Dynamics of Perceived Social Isolation, Secondary Conditions, and Daily Activity Patterns Among Individuals With Stroke: A Network Analysis of Ecological Momentary Assessment Data

社会孤立 心理学 冲程(发动机) 康复 分离(微生物学) 日常生活活动 物理医学与康复 生态学 医学 精神科 生物 神经科学 微生物学 机械工程 工程类
作者
Yun Shi,Mandy W.M. Fong,Christopher Metts,Sherri L. LaVela,Charles H. Bombardier,Lu Hu,Alex Wong
出处
期刊:Archives of Physical Medicine and Rehabilitation [Elsevier BV]
卷期号:105 (7): 1314-1321 被引量:1
标识
DOI:10.1016/j.apmr.2024.02.733
摘要

Highlights•Worthlessness predicted perceived social isolation contemporaneously and temporally.•Out-of-home activities alleviated perceived social isolation and negative emotions.•EMA and network analysis are valuable for studying social isolation dynamics.AbstractObjectiveTo assess contemporaneous and temporal dynamics of perceived social isolation (PSI), secondary conditions, and daily activity patterns in individuals post-stroke.DesignLongitudinal observational study using ecological momentary assessment (EMA) as a real-time assessment of an individual's lived experiences. We conducted dynamic network analyses to examine longitudinal associations among EMA variables.SettingsHome and Community.Participants202 individuals with mild-to-moderate chronic stroke (median age=60 years; 45% women; 44% black; 90% ischemic stroke; median NIHSS score=2; N=202).InterventionNot applicable.Main Outcome MeasuresEMA questions measured PSI, secondary conditions (pain, tiredness, stress, anxiety, worthlessness, difficulty concentrating, and cheerfulness), and daily activity patterns (being at home, being alone, and participating in productive activities).ResultsThe median EMA response rate was 84%. The contemporaneous model showed that PSI was associated with being home, alone, and all symptoms except pain. The temporal model revealed a pathway indicating that feelings of worthlessness predicted PSI (regression coefficient=0.06, P=.019), followed by stress (regression coefficient=0.06, P=.024), and then by being not at home (regression coefficient=-0.04, P=.013).ConclusionImplementing dynamic network analyses on EMA data can uncover dynamic connections among PSI, secondary conditions, and daily activity patterns after stroke. This study found a significant temporal association between PSI and negative emotions. Feeling isolated was followed by feeling stressed, which was followed by a tendency to be out of home, indicating adaptive behaviors in individuals with stroke. These findings highlight the importance of engaging in out-of-home or outdoor activities to mitigate PSI and negative emotions.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
zcydbttj2011完成签到 ,获得积分10
1秒前
温暖的小鸭子完成签到,获得积分10
3秒前
7秒前
王泽厚发布了新的文献求助20
8秒前
雪花发布了新的文献求助10
10秒前
周全完成签到 ,获得积分10
14秒前
water应助科研通管家采纳,获得10
15秒前
Owen应助科研通管家采纳,获得10
15秒前
内向忆南完成签到,获得积分10
18秒前
翱翔者完成签到 ,获得积分10
21秒前
kryptonite完成签到 ,获得积分10
21秒前
月军完成签到,获得积分10
22秒前
欢呼寻冬完成签到 ,获得积分10
23秒前
西安浴日光能赵炜完成签到,获得积分10
24秒前
Joy完成签到 ,获得积分10
25秒前
Olsters完成签到 ,获得积分10
28秒前
老程完成签到,获得积分10
29秒前
zyb完成签到 ,获得积分10
32秒前
laber完成签到,获得积分0
32秒前
yue完成签到,获得积分10
32秒前
与共完成签到 ,获得积分10
35秒前
量子星尘发布了新的文献求助10
36秒前
gzf完成签到 ,获得积分10
37秒前
37秒前
D调的华丽完成签到,获得积分10
41秒前
xingxinghan完成签到 ,获得积分10
41秒前
ColinWine完成签到 ,获得积分10
44秒前
mix完成签到,获得积分10
44秒前
动听的谷秋完成签到 ,获得积分10
45秒前
刻苦努力的火龙果完成签到,获得积分10
46秒前
lling完成签到 ,获得积分10
49秒前
听寒完成签到,获得积分10
51秒前
珍珠火龙果完成签到 ,获得积分10
54秒前
似水流年完成签到 ,获得积分10
55秒前
sysi完成签到 ,获得积分10
1分钟前
绿波电龙完成签到,获得积分10
1分钟前
1分钟前
ZZzz完成签到 ,获得积分10
1分钟前
wujiwuhui发布了新的文献求助10
1分钟前
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038066
求助须知:如何正确求助?哪些是违规求助? 3575779
关于积分的说明 11373801
捐赠科研通 3305584
什么是DOI,文献DOI怎么找? 1819239
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022