Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study.
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| Title: | Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study. |
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| Authors: | Liu, Zhiwei (AUTHOR), Xiang, Dandan (AUTHOR), Ge, Song (AUTHOR), Mei, Yongxia (AUTHOR), Zhang, Zhenxiang (AUTHOR), Chen, Suyan (AUTHOR), Guo, Erfeng (AUTHOR), Li, Xin (AUTHOR) |
| Source: | Quality of Life Research. Mar2025, Vol. 34 Issue 3, p669-681. 13p. |
| Subjects: | Quality of life, Stroke patients, Interpersonal conflict, Longitudinal method, Sadness, Social support, Rehabilitation, Anxiety |
| Abstract: | Purpose: This study utilized a group-based dual-trajectory model to identify distinct dyadic quality of life (QoL) trajectories among young to middle-aged stroke couples and to analyze the predictive factors influencing these trajectories. Methods: A longitudinal study was conducted with 168 young to middle-aged stroke couples. Assessments at baseline and at 1, 3, and 6 months post-discharge included patients' functional recovery (modified Rankin Scale) and stroke couples' depression, anxiety, stress, benefit finding, social support, couple relationship, and QoL (12-item short-form health scale). Dyadic QoL trajectories were identified using a group-based dual-trajectory model. Stepwise logistic regression was employed to identify the predictors of the trajectory groups. Results: Three subgroups of dyadic physical QoL trajectories were distinguished: "patients low increase—spouses moderate physical QoL" (15.4%), "patients moderate increase—spouses moderate physical QoL" (74.0%), and "patients moderate increase—spouses high physical QoL" (10.6%). Two subgroups of dyadic mental QoL trajectories were distinguished: "dyadic low increase mental QoL" (15.9%), and "dyadic high increase mental QoL" (84.1%). The trajectory groups were influenced by the patient's sex, functional recovery, depression, and the spouse's mutuality. Conclusions: The group-based dual-trajectory model facilitates the identification of distinct dyadic QoL trajectories among stroke couples. These findings provide valuable insights for developing targeted interventions aimed at improving their QoL. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Purpose: This study utilized a group-based dual-trajectory model to identify distinct dyadic quality of life (QoL) trajectories among young to middle-aged stroke couples and to analyze the predictive factors influencing these trajectories. Methods: A longitudinal study was conducted with 168 young to middle-aged stroke couples. Assessments at baseline and at 1, 3, and 6 months post-discharge included patients' functional recovery (modified Rankin Scale) and stroke couples' depression, anxiety, stress, benefit finding, social support, couple relationship, and QoL (12-item short-form health scale). Dyadic QoL trajectories were identified using a group-based dual-trajectory model. Stepwise logistic regression was employed to identify the predictors of the trajectory groups. Results: Three subgroups of dyadic physical QoL trajectories were distinguished: "patients low increase—spouses moderate physical QoL" (15.4%), "patients moderate increase—spouses moderate physical QoL" (74.0%), and "patients moderate increase—spouses high physical QoL" (10.6%). Two subgroups of dyadic mental QoL trajectories were distinguished: "dyadic low increase mental QoL" (15.9%), and "dyadic high increase mental QoL" (84.1%). The trajectory groups were influenced by the patient's sex, functional recovery, depression, and the spouse's mutuality. Conclusions: The group-based dual-trajectory model facilitates the identification of distinct dyadic QoL trajectories among stroke couples. These findings provide valuable insights for developing targeted interventions aimed at improving their QoL. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09629343 |
| DOI: | 10.1007/s11136-024-03839-1 |
