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Gender differences in participation one year after stroke: exploring biopsychosocial predictors for women and men.
de Graaf, Joris A; van Miltenburg, Sanne; Wermer, Marieke J H; Post, Marcel W M; Visser-Meily, Johanna M A.
Afiliación
  • de Graaf JA; Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
  • van Miltenburg S; Department of Rehabilitation, Physical Therapy Science & Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Wermer MJH; Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
  • Post MWM; Department of Neurology, University Medical Center Groningen, Groningen, The Netherlands.
  • Visser-Meily JMA; Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Top Stroke Rehabil ; : 1-11, 2024 Jul 24.
Article en En | MEDLINE | ID: mdl-39045812
ABSTRACT

BACKGROUND:

Women appear to have a higher risk for long term restrictions in participation than men. This gender difference is poorly understood, as solely biomedical factors have been examined to date.

OBJECTIVES:

The aims of this study are (1) to map gender differences in participation outcome one year after stroke, and (2) to identify demographic, stroke-related, or psychological predictors of participation for women and men separately.

METHODS:

A total of 326 patients (mean age 66.5 ± 12.4y, 35.0% women) completed the restriction and satisfaction subscales of the Utrecht Scale of Evaluation of Rehabilitation-Participation (USER-P) at one year after stroke. Bivariate and multiple linear regression analyses were performed.

RESULTS:

Women reported worse scores for restrictions in participation compared to men (median 75.4 versus 87.9 respectively, p = 0.001), especially in physical activities such as daytrips and going out. Satisfaction with participation was similar between women and men. Worse cognitive functioning (ß = 0.17) was associated with more restrictions in participation in men only, other predictors of restrictions in participation were similar between women and men. The presence of depressive symptoms (ß = -0.49) was associated with worse satisfaction with participation in men, whereas an increased stroke severity (ß = -0.29) and the presence of maladaptive psychological factors (ß = -0.36) were associated with worse satisfaction with participation in women.

CONCLUSIONS:

Women experience more restrictions in participation compared to men one year after stroke. Taking into account gender-specific predictors of participation in stroke aftercare is important, as different biopsychosocial factors contribute to problems in participation across women and men.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido