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The relationship between stroke survivors' perceived identity and mood, self-esteem and quality of life

Lapadatu, Irina and Morris, Reg 2019. The relationship between stroke survivors' perceived identity and mood, self-esteem and quality of life. Neuropsychological Rehabilitation 29 (27) , pp. 199-213. 10.1080/09602011.2016.1272468

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Objectives: To examine change in identity after stroke and to elucidate its relationship with mood and quality of life. To test Higgins’ theory of the impact of identity (self-discrepancy) on anxiety and depression. To examine the role of self-esteem in mediating the relationship between identity and outcomes. Method: Sixty-five community-living first-time stroke survivors, mean age 61.58 and time since stroke 5.60 years, were recruited from stroke charities. A cross-sectional study used the Head Injury Semantic Differential Scale, the Hospital Anxiety and Depression Scale, the Rosenberg Self-Esteem Scale, the Stroke-Specific Quality of Life Questionnaire (adapted) and the Barthel Index. Results: Identity was rated more negatively after stroke than before (t(64) = 6.46, p < .00). Greater discrepancy in identity was associated with anxiety (r = .38, p < .00), depression (r = .59, p < .00), self-esteem (r = −.48, p < .00) and quality of life (r = −.54, p < .00). Overall positivity of identity after stroke predicted outcomes even better than discrepancy. The association between discrepancy and mood and quality of life was mediated by self-esteem (β = .30, p < .01; β = −.24, p < .01, respectively). Specific types of discrepancy defined by Higgins did not show differential relationships with anxiety and depression as predicted. Conclusions: Identity changes after stroke and identity and self-esteem are associated with important outcomes for stroke survivors.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Publisher: Taylor & Francis
ISSN: 0960-2011
Date of Acceptance: 7 December 2016
Last Modified: 27 Feb 2019 15:19

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