Article

PURPOSE: To examine the association between positive affect and social
participation in adults with first-time stroke after in-patient medical
rehabilitation. METHODS: A prospective cohort design using information from the
Stroke Recovery in Underserved Populations database (SRUP) for the years
2005-2006. Data were collected at discharge from in-patient medical
rehabilitation and 3 months post-discharge. Participants were aged 50 and older
with first-time stroke (n = 605) and admitted to 1 of 11 in-patient medical
rehabilitation facilities across the United States. Primary measures included a
positive affect scale and a home and community social participation instrument.
RESULTS: The mean age was 71.6 years, 50.3% were women, and 56.5% were married.
Results of cumulative logit models showed each 1 point increase in positive
affect was significantly associated with a 17% odds of higher social
participation (OR: 1.17, 95% CI 1.10, 1.25), after adjusting for demographics,
clinical characteristics, and negative affect. CONCLUSIONS: High positive affect
at discharge from in-patient medical rehabilitation was associated with higher
levels of social participation 3 months post-discharge. The significant
association between higher positive affect and higher levels of social
participation adds to accumulating evidence linking positive affect with
beneficial physical and psychological outcomes after an acute event such as stroke.

Langue : ANGLAIS