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Psychosocial consequences of stroke: A long-term population-based follow-up
Abstract
PRIMARY OBJECTIVE: To investigate psychosocial status among nationally representative groups of stroke patients at long intervals post-stroke. METHODS AND PROCEDURES: From a Danish national register of hospitalizations, three representative groups of surviving patients were selected who had suffered a stroke 5, 10 and 15 years previously. A follow-up postal questionnaire was sent to them comprising items concerning symptomatology, functioning and social conditions, together with the Nottingham Health Profile (NHP). MAIN OUTCOMES AND RESULTS: Longer follow-up intervals were associated with younger age at stroke and better functioning at discharge. At follow-up, the majority of patients reported difficulties with attention, memory and emotional control, irrespective of follow-up interval. Return to employment, social relations and leisure activities were affected, but were comparatively better at longer follow-up intervals, as was self-rated functioning and several NHP symptom scales. However, multi-variate analyses suggest that these positive changes with time appear to be mediated by attrition related to age at stroke and discharge functioning rather than time since stroke itself. CONCLUSIONS: Symptomatology, functioning and social conditions remain affected and perhaps stagnant in long-term survivors of stroke.
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There is evidence that ACT is cost-effective over comparators for several other patient populations.
“There is evidence that ACT is cost-effective over comparators for several other patient populations (20–23).”
From Trial-based economic evaluation of the BrainACT study: acceptance and commitment therapy for anxiety and/or depressive symptoms after acquired brain injury. (2025) · cites this paper as [21]
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Metadata
- Authors
- Teasdale, T. W., & Engberg, A. W.
- Affiliations
- University of Copenhagen (DK)
- Hvidovre Hospital (DK)
- Corresponding author
- Teasdale, T. W.
- ORCID
- Teasdale, T. W.
- Venue
- Brain Injury
- Publisher
- Informa UK Limited
- Published
- 2005-12
- Volume
- 19
- Issue
- 12
- Pages
- 1049-1058
- ISSN
- 0269-9052 (ISSN-L)
- 1362-301X
- OpenAlex
- W2013188078
- Cited by
- 81
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 6 · 2016: 3 · 2015: 7 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Injury (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Keywords
- stroke, long-term outcomes, psychosocial consequences, functional recovery, cognitive impairment, emotional control, return to work, interpersonal relationships, leisure, attrition, Nottingham Health Profile
- MeSH terms
- Stroke Rehabilitation, Age Factors, Aged, Aphasia, Disability Evaluation, Epidemiologic Methods, Female, Health Status Indicators, Hospitalization, Humans, Interpersonal Relations, Length of Stay, Male, Middle Aged, Prognosis, Psychometrics, Quality of Life, Outcome Assessment, Health Care, Stroke
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