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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Self-Efficacy, Poststroke Depression, and Rehabilitation Outcomes: Is There a Correlation?
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Self-Efficacy, Poststroke Depression, and Rehabilitation Outcomes: Is There a Correlation?

机译：自我效能，失败抑郁症和康复结果：是否存在相关性？

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BackgroundThe sudden live changes of stroke survivors may lead to negative psychological and behavioral outcomes, including anxiety and depressive mood, which may compromise the rehabilitation process. Some personality features, such as self-efficacy, could play an important role in mediating the degree of post-stroke depression. Aim of this study is to investigate the possible correlation between specific psychological dimensions, such as poststroke depression and self-efficacy, and rehabilitation outcomes. Materials and MethodsThirty-eight patients, affected by stroke, completed a four-hour-daily training lasting up to 8 weeks, including traditional and robotic-assisted physiotherapy. Patients were assessed at admission (T0) and at the end (T1) of the motor training, by means of the Montgomery-Asberg Depression Scale, the General Self-Efficacy Scale, and the Functional Independent Measure. ResultsWe observed a significant T0-T1 difference in MADRS scores in patients with a better functional recovery (t?=?5.76;P< .0001) and higher self-efficacy (t?=?4.74;P< .001), but no significant T0-T1 difference in individuals without functional recovery (t?=?1.21;P?=?.239) and low self-efficacy (t?=?1.72;P?=?.103). ConclusionsOur study shows that rehabilitation outcomes and self-efficacy may influence mood, but not vice versa. Thus, to potentiate self-efficacy in the rehabilitation setting may help clinicians in obtaining better functional outcomes, including depression reduction.
机译：中风幸存者的背景：现场突然变化可能导致负面的心理和行为的结果，包括焦虑和抑郁情绪，这可能危及康复过程。一些个性功能，如自我效能感，可以在介导卒中后抑郁的程度发挥了重要作用。这项研究的目的是调查具体的心理层面，比如卒中后抑郁和自我效能和康复结果之间可能存在的关联。材料和方法30名患者，受中风影响，完成了四个小时的日常训练长达8周，包括传统和机器人辅助理疗。患者入院时（T0），并在运动训练结束（T1）进行了评估，通过蒙哥马利 - 艾森贝格抑郁量表，一般自我效能感量表，功能独立测量的手段。 ResultsWe观察MADRS得分显著T0-T1差的患者更好的功能恢复（T = 5.76;？P <0.0001）和更高的自我效能（T = 4.74;？P <0.001），但没有（？; P =？239ΔT= 1.21）和低的自我效能（T = 1.72; P =？103？），而不功能恢复的个体显著T0-T1差。 ConclusionsOur研究表明，康复的结果和自我效能可能会影响情绪，而不是相反。因此，为了在康复设置增强自我效能感可以帮助临床医生获得更好的功能性成果，包括抑郁症减少。

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