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Ecological Momentary Assessment of Social Interactions: Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke
- Source :
- Arch Phys Med Rehabil
- Publication Year :
- 2020
-
Abstract
- Objectives To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants’ daily environments. Design Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. Setting Community. Participants Adults (N=48) with mild stroke. Interventions Not applicable. Main Outcome Measures EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. Results In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. Conclusions This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
- Subjects :
- Adult
Male
030506 rehabilitation
Ecological Momentary Assessment
Psychological intervention
Pain
Physical Therapy, Sports Therapy and Rehabilitation
Anxiety
Article
03 medical and health sciences
Interpersonal relationship
0302 clinical medicine
medicine
Humans
Interpersonal Relations
Prospective Studies
Stroke
Depression (differential diagnoses)
Fatigue
Aged
Aged, 80 and over
Ecology
business.industry
Depression
Rehabilitation
Multilevel model
Stroke Rehabilitation
Middle Aged
medicine.disease
Mood
Observational study
Female
medicine.symptom
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Arch Phys Med Rehabil
- Accession number :
- edsair.doi.dedup.....f21609240b5a0a273d39a44badc32b73