ARTICLE
Cognitive and functional impairment, and perception of illness in acute stroke patients
 
More details
Hide details
1
Department of Neurology, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia
2
Department of Psychiatry, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia
3
Department of Medical Psychology, Leiden University Medical Centre, Leiden, The Netherlands
CORRESPONDING AUTHOR
Yuda Turana   

Department of Neurology, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia
Submission date: 2018-08-09
Final revision date: 2019-03-25
Acceptance date: 2019-04-13
Online publication date: 2019-12-18
Publication date: 2019-12-18
 
Arch Psych Psych 2019;21(4):37–44
 
KEYWORDS
TOPICS
ABSTRACT
Aim of the study:
Objectives Stroke, the leading cause of death and disability in Indonesia, has a substantial impact on patients’ life. However, only a few studies have assessed the psychological functioning in stroke patients. This study contributes to the need to map out psychological functioning in stroke patients by assessing their illness perception.

Subject or material and methods:
Methods This is a cross-sectional, descriptive-analytical study. We used a structured questionnaire which consists of a standardized collection of socio-demographic and clinical characteristics, brain CT-scan results, the severity of neurological deficit using NIH Stroke Scale (NIHSS), cognitive assessment tests, as well as Brief Illness Perception Questionnaire (BIPQ) as an instrument to assess illness perception.

Results:
Results There were 56 stroke patients recruited as participants. The average age was 55.34 + 10.25, with 30.4 % had formal education less than 9-year compulsory education. Cognitive impairment in 64.3% of subjects was associated with lower coherence (p<0.005). Subjects with higher education had higher personal control, treatment control and coherence (p < 0.05). Subjects with mild neurological impairment had lower treatment control and coherence (p < 0.05).

Discussion:
Stroke patients with mild neurologic impairment at discharge had a more positive perception on the timeline, personal and treatment control.

Conclusions:
Stroke patients with mild neurological impairment who had been discharged had a more positive perception on the timeline, personal and treatment control. Cognitive impairment is associated with lower coherence, which underlines the importance of establishing the cognitive baseline before assessing illness perception in stroke patients.

eISSN:2083-828X
ISSN:1509-2046