
Feasibility of the Cyber-Physical Nurse
Dimitrova, M., & Valchkova, N. (2025) · Lecture notes in networks and systems · doi:10.1007/978-981-96-9709-0_9
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- Authors
- Seale, G. S., Berges, I.-M., Ottenbacher, K. J., & Ostir, G. V.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Venue
- Rehabilitation Psychology
- Published
- 2010-02
- Volume
- 55
- Issue
- 1
- Pages
- 33-39
- ISSN
- 0090-5550 (ISSN-L)
- 1939-1544
- PMC
- PMC3121178
- OpenAlex
- W1982687341
- Cited by
- 58
- References
- 47
- Citations by year
- 2026: 2 · 2025: 5 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 2 · 2014: 6 · 2013: 2 · 2012: 2
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Rehabilitation Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01-AG024806; K01-HD046682)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R03-HDO05821-01)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- positive emotions, stroke, stroke rehabilitation, inpatient rehabilitation, depressive symptoms, quality of life, older adults, ischemic stroke
- MeSH terms
- Affect, Aged, Female, Hospitalization, Humans, Length of Stay, Male, Severity of Illness Index, Prevalence, Expressed Emotion, Recovery of Function, Stroke
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