title: Post-stroke quality of life and depression.
abstract: BACKGROUND
  Studies on the determinants of the quality of life (QOL) after stroke bring differing results depending on the applied concept of QOL. This may lead to confusion about the contribution of various factors to the post-stroke QOL.
  
  
  OBJECTIVE
  The aim of the study was: (i) to investigate functional and psychological QOL in the individuals after the first ischemic stroke; (ii) to identify the most important correlates of QOL; and (iii) to examine the significance of depression among the other possible predictors of QOL.
  
  
  METHODS
  A hospital-based sample of 72 stroke patients was followed up to 6 months after stroke onset. QOL was assessed using the Polish version of the Quality of Life Index and the Sickness Impact Profile. A multiple regression procedure was performed to examine relationships between QOL and the study variables.
  
  
  RESULTS
  In spite of good recovery, the psychological and functional QOL of the examined patients was impaired, although the negative impact of stroke was greater on the objective QOL than on the subjective QOL. Stroke-related impairment, depression, functional disability and marital status predicted 80% of the variance in the functional QOL. Emotional support, depression and functional disability explained 38% of the variance in psychological well-being.
  
  
  CONCLUSIONS
  Depression and physical disability were the most important predictors of QOL after stroke since their impact on QOL was more robust in comparison to the remaining variables. For improving QOL, a comprehensive care for patients aimed at reducing physical dependence and ameliorating depressive symptoms could be recommended.
authors.affiliation: 1Department of Nursing.
authors.forename: Krystyna
authors.initials: K
authors.lastname: Jaracz
authors.affiliation: 2Department of Adult Psychiatry.
authors.forename: Jan
authors.initials: J
authors.lastname: Jaracz
authors.affiliation: 3Department of Neurology, University of Medical Sciences, Poznan, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kozubski
authors.affiliation: 2Department of Adult Psychiatry.
authors.forename: Janusz K
authors.initials: JK
authors.lastname: Rybakowski