Post-stroke emotional adjustment: A modified social cognitive transition model
Abstract
Patients report a wide variety of emotional responses following stroke. Some individuals find the process of adjusting to their changed circumstances extremely difficult, while others cope well. Predicting and understanding patients' adjustment to stroke therefore poses challenges within rehabilitation settings. While research has revealed some of the variables associated with increased emotional distress (i.e., post-stroke depression) after stroke, a general model of post-stroke emotional adjustment has not yet been put forward. This article proposes that the Social Cognitive Transition model provides a sound theoretical basis upon which to build an understanding of post-stroke adjustment. The essential elements of a Social Cognitive Transition Model for Stroke are summarised, and clinical examples are used to discuss this model. The implications for psychological assessment, formulation and treatment are also discussed.
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Emotional and psychological consequences associated with aphasia include depression, anxiety, changes in self-identity and social isolation, arising directly or indirectly from the stroke.
“In addition to cognitive-linguistic difficulties, emotional and psychological consequences associated with aphasia include depression, anxiety, changes in selfidentity and social isolation, arising as a direct or indirect impact of the stroke (Taylor et al., 2011;Mukerjee, Levin, & Heller, 2006).”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Taylor et al., 2011
Adjustment to chronic illness can be conceptualised as an individual's response to, and journey of, acceptance, accommodation and management of changes across domains of life.
“The process of adjustment to chronic illnesses can be conceptualised as an individual's response to and journey of acceptance, accommodation and management of the changes affecting various domains of their life (Taylor, Todman, & Broomfield, 2011).”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Taylor, Todman, & Broomfield, 2011
When considered within the framework of a model of post-stroke emotional adjustment, meditation appears to contribute to adjustment through an acceptance of the disparity between pre- and post-stroke abilities and views on achievable progress.
“When considered within the framework of a model of post-stroke emotional adjustment (Taylor et al., 2011), meditation appears to contribute to adjustment through an acceptance of the disparity between pre-and post-stroke abilities and views on achievable progress.”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Taylor et al., 2011
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“The maintaining factors outlined by cognitive behavioural models of health anxiety (e.g., reassurance seeking, checking behaviours and safety/prevention behaviours (cf. Warwick & Salkovskis, 1990) are relevant to understanding coping responses in such cases.”
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Self-citationFear of recurrence and beliefs about preventing recurrence in persons who have suffered a stroke
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Psychosocial adjustment to multiple sclerosis diagnosis: A meta-review of systematic reviews
Topcu, G., Griffiths, H., Bale, C., Trigg, E., Clarke, S., Potter, K.-J., Mhizha-Murira, J. R., Drummond, A., Evangelou, N., Fitzsimmons, D., et al. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101923 · Cited by 50 · see citing works
A qualitative study of the experience of psychological distress post-stroke.
Crowe, C., Coen, R. F., Kidd, N., Hevey, D., Cooney, J., & Harbison, J. (2016) · Journal of Health Psychology · doi:10.1177/1359105315581067 · Cited by 43 · see citing works
A changed reality: Experience of an acceptance and commitment therapy (ACT) group after stroke
Large, R., Samuel, V., & Morris, R. (2020) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2019.1589531 · Cited by 37 · see citing works
“Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia
Panda, S., Whitworth, A., Hersh, D., & Biedermann, B. (2021) · Aphasiology · doi:10.1080/02687038.2020.1819956 · Cited by 16 · see citing works
- Authors
- Taylor, G. H., Todman, J., & Broomfield, N. M.
- Affiliations
- Western Infirmary (GB)
- Corresponding author
- Taylor, Gavin H.
- ORCID
- Broomfield, Niall M.
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2011-12
- Volume
- 21
- Issue
- 6
- Pages
- 808-824
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2112656539
- Cited by
- 49
- References
- 7
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 7 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 8 · 2012: 4
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- stroke, emotional distress, post-stroke depression, coping, psychological assessment, psychological formulation, psychological intervention, stroke rehabilitation
- MeSH terms
- Adaptation, Psychological, Cognition, Emotions, Humans, Models, Psychological, Self Concept, Social Support, Stroke
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