"How Social Connection and Engagement Relate to Functional Limitations and Depressive Symptoms Outcomes After Stroke".
"How Social Connection and Engagement Relate to Functional Limitations and Depressive Symptoms Outcomes After Stroke".
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“社交联系和参与如何与中风后的功能限制和抑郁症状结果相关”。
DOI：
10.1101/2023.03.07.23286965
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Hueluer,Gizem
中科院分区：
文献类型：
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作者：
Elayoubi,Joanne;Haley,WilliamE;Nelson,MonicaE;Hueluer,Gizem
中风通常会导致残疾和抑郁。社会联系和参与可以防止一般人群的功能衰退和抑郁症。我们调查的影响，社会联系和参与的轨迹的功能和抑郁症状stroke. METHODS这是一项纵向研究，其中包括898名参与者从HRS研究（健康和退休研究）在1998年和2012年之间的事件中风。多层次模型被用来研究社会联系和参与的关系，随着时间的推移，在工具性日常生活活动（IADL）和抑郁症状的功能限制的变化。控制年龄、性别、教育和种族/民族的模型。适度分析研究是否高社会联系和参与减少抑郁症状的幸存者与高IADL impairments. CITTS社会联系和参与通常与较少的IADL限制和抑郁症状在中风时和中风后。例如，在中风前感到孤独并且没有向他人提供帮助的参与者有更多的IADL限制。中风前志愿者与中风后IADL限制增加较少相关，与中风前状态相比，拥有朋友和向他人提供帮助的增加与中风后IADL限制较少相关。对于抑郁症状，在中风前感到孤独并且没有朋友或伴侣的参与者有更多的抑郁症状，而在中风前有孩子居住在附近的参与者抑郁症状增加较少。适度的影响没有发现社会联系和参与高IADL损伤和抑郁症状。CONCLUSIONSFindings表明，社会联系和参与可能会减少中风的负面身体和心理后果，无论是在基线和中风后。加强社会参与和减少孤独感的努力既可以提高人口福祉，也可以提高中风和其他疾病的适应力和恢复能力。
BACKGROUNDStroke commonly leads to disability and depression. Social connection and engagement can be protective against functional decline and depression in the general population. We investigated the effects of social connection and engagement on trajectories of function and depressive symptoms in stroke.METHODSThis is a longitudinal study, which included 898 participants with incident stroke from the HRS study (Health and Retirement Study) between 1998 and 2012. Multilevel modeling was used to examine associations of social connection and engagement with changes in functional limitations in instrumental activities of daily living (IADLs) and depressive symptoms over time. Models controlled for age, gender, education, and race/ethnicity. Moderation analyses examined whether high social connection and engagement reduced depressive symptoms for survivors with high IADL impairment.RESULTSSocial connection and engagement were generally associated with fewer IADL limitations and depressive symptoms at the time of stroke and after stroke. For example, participants who felt lonely and did not provide help to others before stroke had more IADL limitations. Prestroke volunteering was associated with less increase in IADL limitations with stroke and increase in having friends and providing help to others compared with one’s prestroke status were associated with fewer IADL limitations after stroke. For depressive symptoms, participants who felt lonely and did not have a friend or partner before stroke had more depressive symptoms, and participants who had children residing nearby before stroke showed less increase in depressive symptoms. Moderation effects were not found for social connection and engagement on high IADL impairment and depressive symptoms.CONCLUSIONSFindings suggest that social connection and engagement may reduce the negative physical and psychological outcomes of stroke, both at baseline and after stroke. Efforts to enhance social engagement and diminish loneliness may both enhance population well-being and enhance resilience and recovery from stroke and other illnesses.