title: Psychosocial predictors of participation restriction poststroke in Korea: A path analysis.
abstract: OBJECTIVE
  The present cross-sectional study tested a hypothetical path model consisting of psychosocial factors in relation to activity participation restriction in chronic stroke. Motor and cognitive functions and age; psychological factors consisting of depressive symptoms, hopeful thinking, and self-esteem; and activities of daily living and social support served as psychosocial factors.
  
  
  METHODS
  Data were collected from 171 community-dwelling individuals with chronic stroke in Korea. Path analysis was conducted to test the model fit between the obtained data and the hypothetical model to examine the direct and indirect effects of variables on participation restriction.
  
  
  RESULTS
  Among the psychosocial factors, psychological factors and activities of daily living played the most significant role in predicting the degree of participation restriction, as well as mediating the relationship. Motor and cognitive functions were mediated by activities of daily living, and social support was mediated by psychological factors to affect participation restriction. Among the psychological factors, hopeful thinking exhibited the strongest relationship.
  
  
  CONCLUSIONS
  To increase stroke survivors' participation during the course of rehabilitation, psychosocial factors as well as biological factors should be included in a multidimensional treatment approach.
authors.affiliation: Department of Occupational Therapy, School of Medicine, Wonkwang University.
authors.forename: Yoo Im
authors.initials: YI
authors.lastname: Choi
authors.affiliation: Department of Occupational Therapy, Yonsei University.
authors.forename: Ji Hyuk
authors.initials: JH
authors.lastname: Park
authors.affiliation: Department of Occupational Therapy, Yonsei University.
authors.forename: Min-Ye
authors.initials: MY
authors.lastname: Jung
authors.affiliation: Department of Occupational Therapy, Yonsei University.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Yoo
authors.affiliation: Department of Occupational Therapy, Konyang University.
authors.forename: Jae-Shin
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Department of Psychology, Yonsei University.
authors.forename: Soo Hyun
authors.initials: SH
authors.lastname: Park
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000367:Age Factors; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D012944:Social Support; D020521:Stroke / Q000503:physiopathology / Q000523:psychology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data