Poster A25, Saturday, March 25, 5:00 – 7:00 pm, Pacific Concourse
Which coping strategies predict better outcomes after a stroke?
Marie-Christine Nizzi1; 1Harvard University
Objectives: In the United States, where 795,000 people have a stroke every year, stroke is the leading cause of paralysis, affecting nearly 1.8 million persons. Yet we have no rehabilitation protocol aiming to optimize coping and resilience in these patients, in part because we don’t know which coping strategies best support their quality of life. Patients in a locked-in syndrome (LIS) experience a full-body paralysis with no cognitive impairments. They present a unique opportunity to identify optimal coping strategies. Methods: In this study, we used the Brief COPE (Carver, 1997) and the Self Continuity Questionnaire (Nizzi et al., 2012) to investigate how different coping strategies relate to multiple outcomes such as preserved sense of self, suicide ideation and quality of life. We surveyed 44 chronic LIS patients in 2010 and 2016. At follow up, 9 patients had died and 18 responded. Results: In line with previous literature, we parsed coping strategies into active vs avoidant coping. Active coping was correlated with quality of life, sense of self and body representation, but negatively correlated with depression (r=-0.3). Avoidant coping was negatively correlated with body representation (r=-0.5), sense of self (r=-0.5) and quality of life (r=-0.3). Importantly, avoidant coping was correlated with suicide ideation in the past 6 months (r=0.5) and with depression (r=0.6). Conclusions: In our sample, active coping strategies were optimal to support post-stroke quality of life as measured by multiple indices. Practice implications: Training in the relevant coping strategies could be integrated in clinical care to improve post-stroke resilience.
Topic Area: EMOTION & SOCIAL: Emotion-cognition interactions