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04-12-2024

Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study

Auteurs: Zhiwei Liu, Dandan Xiang, Song Ge, Yongxia Mei, Zhenxiang Zhang, Suyan Chen, Erfeng Guo, Xin Li

Gepubliceerd in: Quality of Life Research | Uitgave 3/2025

Abstract

Purpose

This study utilized a group-based dual-trajectory model to identify distinct dyadic quality of life (QoL) trajectories among young to middle-aged stroke couples and to analyze the predictive factors influencing these trajectories.

Methods

A longitudinal study was conducted with 168 young to middle-aged stroke couples. Assessments at baseline and at 1, 3, and 6 months post-discharge included patients' functional recovery (modified Rankin Scale) and stroke couples' depression, anxiety, stress, benefit finding, social support, couple relationship, and QoL (12-item short-form health scale). Dyadic QoL trajectories were identified using a group-based dual-trajectory model. Stepwise logistic regression was employed to identify the predictors of the trajectory groups.

Results

Three subgroups of dyadic physical QoL trajectories were distinguished: "patients low increase—spouses moderate physical QoL" (15.4%), "patients moderate increase—spouses moderate physical QoL" (74.0%), and "patients moderate increase—spouses high physical QoL" (10.6%). Two subgroups of dyadic mental QoL trajectories were distinguished: "dyadic low increase mental QoL" (15.9%), and "dyadic high increase mental QoL" (84.1%). The trajectory groups were influenced by the patient's sex, functional recovery, depression, and the spouse's mutuality.

Conclusions

The group-based dual-trajectory model facilitates the identification of distinct dyadic QoL trajectories among stroke couples. These findings provide valuable insights for developing targeted interventions aimed at improving their QoL.

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Titel: Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study
Auteurs: Zhiwei Liu
Dandan Xiang
Song Ge
Yongxia Mei
Zhenxiang Zhang
Suyan Chen
Erfeng Guo
Xin Li
Publicatiedatum: 04-12-2024
Uitgeverij: Springer New York
Gepubliceerd in: Quality of Life Research / Uitgave 3/2025
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-024-03839-1

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Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study

Abstract

Purpose

Methods

Results

Conclusions

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