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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

Gandolfi, Marialuisa ; Donisi, Valeria ; Battista, Simone LU orcid ; Picelli, Alessandro ; Valè, Nicola ; Del Piccolo, Lidia and Smania, Nicola (2021) In International Journal of Environmental Research and Public Health 18(6).
Abstract
This study aims at exploring disability, health-related quality of life (HrQoL), psycholog- ical 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... (More)
This study aims at exploring disability, health-related quality of life (HrQoL), psycholog- ical 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 con- firms 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, psycho- social 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. (Less)
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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Psychological distress, Coping strategies, Health-Related Quality of Life, Chronic pain, Post-stroke
in
International Journal of Environmental Research and Public Health
volume
18
issue
6
article number
3089
publisher
MDPI AG
external identifiers
  • scopus:85102650415
  • pmid:33802829
ISSN
1660-4601
DOI
10.3390/ijerph18063089
language
English
LU publication?
no
id
b6e25571-7171-4a54-875d-3cc8ea04a06f
date added to LUP
2021-03-20 22:28:37
date last changed
2022-04-27 00:53:54
@article{b6e25571-7171-4a54-875d-3cc8ea04a06f,
  abstract     = {{This study aims at exploring disability, health-related quality of life (HrQoL), psycholog- ical 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 &lt; 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 con- firms 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, psycho- social 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.}},
  author       = {{Gandolfi, Marialuisa and Donisi, Valeria and Battista, Simone and Picelli, Alessandro and Valè, Nicola and Del Piccolo, Lidia and Smania, Nicola}},
  issn         = {{1660-4601}},
  keywords     = {{Psychological distress; Coping strategies; Health-Related Quality of Life; Chronic pain; Post-stroke}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{6}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.3390/ijerph18063089}},
  doi          = {{10.3390/ijerph18063089}},
  volume       = {{18}},
  year         = {{2021}},
}