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Abstract

Objective: To compare ratings of self-esteem and depressive mood in a sample of stroke survivors in an acute inpatient rehabilitation setting to those of a matched control group.

Design: Stroke survivors (n = 80) were matched on age and education to a group of neurologically intact community-dwelling control participants. Between-group analysis compared mean ratings of self-esteem and depressive measures. Within-group correlational analyses explored the relationship between self-esteem and mood. Between-group comparison of the correlations between self-esteem and mood explored differences in the strength of association between these constructs. Regression analyses explored the relationship of self-esteem measures after controlling for depressive mood.

Main measures: Visual Analogue Self-Esteem Scale, Rosenberg Self-Esteem Scale, Geriatric Depression Scale.

Results: Stroke survivors rated significantly lower mean levels of self-esteem on the Visual Analogue Self-Esteem Scale (37 versus 41) and the Rosenberg Self-Esteem Scale (21 versus 24) than the control group. Stroke survivors also rated higher mean levels of depressive mood on the Geriatric Depression Scale (9 versus 6). Significantly higher correlations between self-esteem and mood ratings were noted in the stroke group than in the control group. Lower self-esteem ratings do not appear to be a byproduct of depressive mood.

Conclusions: Self-esteem is negatively impacted by stroke and is strongly, but independently, associated with depressive mood. Clinicians may better facilitate the emotional adjustment of the survivor by considering this facet of psychological impact and intervening to address self-esteem.

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References

Rosenberg M. Conceiving the self. Robert E Krieger Publishing , 1979.

Westin L. , Carlsson R. , Israelsson B. , Willenheimer R. , Cline C. , McNeil TF Quality of life in patients with ischaemic heart disease: a prospective controlled study. J Intern Med 1997; 242: 239—47.

Overholser JC , Schubert DSP , Foliart R. , Frost F. Assessment of emotional distress following a spinal cord injury. Rehabil Psychol 1993 ; 38: 187—98.

Schroevers MJ , Ranchor AV , Sanderman R. The role of social support and self-esteem in the presence and course of depressive symptoms: a comparison of cancer patients and individuals from the general population. Soc Sci Med 2003; 57: 375—85.

Anson K. , Ponsford J. Coping and emotional adjustment following traumatic brain injury. J Head Trauma Rehabil 2006; 21: 248—59.

Li L. , Moore D. Acceptance of disability and its correlates. J Soc Psychol 1998; 138: 13—25.

Ng JY , Tam SF Effect of exercise-based cardiac rehabilitation on mobility and self-esteem of persons after cardiac surgery. Percep Mot Skills 2000; 91: 107—14.

Koehler ML Relationship between self-concept and successful rehabilitation. Rehabil Nurs 1989; 14: 9—12.

Curran CA , Ponsford JL , Crowe S. Coping strategies and emotional outcome following traumatic brain injury: a comparison with orthopedic patients. J Head Trauma Rehabil 2000; 15: 1256—74.

10.

Kravetz S. , Gross Y. , Weiler B. , Ben-Yakar M. , Tadir M. , Stern MJ Self-concept, marital vulnerability and brain damage. Brain Inj 1995; 9: 131—39.

11.

Brumfitt SM , Sheeran P. The development and validation of the visual analogue self-esteem scale (VASES). Br J Clin Psychol 1999; 38: 387—400.

12.

Vickery CD Assessment and correlates of self-esteem following stroke using a pictorial measure. Clin Rehabil 2006; 20: 1075—84.

13.

Chang AM , Mackenzie AE , Yip MP , Dhillon R. The psychosocial impact of stroke. J Clin Nurs 1999; 8: 477—78.

14.

Fung LC , Lui MH , Chau JP Relationship between self-esteem and the occurrence of depression following a stroke. J Clin Nurs 2006; 15: 505—506.

15.

Vickery CD , Sherer M. , Evans CC , Gontkovsky ST The relationship between self-esteem and functional outcome in the acute stroke rehabilitation setting. Rehabil Psychol (in press).

16.

Penninx BW , van Tilburg T. , Boeke JP , Deeg DJ , Kriegsman DM , van Eijk JT

Effects of social support and personal coping resources on depressive symptoms: different for various chronic diseases?

Health Psychol 1998; 17: 551—58.

17.

Brinkman JR , Hoskins TA Physical conditioning and altered self-concept in rehabilitated hemiplegic patients. Phys Ther 1979; 59: 859—65.

18.

Ellis-Hill CS , Horn S. Change in identity and self-concept: A new theoretical approach to recovery following a stroke. Clin Rehabil 2000; 14: 279—87.

19.

Keppel CC , Crowe SF Changes to body image and self-esteem following stroke in young adults . Neuropsychol Rehabil 2000; 10: 15—31.

20.

Heatherton TF , Polivy J. Development and validation of a scale for measuring state self-esteem. J Pers Soc Psychol 1991; 60: 895—910.

21.

Vickery CD , Gontkovsky ST , MacBrayer EK , Lawson KC , Lee J. Psychometric characteristics of a pictorial measure of self-concept in a community sample. Unpublished.

22.

Yesavage JA , Brink TL , Rose TL , Lum O. , Huang V. , Adey M. , Leirer VO Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983 ; 17: 37—49.

23.

Rule BG , Harvey HZ , Dobbs AR Reliability of the geriatric depression scale for younger adults. Clin Gerontol 1989; 9: 37—43.

24.

Lincoln NB , Flannaghan T. , Sutcliffe L. , Rother L. Evaluation of cognitive behavioral treatment for depression after stroke: a pilot study. Clin Rehabil 1997; 11: 114—22.

25.

Vickery CD , Gontkovsky ST , Wallace JJ , Caroselli JS Group psychotherapy focusing on self-concept change following acquired brain injury: a pilot investigation. Rehabil Psychol 2006; 51: 30—35.

26.

Pyszczynski T. , Greenberg J. , Holt K. Maintaining consistency between self-serving beliefs and available data: a bias in information evaluation following success and failure. Pers Soc Psychol Bull 1985; 11: 179—90.

27.

Brown JD , Dutton KA , Cook KE From the top down: self-esteem and self-evaluation. Cogn Emot 2001; 15: 615—31.

28.

Heatherton TF , Vohs KD Interpersonal evaluations following threats to self: role of self-esteem. J Pers Soc Psychol 2000; 78: 725—36.

Self-esteem in an acute stroke rehabilitation sample: a control group comparison

Abstract

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