Key result
Among 13 included studies, the PSS-10 was the most frequently used version (54%) to measure perceived stress in stroke survivors across various recovery time points.
Why the study?
Stroke survivors experience physical and cognitive changes that increase stress, making timely measurement essential to guide interventions, but the utilization of the Perceived Stress Scale during recovery was not well described.
How is the Perceived Stress Scale utilized during recovery in stroke survivors?
How is the Perceived Stress Scale utilized during recovery in stroke survivors?
The Perceived Stress Scale, particularly the PSS-10, is utilized across various time points in stroke recovery to measure stress, highlighting the need for targeted interventions to improve well-being.
PSS-10 predominates for post-stroke stress assessment; leaves open standardization and outcome linkage in recovery research.
BACKGROUND: Stroke survivors (SS) may experience alterations in physical and cognitive processes that increase stress and reduce well-being. Timely and accurate measurement of stress throughout the continuum of recovery is necessary to inform targeted interventions that will improve quality of life for this group. OBJECTIVE: The aim of this study was to describe the utilization of the Perceived Stress Scale (PSS) during recovery in SS. METHODS: A comprehensive literature search was conducted using CINAHL, PsycINFO, PubMed, and Scopus databases. Studies were included if they captured primary data collection using any version of the PSS at any time point in the poststroke recovery period and were published in English between 2011 and 2022. Systematic reviews and meta-analyses were excluded. Evidence was synthesized, and themes were discussed. RESULTS: Among 397 studies, a total of 13 met inclusion criteria. Of these, 8 were cross-sectional studies, 3 were longitudinal studies, 1 was a randomized controlled trial, and the remaining study was a prospective nonrandomized trial. The PSS-10 (n = 7, 54%) was the most used version of the instrument, followed by the PSS-14 (n = 3, 23%) and PSS-4 (n = 2, 15.4%), with the modified PSS-10 being used in only 1 (7.6%) study. The PSS surveys were administered at various time points, ranging from the first day of admission to 3, 6, 9, or 12 months after discharge. Perceived stress may continue to negatively influence SS's psychological and physical well-being throughout the chronic phase of recovery. CONCLUSIONS: Stress is a unique and individualized experience that influences recovery trajectories in SS, an experience often overlooked or marginalized by clinicians and healthcare providers. To help mobilize strategies to achieve long-term health and wellness goals, future studies should explore and tailor interventions to minimize the influence of stress, as identified by the PSS, on well-being and quality of life during poststroke recovery.
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Prather et al. (2023) conducted a review in Stroke recovery (n=13). Perceived Stress Scale (PSS) was evaluated on Utilization of the Perceived Stress Scale (PSS). Among 13 included studies, the PSS-10 was the most frequently used version (54%) to measure perceived stress in stroke survivors across various recovery time points.
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