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Differences in self-perceived general health, pain, and depression 1 to 5 years post-stroke related to work status at 1 year

Westerlind, Emma ; Persson, Hanna C. ; Palstam, Annie ; Eriksson, Marie ; Norrving, Bo LU and Sunnerhagen, Katharina S. (2020) In Scientific Reports 10(1).
Abstract

Stroke is one of the most common diseases and has several potential consequences, such as psychological problems and pain. Return to work (RTW) after stroke in working-age individuals is incomplete. The present study aimed to investigate differences in self-perceived general health, pain, and depression between 1 and 5 years post-stroke related to RTW status. The study was nationwide, registry-based and the study population (n = 398) consisted of working-age people who had a stroke in 2011 and participated in 1-year and 5-year follow-up questionnaire surveys. Shift analyses with the Wilcoxon signed rank test and logistic regression were used. RTW within the first year post-stroke was associated with better self-perceived general health,... (More)

Stroke is one of the most common diseases and has several potential consequences, such as psychological problems and pain. Return to work (RTW) after stroke in working-age individuals is incomplete. The present study aimed to investigate differences in self-perceived general health, pain, and depression between 1 and 5 years post-stroke related to RTW status. The study was nationwide, registry-based and the study population (n = 398) consisted of working-age people who had a stroke in 2011 and participated in 1-year and 5-year follow-up questionnaire surveys. Shift analyses with the Wilcoxon signed rank test and logistic regression were used. RTW within the first year post-stroke was associated with better self-perceived general health, less pain, and less depression both at 1 and 5 years post-stroke, compared with the no-RTW group. However, the RTW group had significant deterioration in general health and pain between 1 and 5 years, while the no-RTW group had no significant change. RTW was a significant predictor of lower odds of improvement in general health and pain between 1 and 5 years. This emphasizes the need for continued follow-up and support to ensure a balance between work and health for RTW individuals after stroke.

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Contribution to journal
publication status
published
subject
in
Scientific Reports
volume
10
issue
1
article number
13251
publisher
Nature Publishing Group
external identifiers
  • pmid:32764611
  • scopus:85089026955
ISSN
2045-2322
DOI
10.1038/s41598-020-70228-2
language
English
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yes
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d72246ac-562d-4445-bd15-414711f0a5e4
date added to LUP
2020-08-11 11:30:52
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2020-08-19 08:50:36
@article{d72246ac-562d-4445-bd15-414711f0a5e4,
  abstract     = {<p>Stroke is one of the most common diseases and has several potential consequences, such as psychological problems and pain. Return to work (RTW) after stroke in working-age individuals is incomplete. The present study aimed to investigate differences in self-perceived general health, pain, and depression between 1 and 5 years post-stroke related to RTW status. The study was nationwide, registry-based and the study population (n = 398) consisted of working-age people who had a stroke in 2011 and participated in 1-year and 5-year follow-up questionnaire surveys. Shift analyses with the Wilcoxon signed rank test and logistic regression were used. RTW within the first year post-stroke was associated with better self-perceived general health, less pain, and less depression both at 1 and 5 years post-stroke, compared with the no-RTW group. However, the RTW group had significant deterioration in general health and pain between 1 and 5 years, while the no-RTW group had no significant change. RTW was a significant predictor of lower odds of improvement in general health and pain between 1 and 5 years. This emphasizes the need for continued follow-up and support to ensure a balance between work and health for RTW individuals after stroke.</p>},
  author       = {Westerlind, Emma and Persson, Hanna C. and Palstam, Annie and Eriksson, Marie and Norrving, Bo and Sunnerhagen, Katharina S.},
  issn         = {2045-2322},
  language     = {eng},
  number       = {1},
  publisher    = {Nature Publishing Group},
  series       = {Scientific Reports},
  title        = {Differences in self-perceived general health, pain, and depression 1 to 5 years post-stroke related to work status at 1 year},
  url          = {http://dx.doi.org/10.1038/s41598-020-70228-2},
  doi          = {10.1038/s41598-020-70228-2},
  volume       = {10},
  year         = {2020},
}