The relationship between stroke survivors’ perceived identity and mood, self-esteem and quality of life
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OBJECTIVES: To examine change in identity after stroke and to elucidate its relationship with mood and quality of life. To test Higgins' theory of the impact of identity (self-discrepancy) on anxiety and depression. To examine the role of self-esteem in mediating the relationship between identity and outcomes. METHOD: Sixty-five community-living first-time stroke survivors, mean age 61.58 and time since stroke 5.60 years, were recruited from stroke charities. A cross-sectional study used the Head Injury Semantic Differential Scale, the Hospital Anxiety and Depression Scale, the Rosenberg Self-Esteem Scale, the Stroke-Specific Quality of Life Questionnaire (adapted) and the Barthel Index. RESULTS: Identity was rated more negatively after stroke than before (t(64) = 6.46, p < .00). Greater discrepancy in identity was associated with anxiety (r = .38, p < .00), depression (r = .59, p < .00), self-esteem (r = -.48, p < .00) and quality of life (r = -.54, p < .00). Overall positivity of identity after stroke predicted outcomes even better than discrepancy. The association between discrepancy and mood and quality of life was mediated by self-esteem (β = .30, p < .01; β = -.24, p < .01, respectively). Specific types of discrepancy defined by Higgins did not show differential relationships with anxiety and depression as predicted. CONCLUSIONS: Identity changes after stroke and identity and self-esteem are associated with important outcomes for stroke survivors.
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Santos, L. B. P., Santos, J. S., Vilela, A. B. A., Oliveira, J. D. S., & Freire, M. E. M. (2023) · Contribuciones a las Ciencias Sociales · doi:10.55905/revconv.16n.10-127
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Acute Medical Therapies for Persons Living with Physical or Cognitive Disability
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Ashraf, F. (2024) · Journal of Research in Social Sciences · doi:10.52015/jrss.12i2.256
Children’s experiences following parental stroke: An interpretive phenomenological analysis
Gibson, D., Rowland, C., Lee, R. R., & Bowen, A. (2026) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2026.2647985
Meaningful participation for people with stroke: a systematic review of qualitative studies
Potturi, U. R., Hoyle, M. F., Brauer, S., Teng, B., Kuys, S. S., & Mahendran, N. (2026) · Disability and Rehabilitation · doi:10.1080/09638288.2026.2655109
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- Authors
- Lapadatu, I., & Morris, R.
- Affiliations
- Cardiff and Vale University Health Board (GB)
- Corresponding author
- Morris, Reg
- ORCID
- Morris, Reg
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2017-01-11
- Volume
- 29
- Issue
- 2
- Pages
- 199-213
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2573974076
- Cited by
- 46
- References
- 69
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 2 · 2019: 2 · 2018: 3 · 2012: 1
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- green
- pearl.plymouth.ac.uk
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- PEARL (University of Plymouth) (submittedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- stroke survivors, identity, self-discrepancy, self-esteem, anxiety, depression, mood, quality of life, community-dwelling stroke survivors, mediation
- MeSH terms
- Adult, Affect, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Self Concept, Survivors, Stroke
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