Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.

BACKGROUND:As acute stroke services improve, more persons experience mild stroke and need to cope daily with hidden disabilities, which may be influenced by how they perceive stroke, cognitively and emotionally. OBJECTIVE:To investigate cognitive illness beliefs and emotional responses in persons wi...

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Main Authors: Claire Della Vecchia, Marie Préau, Camille Carpentier, Marie Viprey, Julie Haesebaert, Anne Termoz, Alexandra L Dima, Anne-Marie Schott
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0223681
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author Claire Della Vecchia
Marie Préau
Camille Carpentier
Marie Viprey
Julie Haesebaert
Anne Termoz
Alexandra L Dima
Anne-Marie Schott
author_facet Claire Della Vecchia
Marie Préau
Camille Carpentier
Marie Viprey
Julie Haesebaert
Anne Termoz
Alexandra L Dima
Anne-Marie Schott
author_sort Claire Della Vecchia
collection DOAJ
description BACKGROUND:As acute stroke services improve, more persons experience mild stroke and need to cope daily with hidden disabilities, which may be influenced by how they perceive stroke, cognitively and emotionally. OBJECTIVE:To investigate cognitive illness beliefs and emotional responses in persons with mild stroke and their possible influences on daily coping. METHODS:Semi-structured interviews were conducted with 24 persons with mild stroke, on average 7.5 months (±0.89) after stroke occurrence. A thematic analysis on verbatim transcripts was guided by the Common-Sense Model of Self-Regulation. RESULTS:All participants experienced difficulties constructing an illness identity at both acute and chronic phase. Behavioral risk factors were less accepted as causes of stroke. Lack (or inappropriate timing) of information from healthcare providers led to limited medication knowledge and low perceived control of stroke recurrence which generated anxiety, fear, and low involvement in coping. Participants who considered stroke a chronic condition experienced more difficulties. Perceived support from relatives and healthcare providers was beneficial for participation in recovery and health behaviour change. CONCLUSION:Despite having mildly disabilities, participants reported difficulties developing illness beliefs conducive to coping, and dealing with their emotional responses. These elements should be considered in tailored programs to improve coping with hidden disabilities post-stroke.
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spelling doaj.art-f7141641460f495a84fc78ef257806ee2022-12-21T17:34:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011410e022368110.1371/journal.pone.0223681Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.Claire Della VecchiaMarie PréauCamille CarpentierMarie VipreyJulie HaesebaertAnne TermozAlexandra L DimaAnne-Marie SchottBACKGROUND:As acute stroke services improve, more persons experience mild stroke and need to cope daily with hidden disabilities, which may be influenced by how they perceive stroke, cognitively and emotionally. OBJECTIVE:To investigate cognitive illness beliefs and emotional responses in persons with mild stroke and their possible influences on daily coping. METHODS:Semi-structured interviews were conducted with 24 persons with mild stroke, on average 7.5 months (±0.89) after stroke occurrence. A thematic analysis on verbatim transcripts was guided by the Common-Sense Model of Self-Regulation. RESULTS:All participants experienced difficulties constructing an illness identity at both acute and chronic phase. Behavioral risk factors were less accepted as causes of stroke. Lack (or inappropriate timing) of information from healthcare providers led to limited medication knowledge and low perceived control of stroke recurrence which generated anxiety, fear, and low involvement in coping. Participants who considered stroke a chronic condition experienced more difficulties. Perceived support from relatives and healthcare providers was beneficial for participation in recovery and health behaviour change. CONCLUSION:Despite having mildly disabilities, participants reported difficulties developing illness beliefs conducive to coping, and dealing with their emotional responses. These elements should be considered in tailored programs to improve coping with hidden disabilities post-stroke.https://doi.org/10.1371/journal.pone.0223681
spellingShingle Claire Della Vecchia
Marie Préau
Camille Carpentier
Marie Viprey
Julie Haesebaert
Anne Termoz
Alexandra L Dima
Anne-Marie Schott
Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
PLoS ONE
title Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
title_full Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
title_fullStr Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
title_full_unstemmed Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
title_short Illness beliefs and emotional responses in mildly disabled stroke survivors: A qualitative study.
title_sort illness beliefs and emotional responses in mildly disabled stroke survivors a qualitative study
url https://doi.org/10.1371/journal.pone.0223681
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