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Caregiver strain in spouses of stroke patients

Blake, Holly; Lincoln, Nadina B.; Clarke, David D.


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Professor of Behavioural Medicine

Nadina B. Lincoln

David D. Clarke


Objective: To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability.

Design: Postal prospective survey.

Setting: Spouses of community-residing patients identified from hospital stroke registers.

Method: Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes.

Measures: Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL).

Results: Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months.

Conclusion: Carers at risk of later strain could be identified for further followup. Services to provide emotional support to carers might be effective in the reduction of carer strain.


Blake, H., Lincoln, N. B., & Clarke, D. D. (2003). Caregiver strain in spouses of stroke patients. Clinical Rehabilitation, 17(3), 312-317. doi:10.1191/0269215503cr613oa

Journal Article Type Article
Acceptance Date Dec 27, 2001
Online Publication Date May 1, 2003
Publication Date May 1, 2003
Deposit Date Nov 5, 2018
Publicly Available Date Nov 5, 2018
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 1477-0873
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 17
Issue 3
Pages 312-317
Public URL
Publisher URL


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