Review Article

The Psychology of Stroke in Young Adults: The Roles of Service Provision and Return to Work

Table 2

Facilitators and barriers for return to work.

DimensionEvidence

Better functioning versus impaired functioning.[4451]
Holding a full-time job versus a part-time job[52]
Having an office-based rather than a manual job[45, 46, 49, 50]
Being male, white, or of high socioeconomic status versus being female, black, or of low socioeconomic status[51, 53, 54]
Preserved cognitive ability versus cognitive impairments[45, 46, 4850]
Sympathetic flexible employers versus inflexible employer[5558]

Specific FacilitatorsEvidenceSpecific BarriersEvidence

Positive personal attributes (patience, determination)[56]Stroke symptoms that impair specific work competences[5759]
Support from families and social networks[55, 56]Fatigue[11, 56]
Support from health care professionals[56]Having a psychological disorders[52, 60]
Disability legislation and statutory sick leave[61]Perceived stressfulness of work[55, 59]
Employment tasks that can be flexibly configured.[55, 56]Benefits systems that encourage nonreturn to work[57, 58, 61]
Previous positive experience of work[55]Lack of understanding of stroke by employers[61]
Valuing work and its intrinsic rewards[53, 6163]Lack of information about returning to work[61]