Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care
Open accessAbstract
This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patients with chronic pain reported statistically significant higher levels of disability and worse HrQoL, higher psychological distress and inflexibility, as well as a lower level of self-efficacy and problem-oriented coping strategies than patients without pain (p < 0.001). Finally, correlation analysis in the group of stroke survivors with pain showed that higher levels of disability were significantly related to higher psychological distress. This study confirms the negative influence of chronic pain on disability and HrQoL in post-stroke patients and presents preliminary insights on the association between chronic pain, disability, HrQoL, psychosocial distress, and the patient’s approach in dealing with personal difficulties and emotions. These findings carry further implications for multidisciplinary management of post-stroke patients with chronic pain.
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Many older stroke survivors are left with complications such as cognitive, motor and sensory dysfunctions, loss of self-care ability, and inability to play family and social roles, resulting in negative emotions.
“After surviving through the acute treatment, many older stroke survivors would be left with obvious complications such as cognitive, motor and sensory dysfunctions. They are often subject to partial or total loss of self-care ability, and are unable to play family and social roles, resulting in series of negative emotions [4–6].”
From Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial. (2023) · cites this paper as [5]
The Results (section 3.3) report difficulties with daily activities, memory, hand function, and participation or role function among post-stroke patients with chronic pain; section 3.5 links disability with psychological distress. The study does not establish that many older stroke survivors have sensory dysfunction or lose self-care and family roles, nor that those losses cause negative emotions. Its sample included adults aged 47–83, not only older survivors. (LLM, conf=0.86)
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References 67 · Cited by 48
- Authors
- Gandolfi, M., Donisi, V., Battista, S., Picelli, A., Valè, N., Del Piccolo, L., & Smania, N.
- Affiliations
- University of Verona (IT)
- University of Genoa (IT)
- Section of Clinical Psychology, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
- Corresponding author
- Gandolfi, Marialuisa
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-03-17
- Volume
- 18
- Issue
- 6
- Pages
- 3089
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8002692
- OpenAlex
- W3138464531
- Cited by
- 48
- References
- 67
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 11 · 2023: 10 · 2022: 5 · 2021: 3
- FWCI
- 3.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion, other-oa)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- health-related quality of life, disability, psychological distress, self-efficacy, coping strategies, psychological flexibility, perceived social support, stroke rehabilitation
- MeSH terms
- Adaptation, Psychological, Cross-Sectional Studies, Humans, Quality of Life, Stress, Psychological, Stroke, Chronic Pain
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