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Do Post-Stroke Activity Limitations Predict Well-Being?

Neurology; ePub 2017 Jul 21; Zahuranec, et al

Activity limitations were not associated with stroke survivors' subjective well-being after adjustment for other factors, a recent study found. Individuals with a self-reported history of stroke were identified from the National Health and Aging Trends Study. A total of 738 stroke survivors aged ≥65 years were included (57% female, 9% African American, 6% Hispanic). Subjective well-being (primary outcome) was assessed with a validated 7-item measure (higher=greater well-being) assessing emotions (cheerful, bored, full of life, and upset), and self-realization (purpose in life, self-acceptance, and environmental mastery). Researchers found:

  • Activity limitations were modestly associated with well-being after adjusting for demographic characteristics and availability of assistance.
  • However, in the fully adjusted model, neither activity limitations nor physical capacity was associated with subjective well-being.
  • Predictors of lower well-being in the final model included depressive symptoms, chewing/swallowing problems, pain that limited activity, and restricted participation in valued life activities.
  • Income and executive function were modestly associated with improved well-being, while comorbidities and communication technology access were not associated.

Citation:

Zahuranec DB, Skolarus LE, Feng C, Freedman VA, Burke JF. Activity limitations and subjective well-being after stroke. [Published online ahead of print July 21, 2017]. Neurology. doi:10.1212/WNL.0000000000004286.