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Research ArticleOriginal Research

Trajectories of Psychological Distress After Stroke

Jennifer H. White, Parker Magin, John Attia, Jonathan Sturm, Gregory Carter and Michael Pollack
The Annals of Family Medicine September 2012, 10 (5) 435-442; DOI: https://doi.org/10.1370/afm.1374
Jennifer H. White
1Hunter Stroke Service, Hunter New England Area Health Service, Australia
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  • For correspondence: Jennifer.white@hnehealth.nsw.gov.au
Parker Magin
2Primary Health Care Research and Evaluation Development Program, Discipline of General Practice, University of Newcastle, New South Wales, Australia
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John Attia
3Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, New South Wales, Australia
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Jonathan Sturm
4Gosford Hospital, Northern Sydney Central Coast Area Health Service, Sydney, Australia
5Department of Medicine, University of Newcastle, New South Wales, Australia
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Gregory Carter
6Centre for Brain and Mental Health Research (CBMHR), University of Newcastle, New South Wales, Australia
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Michael Pollack
1Hunter Stroke Service, Hunter New England Area Health Service, Australia
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The Article in Brief

Jennifer H. White , and colleagues

Background Most stroke survivors receive ongoing care in the community after discharge from a secondary or tertiary health care setting. This study explores common disease paths or patterns of psychological distress and recovery in the 12 months after a stroke.

What This Study Found Based on interviews with 23 recent stroke victims, researchers identify 4 distinct trajectories--resilience, ongoing mood disturbance, emergent mood disturbance, and recovery from mood disturbance. Recovery from mood disturbance is facilitated by gains in independence and self-esteem and by having an internal health locus of control.

Implications

  • Identifying distinct trajectories of psychological morbidity may help primary care physicians develop appropriately timed methods for promoting better mental health among stroke patients.

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