Subjective Stroke Impact and Depressive Symptoms: Indications for a Moderating Role of Health-Related Locus of Control
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Background: Stroke is one of the most common causes of death and disability worldwide. Subsequently, depression occurs in about one third of the stroke survivors. Health-related locus of control might serve as a modifiable cognitive factor to aid the recovery process. Aims: The present study aims to explore the role of health-related locus of control in the relation between subjective stroke impact and depressive symptoms after stroke. Methods: In the present cross-sectional study, N = 44 stroke patients (n = 18 female and n = 24 male) were recruited at two rehabilitation centers in Germany. Mean age was M = 65.8 (SD = 11.52, Range = 48-88). Self-report instruments included the stroke impact scale, health-related locus of control questionnaire, and Beck depression inventory. Data analysis was conducted in R using correlation and regression methods. Results: Subjective stroke impact and depressive symptoms were not directly associated (rs = -.20, p = .216). However, health-related locus of control moderated the relationship between subjective stroke impact and depressive symptoms (β = -0.42, p = .015), revealing a stronger negative relationship when control of one`s health was attributed externally. Conclusion: The results indicate that health-related locus of control plays a role in the relationship of subjective stroke impact and depressive symptoms. It is recommended to focus on control beliefs during the recovery process of stroke survivors. For developing targeted interventions, it is necessary to further investigate these associations while incorporating various health-related control belief concepts and replicate the present findings among larger samples.
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Locus of control may influence the recovery process, moderate the relationship between stroke impact and depressive symptoms, and mediate between social support and self-management.
“LOC may influence the recovery process [24], moderate the relationship between the impact of stroke and depressive symptoms [25], as well as mediate between social support and self-management [26].”
From Physical Activity, Psychological and Functional Outcomes in Non-Ambulatory Stroke Patients during Rehabilitation—A Pilot Study (2022) · cites this paper as [25]
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- Authors
- Zirk, M., & Storm, V.
- Affiliations
- University of Münster (DE)
- Corresponding author
- Zirk, Miriam
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2019-12-19
- Volume
- 10
- Pages
- 918-918
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC6930911
- OpenAlex
- W2991195591
- Cited by
- 11
- References
- 25
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 3 · 2021: 3 · 2020: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- URN:NBN Resolver for Germany & Switzerland (German National Library) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Keywords
- stroke, depressive symptoms, stroke survivors, moderation, stroke rehabilitation, control beliefs, post-stroke depression
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