Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift


This study aims at exploring disability, health-related quality of life (HrQoL), psycholog- ical distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patients with chronic pain reported statistically significant higher levels of disability and worse HrQoL, higher psychological distress and inflexibility, as well as a lower level of self-efficacy and problem-oriented coping strategies than patients without pain (p < 0.001). Finally, correlation analysis in the group of stroke survivors with pain showed that higher levels of disability were significantly related to higher psychological distress. This study con- firms the negative influence of chronic pain on disability and HrQoL in post-stroke patients and presents preliminary insights on the association between chronic pain, disability, HrQoL, psycho- social distress, and the patient’s approach in dealing with personal difficulties and emotions. These findings carry further implications for multidisciplinary management of post-stroke patients with chronic pain.


  • Marialuisa Gandolfi
  • Valeria Donisi
  • Simone Battista
  • Alessandro Picelli
  • Nicola Valè
  • Lidia Del Piccolo
  • Nicola Smania
Externa organisationer
  • University of Genoa
  • University of Verona

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Arbetsterapi
  • Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi


TidskriftInternational Journal of Environmental Research and Public Health
Utgåva nummer6
StatusPublished - 2021 mar 12
Peer review utfördJa
Externt publiceradJa