Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model

Background:Depression and anxiety are common in stroke survivors as well as their family caregivers. However, it is not known whether each person's emotional distress contributes to their partner's quality of life (QOL). Objective:This study aimed to examine the effect of depression and a...

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Main Authors: Wan Fei, Khaw, Syed Hassan, Syed Tajuddin, Munn Sann, Lye, Ismail, Siti Irma Fadhilah, Abdul Raman, Rosna, Ibrahim, Faisal
Format: Article
Language:English
Published: Electronic Physician 2017
Online Access:http://psasir.upm.edu.my/id/eprint/61296/1/Depression%2C%20anxiety%20and%20quality%20of%20life%20in%20stroke%20survivors%20and%20their%20family%20caregivers%20a%20pilot%20study%20using%20an%20actorpartner%20interdependence%20model.pdf
id oai:psasir.upm.edu.my:61296
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spelling oai:psasir.upm.edu.my:61296 http://psasir.upm.edu.my/id/eprint/61296/ Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model Wan Fei, Khaw Syed Hassan, Syed Tajuddin Munn Sann, Lye Ismail, Siti Irma Fadhilah Abdul Raman, Rosna Ibrahim, Faisal Background:Depression and anxiety are common in stroke survivors as well as their family caregivers. However, it is not known whether each person's emotional distress contributes to their partner's quality of life (QOL). Objective:This study aimed to examine the effect of depression and anxiety on QOL in stroke survivor-caregiver dyads using dyadic analysis technique - the Actor-Partner Interdependence Model (APIM).Methods:This was a cross-sectional pilot study with a total of 30 participating dyads (30 stroke survivors and 30 family caregivers) from Hospital Rehabilitasi Cheras, Kuala Lumpur, Malaysia. This pilot study was conducted over a period of 3 months, between December 2014 and February 2015. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). QOL was assessed using the Short Form-12 Health Survey (SF-12). All analyses were carried out using IBM SPSS version 22. Dyadic data were analysed using multilevel modelling (MLM).Results:Depression was uniquely associated with an individual's own QOL. Survivors and caregivers with higher depression had poorer physical component summary (PCS) scores and mental component summary (MCS) scores. Stroke survivor's depression exerted a significant actor effect on their PCS (b=-1.42, p=0.001) and MCS (b=-1.52, p<0.001). Caregiver's depression exerted a significant actor effect on their PCS (b=-2.53, p<0.001) and MCS (b=-1.51, p=0.004). Caregivers' anxiety negatively influenced their own MCS (b=-0.58, p=0.031). Furthermore, depression exerted a significant partner effect on PCS in stroke survivors (b=-1.19, p=0.003). Caregivers' depression was also related to their stroke survivors' poorer QOL, particularly PCS. Conclusion:The findings suggest that depression affects the QOL of both stroke survivors and caregivers, not only emotionally but also physically. This dyadic study also has evidence pointing to depression in caregivers and its association with stroke survivors' physical QOL. Electronic Physician 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/61296/1/Depression%2C%20anxiety%20and%20quality%20of%20life%20in%20stroke%20survivors%20and%20their%20family%20caregivers%20a%20pilot%20study%20using%20an%20actorpartner%20interdependence%20model.pdf Wan Fei, Khaw and Syed Hassan, Syed Tajuddin and Munn Sann, Lye and Ismail, Siti Irma Fadhilah and Abdul Raman, Rosna and Ibrahim, Faisal (2017) Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model. Electronic Physician, 9 (8). 4924 - 4933. ISSN 2008-5842 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614274/pdf/epj-09-4924.pdf 10.19082/ 4924
institution UPM IR
collection UPM IR
language English
description Background:Depression and anxiety are common in stroke survivors as well as their family caregivers. However, it is not known whether each person's emotional distress contributes to their partner's quality of life (QOL). Objective:This study aimed to examine the effect of depression and anxiety on QOL in stroke survivor-caregiver dyads using dyadic analysis technique - the Actor-Partner Interdependence Model (APIM).Methods:This was a cross-sectional pilot study with a total of 30 participating dyads (30 stroke survivors and 30 family caregivers) from Hospital Rehabilitasi Cheras, Kuala Lumpur, Malaysia. This pilot study was conducted over a period of 3 months, between December 2014 and February 2015. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). QOL was assessed using the Short Form-12 Health Survey (SF-12). All analyses were carried out using IBM SPSS version 22. Dyadic data were analysed using multilevel modelling (MLM).Results:Depression was uniquely associated with an individual's own QOL. Survivors and caregivers with higher depression had poorer physical component summary (PCS) scores and mental component summary (MCS) scores. Stroke survivor's depression exerted a significant actor effect on their PCS (b=-1.42, p=0.001) and MCS (b=-1.52, p<0.001). Caregiver's depression exerted a significant actor effect on their PCS (b=-2.53, p<0.001) and MCS (b=-1.51, p=0.004). Caregivers' anxiety negatively influenced their own MCS (b=-0.58, p=0.031). Furthermore, depression exerted a significant partner effect on PCS in stroke survivors (b=-1.19, p=0.003). Caregivers' depression was also related to their stroke survivors' poorer QOL, particularly PCS. Conclusion:The findings suggest that depression affects the QOL of both stroke survivors and caregivers, not only emotionally but also physically. This dyadic study also has evidence pointing to depression in caregivers and its association with stroke survivors' physical QOL.
format Article
author Wan Fei, Khaw
Syed Hassan, Syed Tajuddin
Munn Sann, Lye
Ismail, Siti Irma Fadhilah
Abdul Raman, Rosna
Ibrahim, Faisal
spellingShingle Wan Fei, Khaw
Syed Hassan, Syed Tajuddin
Munn Sann, Lye
Ismail, Siti Irma Fadhilah
Abdul Raman, Rosna
Ibrahim, Faisal
Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
author_facet Wan Fei, Khaw
Syed Hassan, Syed Tajuddin
Munn Sann, Lye
Ismail, Siti Irma Fadhilah
Abdul Raman, Rosna
Ibrahim, Faisal
author_sort Wan Fei, Khaw
title Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
title_short Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
title_full Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
title_fullStr Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
title_full_unstemmed Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
title_sort depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model
publisher Electronic Physician
publishDate 2017
url http://psasir.upm.edu.my/id/eprint/61296/1/Depression%2C%20anxiety%20and%20quality%20of%20life%20in%20stroke%20survivors%20and%20their%20family%20caregivers%20a%20pilot%20study%20using%20an%20actorpartner%20interdependence%20model.pdf
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score 12.833586