Journal of Rehabilitation Medicine 51-1CompleteIssue | Page 27

24
M. L. M. Wijenberg et al.
lience were not considered in this study. This limits any
conclusion regarding these other psychological factors
or the existence of a mediating role, which might be
played by a more general negative emotional state (33).
Despite these limitations, we found, in a large pro-
spective longitudinal multicentre cohort study across 7
different psychological factors in patients with stroke,
changes toward less favourable scores, which may be
associated with worse outcome, such as participation
and quality of life. Clinicians should attend to adaptive
psychological factors (e.g. proactive coping, self-
efficacy, extraversion) and maladaptive psychological
factors (e.g. passive coping and neuroticism) during
long-term care.
ACKNOWLEDGEMENT
The presented study is part of the Restore4Stroke Research
Program, which is supported financially by VSBfund (grant no.
89000004) and coordinated by ZonMw (the Dutch Organization
for Health Research and Development).
The authors have no conflicts of interest to declare.
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