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Relationship between sense of coherence and psychological well-being in spouses of stroke patients

Authors Gunilla Forsberg-Wärleby
Anders Möller
Christian Blomstrand
Published in 14th Nordic Meeting on Cerebrovascular Diseases
Publication year 2007
Published at Institute of Neuroscience and Physiology, Department of Audiology, Logopedics, Occupational Therapy & Physiotherapy
Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Language en
Keywords Adaptation, Psychological, Adult, Aged, Caregivers/*psychology, Cerebrovascular Accident/*psychology, Depression/psychology, Female, Humans, Life Change Events, Male, Mental Health, Middle Aged, Psychological, Personal Satisfaction, Quality of Life, Spouses/*psychology, Stress, Psychological/prevention & control/psychology, Sweden, Time Factors
Subject categories Public health medicine research areas, Occupational Therapy, Applied Psychology, Family research, Disability research


RELATIONSHIP BETWEEN SENSE OF COHERENCE AND PSYCHOLOGICAL WELLBEING IN SPOUSES OF STROKE PATIENTS Background. Spouses of stroke patients often perceive stress and low well-being. To better support spouses it is important to identify predictors of well-being early on, in the first phase after their partner’s stroke. The concept of Sense of Coherence is assumed to be related to coping ability and health. The concept is composed of three closely interwined sub-components: Comprehensibility, Manageability and Meaningfulness. Aim: To explore the relationship between spouses’ SOC in the first weeks after their partner’s stroke and psychological well-being during the first year. Method: Sixty-two consecutively included spouses (18 men and 44 women, mean age 57 years) participated. Data concerning SOC (The SOC-29 Questionnaire) and psychological well-being (the Psychological General Well-Being (PGWB) Index) were gathered after ten days, four months and one year. Results: The spouses’ SOC in the first week after their partner’s stroke was increasingly significantly associated with emotional well-being during the first year. Sense of manageability in life was increasingly associated with the dimensions of spouses’ well-being (anxiety, depressed mood, positive well-being, self-control, general health and vitality) from the first week after stroke. Sense of comprehensibility in life was associated with all dimensions of well-being at four months and with four dimensions at one year. Sense of meaningfulness in life was increasingly associated with positive well-being, self-control and vitality at four months and one year. Conclusion: The spouses’ SOC in the first weeks after partner’s stroke seems to have ability to predict well-being during the first year after the stroke. Care and rehabilitation staff should focus on spouses whose rates show a low sense of comprehensibility and manageability as concerns support in understanding the consequences of stroke and finding strategies to cope with their new everyday tasks and life situation.

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