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J Aging Health. 2019 Jan 9:898264318822228. doi: 10.1177/0898264318822228. [Epub ahead of print]

Flourishing After a Stroke: A Nationally Representative Portrait of Resilience and Mental Health Among Older Canadians.

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1
1 Factor Inwentash Faculty of Social Work, University of Toronto, Ontario, Canada.

Abstract

OBJECTIVES:

The objective of this study is to estimate the prevalence of, and factors associated with, complete mental health (CMH) among stroke survivors aged 50+ years.

METHOD:

Bivariate and logistic regression analyses of nationally representative data from the 2012 Canadian Community Health Survey-Mental Health of 11,157 older adults aged 50+ years (300 stroke survivors). CMH included all of these elements: (a) absence of any past-year mental illness (measured by the World Health Organization version of the Composite International Diagnostic Interview [WHO-CIDI] scales), (b) almost daily happiness or satisfaction, and (c) psychological and social well-being.

RESULTS:

Two thirds of the stroke survivors (68%) were in CMH. Among stroke survivors, the odds of CMH were higher among those with at least one confidant (odds ratio [OR] = 4.34; 95% confidence interval [CI] = [1.52, 12.41]), those without disabling chronic pain (OR = 2.34; 95% CI = [1.24, 4.41]), and those without a history of childhood maltreatment (OR = 2.10; 95% CI = [1.09, 4.05]), depression (OR = 3.83; 95% CI = [1.10, 13.37]), or generalized anxiety disorders (OR = 3.42; 95% CI = [1.19, 9.79]).

DISCUSSION:

These findings provide encouraging information for stroke survivors.

KEYWORDS:

adverse childhood experiences; cerebrovascular accident; recovery; resilience; stroke

PMID:
30624141
DOI:
10.1177/0898264318822228

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