title: Factors associated with health-related quality of life for adults with stroke sequelae.
abstract: OBJECTIVE
  To assess health-related quality of life (HRQoL) among adults with stroke sequelae and to identify the factors that influenced the domains of HRQoL.
  
  
  METHODS
  The subjects were adults with stroke who were admitted to a rehabilitation program between March and August 2008. They were investigated using the following instruments: Medical Outcomes 36-Item Short-Form Health Survey (SF-36), Functional Independence Measure (FIM) and Beck Depression Inventory (BDI). Sixty-four adults of mean age 58.8 years were evaluated.
  
  
  RESULTS
  The individuals who had had their injuries for longer times and who were more independent and younger had better HRQoL regarding physical functioning. Social participation was associated with better HRQoL, and there was a difference between groups with and without depressive symptoms.
  
  
  CONCLUSIONS
  HRQoL was compromised primarily with regard to functional characteristics. Moreover, the presence of depressive symptoms contributed towards a decline in HRQoL. Rehabilitation needs to focus on improving functionality and social participation, which may stimulate reductions in depressive symptoms and improvement of HRQoL.
authors.affiliation: SARAH Network of Rehabilitation Hospitals, Fortaleza, CE, Brazil. karlasimones@yahoo.com.br
authors.forename: Karla Simone dos Santos Oliveira
authors.initials: KS
authors.lastname: Fróes
authors.forename: Maria Teresa Moreno
authors.initials: MT
authors.lastname: Valdés
authors.forename: Daniel de Paula Lima e Oliveira
authors.initials: Dde P
authors.lastname: Lopes
authors.forename: Cruiff Emerson Pinto da
authors.initials: CE
authors.lastname: Silva
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D020521:Stroke / Q000150:complications* / Q000523:psychology; D000071939:Stroke Rehabilitation