Psychological, Behavioral, and Environmental Influences on Post-Stroke Recovery

Abstract

Research has demonstrated that recovery from stroke is influenced by several factors including premorbid personality, degree of physical loss, amount of social support, and severity of cognitive change. Psychological disturbances and behaviors, including depression, adjustment disorders, anxiety, personality changes, aggression, and non-compliance may significantly impact outcome. Environmental and extra-therapeutic circumstances provide an often-overlooked framework for the recovery process. Selected issues drawn from clinical experience and recent literature addressing these variables are examined to further understanding and to provide a practical approach in optimizing recovery.

Keywords:

• adjustment
• aggression
• depression
• family-centered rehabilitation
• rehabilitation team
• stroke