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Cited by 90Stroke Rehabilitation and RecoveryMindfulness and Compassion InterventionsCancer survivorship and care

‘Feeling sad and useless’: an investigation into personal acceptance of disability and its association with depression following stroke

Townend, Ellen, Tinson, Deborah, Kwan, Joseph, Sharpe, Michael·2010·Clinical Rehabilitation
DOI 10.1177/0269215509358934
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Abstract

Objectives: To study the association of acceptance of disability with depression following stroke and its ability to predict depression at follow-up. Design: A prospective cohort mixed (quantitative and qualitative) design was used. Setting and subjects: Patients admitted to a stroke unit were consecutively recruited. Eighty-nine participated at one month and 81 were followed up nine months post stroke. Main measures: Depressive disorder was assessed using a structured clinical interview. Disability and acceptance of disability were measured using self-report scales. At one month post stroke, 60 consecutive participants also participated in open-ended interviews exploring their individual concerns about having had a stroke and their responses were analysed qualitatively. Results: One-third of participants were found to have depression (29/89; 33% at one month and 24/81; 30% at nine months). Non-acceptance of disability remained associated with depression after controlling for age, gender, original stroke severity and current disability at one month (odds ratio (OR) = 1.27, 95% confidence interval (CI) 1.09—1.47) and nine months (OR = 1.46, 95% CI 1.22—1.75). Also, non-acceptance of disability measured at one month independently predicted depression measured at nine months (OR = 1.19, 95% CI 1.05—1.35). The qualitative findings illustrated a self-reproachful element to non-acceptance of disability. Patients with depression often said that they ‘should still’ be capable and sometimes referred to themselves as ‘useless’; whereas patients who were not depressed commonly reported having accepted stroke-related disability. Conclusions: These finding suggest that personal beliefs about accepting disability are associated with and predict emotional adaptation following stroke.

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Crossref · 10.1177/0269215509358934

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  • Non-acceptance of the psychological effects of stroke-related disability is associated with depression after controlling for age, gender, original stroke severity, and current disability at 1- and 9-month follow-ups.

    “Non-acceptance of the psychological effects of stroke-related disability is associated with depression after controlling for age, gender, original stroke severity, and current disability at 1-and 9-month follow-ups (Townend, Tinson, Kwan, & Sharpe, 2010).”

    From Brief group‐based acceptance and commitment therapy for stroke survivors. (2019) · cites this paper as Townend, Tinson, Kwan, & Sharpe, 2010

  • Depression has been found to be associated with the important ACT process of acceptance of disability after stroke.

    “It has also been found to be associated with the important ACT process of acceptance of disability after stroke (Townend et al., 2010).”

    From Brief group‐based acceptance and commitment therapy for stroke survivors. (2019) · cites this paper as Townend et al., 2010

  • Higher levels of acceptance and valued living have been associated with better psychological outcomes in patients with acquired brain injury.

    “Higher levels of acceptance and valued living have been associated with better psychological outcomes in patients with ABI [26–28].”

    From The BrainACT study: acceptance and commitment therapy for depressive and anxiety symptoms following acquired brain injury: study protocol for a randomized controlled trial. (2019) · cites this paper as [28]

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Authors
Townend, E., Tinson, D., Kwan, J., & Sharpe, M.
Affiliations
Western General Hospital (GB)
Corresponding author
Townend, Ellen
ORCID
Venue
Clinical Rehabilitation
Publisher
SAGE Publications
Published
2010-05-18
Volume
24
Issue
6
Pages
555-564
ISSN
  • 0269-2155 (ISSN-L)
  • 1477-0873
DOI
10.1177/0269215509358934
OpenAlex
W2129886593
Cited by
90
References
33
Citations by year
2026: 5 · 2025: 6 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 9 · 2016: 11 · 2015: 5 · 2014: 6 · 2013: 5 · 2012: 7
FWCI
5.65
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Clinical Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
stroke, depression, acceptance of disability, disability, emotional adjustment, self-blame, post-stroke depression, predictors of depression, stroke survivors
MeSH terms
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Depression, Female, Humans, Male, Middle Aged, Prospective Studies, Time Factors, Stroke

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