Influence of stroke survivor characteristics and family conflict surrounding recovery on caregivers' mental and physical health.
BACKGROUND
Stroke recovery is a dynamic process for stroke survivors, and shorter lengths of stay in healthcare settings shift the care of the survivors to family caregivers. The physical and mental sequelae after stroke and the family's response to this catastrophic event may have deleterious effects on caregivers.


OBJECTIVE
To examine the influence of stroke survivors' motor function, their memory and behavior changes, and the family conflict surrounding stroke recovery on the mental and physical health of caregivers during the subacute recovery period.


METHODS
This cross-sectional, correlational study used baseline data from family caregivers (n = 132) and first-time stroke survivors enrolled in a larger multisite study.


RESULTS
The caregivers were primarily White (71%), female (74%), college-educated (73%) spouses (80%) of survivors. Most of the caregivers (66%) reported family conflict. The caregivers from families with lower family functioning scores reported worse mental health. The caregivers reported lower mental health when they were caring for stroke survivors with a combination of high memory/behavior changes and low motor function (R =.30). Family conflict appears to exacerbate the impact of memory and behavior changes on caregiver mental health. Higher caregiver education and no major health problems were associated with better caregiver physical health (R =.36). Caregiver physical health was not associated with family functioning or stroke survivor memory and behavior changes.


CONCLUSIONS
These results indicate that memory and behavior changes of stroke survivors and family conflict surrounding stroke recovery are important considerations for assessment during the poststroke recovery period.
Clark
Patricia C
PC
Emory University, Atlanta, Georgia 30322, USA. pcclark@emory.edu
Dunbar
Sandra B
SB
Shields
Cleveland G
CG
Viswanathan
Bindu
B
Aycock
Dawn M
DM
Wolf
Steven L
SL
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D003220:Conflict, Psychological; D003289:Convalescence / Q000523:psychology; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008960:Models, Psychological; D020127:Recovery of Function; D012044:Regression Analysis; D012047:Rehabilitation Centers; D012307:Risk Factors; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D019467:Subacute Care / Q000523:psychology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D014481:United States