Self-esteem level and stability, admission functional status, and depressive symptoms in acute inpatient stroke rehabilitation.
OBJECTIVE
Explore the relationship of self-esteem level, self-esteem stability, and admission functional status on discharge depressive symptoms in acute stroke rehabilitation.


METHODS
One hundred twenty stroke survivors serially completed a measure of state self-esteem during inpatient rehabilitation and completed a measure of depressive symptoms at discharge. Functional status was rated at admission using the Functional Independence Measure (FIM). Regressions explored main effects and interactions of self-esteem level and stability and admission FIM self-care, mobility, and cognitive functioning on discharge depressive symptoms.


RESULTS
After controlling for potential moderating variables, self-esteem level interacted with FIM self-care and cognitive functioning to predict discharge depressive symptoms, such that survivors with lower self-rated self-esteem and poorer functional status indicated higher levels of depressive symptoms. Self-esteem stability interacted with FIM mobility functioning, such that self-esteem instability in the presence of lower mobility functioning at admission was related to higher depressive symptoms at discharge.


CONCLUSIONS
These results suggest that self-esteem variables may moderate the relationship between functional status and depressive symptoms. Self-esteem level and stability may differentially moderate functional domains, although this conclusion requires further empirical support.
Vickery
Chad D
CD
Neuropsychology Department, Methodist Rehabilitation Center.
Sepehri
Arash
A
Neuropsychology Department, Methodist Rehabilitation Center.
Evans
Clea C
CC
Neuropsychology Department, Methodist Rehabilitation Center.
Jabeen
Linsa N
LN
Neuropsychology Department, Methodist Rehabilitation Center.
D000203:Activities of Daily Living / Q000145:classification* / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D017063:Outcome Assessment, Health Care; D010343:Patient Admission; D010351:Patient Discharge; D010555:Personality Inventory; D012008:Recurrence; D012648:Self Care / Q000523:psychology; D012649:Self Concept; D012803:Sick Role; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation