Navigation Links
When couples disagree on stroke recovery, one partner can suffer

CINCINNATIAn innovative study from a University of Cincinnati (UC) social work researcher has found that when a stroke survivor and his or her caregiving spouse disagree on the survivor's rate of recovery, the caregiving spouse is more likely to experience depression and emotional distress.

Assistant Professor Michael McCarthy, PhD, working with co-author Karen Lyons at the Oregon Health and Science University, interviewed 35 couples in which one spouse had experienced a stroke within the past three years.

In separate sessions, stroke survivors and their spouses discussed the survivor's recovery, including the performance of daily functions, their memory and ability to problem solve. In the first mixed-method study in the topic, both quantitative and qualitative data showed that spouses rated rehabilitation progress as significantly worse than survivorsand that this discrepancy was associated with spouse depression.

"We found that spouses rated their partners' recovery worse than survivors rated it themselves, and that this discrepancy predicted depressive symptoms in the spouses," says McCarthy.

"So if the wife has a stroke," he continues, "and she believes, for example, that she can still drive but her husband doesn'tthe difference in their perception is predictive of the husband's emotional distress. We were able to quantify and capture a different kind of worry and stress that caregiving spouses can experience and connect it to their outcomes."

He adds that the magnitude of the discrepancy in perceptions between survivors and spousal caregivers is key to predicting depression in spousal caregiverswhich can then cycle back onto the survivors.

McCarthy says there is some evidence that wives may be particularly susceptive to caregiver worry, as are spouses in strong, fulfilling relationships. With studies demonstrating that stroke caregivers have higher rates of depression than the general public and may be at higher risk for stroke themselves as well as premature death, caregiver mental health has profound consequences.

McCarthy hopes the study can help social work and other rehabilitation practitioners working with stroke survivors. Overall, he says health care needs to broaden the conversation around stroke recovery: from focusing solely on the patient to considering the patient-spouse couple as a unit.

"How the spouse is doing matters in the equation," he says. "They need as much care, if not more in some ways, as the patient. We need to bring partners together in the rehabilitation process, to align each person's expectations and perceptions in order to achieve the best outcomes."

His paper, "Incongruence between stroke survivor and spouse perceptions of survivor functioning and effects on spouse emotional health," has been published online in the journal Aging & Mental Health.


Contact: Katy Cosse
University of Cincinnati Academic Health Center

Related medicine news :

1. Creating friendships between African-American and Caucasian couples can reduce prejudice
2. Couples sleep in sync when the wife is satisfied with their marriage
3. Couples need just 1 conversation to decide not to have children
4. Miami Therapeutic Private Practice Blue Pearl Therapeutic, PA to Begin Seminars on Sex and Intimacy for Couples Including Seminars Catered to the LGBT Community
5. Video Project Shared Via Social Media Gives Hope and Help to Couples Struggling with Infertility
6. Hit a Homerun for the Miracle League of Arizona; Arizona Residents Can Claim a $400 Tax Credit for Couples or $200 for Single Taxpayers
7. New Technology Increases Chance of Pregnancy for Infertile Couples
8. Study explains how a job-market system lands couples in the same city
9. Baby Dreams Come True Through Facebook for Las Vegas Couples Facing Infertility
10. Matrix Spa & Massage Announce a Special Discounted Rate On Their Couples Massage Package
11. Four Seasons Resort Maui at Wailea Goes All Out to Welcome Couples This Fall
Post Your Comments:
(Date:10/13/2017)... ... ... Ellevate Network, the leading network for professional women, brought together some of ... their inaugural Summit in New York City in June. The event was livestreamed with ... 3 million. To watch the Mobilize Women video, click here . , ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at ... of the most popular and least understood books in the Holy Scriptures, Revelation. The ... that have baffled scholars for centuries. Many have tossed it off as mere rubbish, ...
(Date:10/13/2017)... Fairfax, VA (PRWEB) , ... October 13, 2017 ... ... provider of DevOps and Agile Software Development, has been awarded a contract by ... (EATS) Blanket Purchase Agreement (BPA) aims to accelerate the enterprise use of Agile ...
(Date:10/13/2017)... ... ... On The Brink”: the Christian history of the United States and the loss of ... William Nowers. Captain Nowers and his wife, Millie, have six children, ten grandchildren, ... Navy. Following his career as a naval aviator and carrier pilot, he spent ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San ... using cutting-edge Oventus O2Vent technology. As many as 18 million Americans are ... cessation in breathing. Oral appliances can offer significant relief to about 75 percent ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... Oct. 11, 2017  Caris Life Sciences ® , ... the promise of precision medicine, today announced that St. ... Precision Oncology Alliance™ (POA) as its 17 th ... St. Jude Crosson Cancer Institute will help develop standards ... of tumor profiling, making cancer treatment more precise and ...
(Date:10/10/2017)... received FDA 510(k) clearance in May 2017 for its highly anticipated ... for endoscopy environments. An innovative secondary monitor solution, ZeroWire Mobile ... the improvement of patient outcomes, procedural efficiency, and the lowering of ... ... By ...
(Date:10/5/2017)... , Oct. 5, 2017  In response ... of Oral and Maxillofacial Surgeons (AAOMS) released prescribing ... – to be used as a first-line therapy ... Recognizing the ... AAOMS White Paper "Opioid Prescribing: Acute and Postoperative ...
Breaking Medicine Technology: