Key result
Incident stroke was associated with a significant decrease in positive affect (β = -0.17, p < 0.001), an association that was moderated by general self-efficacy.
Why the study?
To examine whether incident stroke influences affective well-being and whether this relationship is moderated by general self-efficacy.
Does the incidence of stroke reduce affective well-being in community-residing individuals ≥ 40 years?
Cohort (n=9,659)
Does the incidence of stroke reduce affective well-being in community-residing individuals ≥ 40 years?
Effect estimate: β = -0.17
p-value: p=<0.001
Incident stroke is associated with a significant decline in positive affect, suggesting that interventions to enhance self-efficacy may be beneficial for stroke survivors.
Stroke incidence was associated with reduced positive affect; hypothesis-generating and should not yet change practice.
Objectives To examine whether the incidence of stroke influences affective well-being (positive affect and negative affect), and whether such a relationship is moderated by general self-efficacy.Method Longitudinal data from 2008, 2011 and 2014 were used from a population-based sample of community-residing individuals ≥ 40 years in Germany (n = 9,659 in regression analysis). Affective well-being was quantified using the established Positive and Negative Affect Schedule (PANAS). A well-established scale by Schwarzer and Jerusalem was used to assess general self-efficacy. General practitioner diagnosed stroke was reported.Results Fixed effects regressions showed that the incidence of stroke was associated with a decrease in positive affect in the total sample (β = –.17, p < .001) and in both sexes (men: β = –.16, p < .05; women: β = –.19, p < .01). In contrast to these findings, the incidence of stroke was not associated with changes in negative affect (total sample; stratified by sex). Moreover, general self-efficacy moderated the relation between stroke and positive affect.Conclusion Panel regression models showed that the incidence of stroke was associated with a decline in positive affect in the total sample and in both sexes. As the general self-efficacy moderated this association, it may be beneficial to enhance self-efficacy and prioritize coping strategies among stroke survivals.
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Buczak‐Stec et al. (2019) conducted a cohort in general population (n=9,659). Incidence of stroke vs. No incident stroke was evaluated on Positive affect (β = -0.17, p=<0.001). Incident stroke was associated with a significant decrease in positive affect (β = -0.17, p < 0.001), an association that was moderated by general self-efficacy.
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