AI Article Synopsis
- The study explored how apathy and positive social support affect a person's ability to reintegrate into the community after a stroke, using a survey with 85 stroke survivors.
- Measures included the Reintegration to Normal Living Index (RNL) for participation, the Apathy Evaluation Scale (AES) for assessing apathy, and social support evaluations.
- Apathy and neurological impairment independently influenced reintegration outcomes, with about 51% of the variation in the RNL linked to these factors, highlighting the need for rehabilitation programs to focus on addressing apathy.
Article Abstract
This study investigated the influence of apathy and positive social support on community reintegration after stroke. A prospective, correlational, cross-sectional design was used. 85 community dwelling participants with and without aphasia were included (≥ 18 years of age, first stroke, ≥ 6 months post-stroke). The Reintegration to Normal Living Index (RNL) measured poststroke participation. The Apathy Evaluation Scale (AES) and Positive Social Interaction domain of the Medical Outcomes Study Social Support Survey assessed apathy and social support respectively. NIH Stroke Scale measured residual neurological impairment. Apathy, social support, and stroke impairment together were strongly associated with the RNL and accounted for 51% of total variance in the RNL. The AES and NIHSS were independent predictors of the RNL, though positive social interaction failed to reach significance. Persons with and without apathy differed significantly on the RNL. Therefore, stroke rehabilitation should address apathy as a potential target for intervention. Future research should determine factors that mediate the relationship between poststroke apathy and community reintegration.
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| http://dx.doi.org/10.1080/09602011.2021.2019059 | DOI Listing |
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