Review Article

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

Table 1

Psychological adjustment in young stroke survivors.

AttributeEvidence

Reduced quality of life. Associated with dependence, depression, being single, fatigue, and being unemployed.[79]

Specific problems
 (i) Loss of home
  (ii) Loss of employment
  (iii) “Psychological paralysis”
  (iv) Problems fulfilling roles, for example, parent
  (v) Financial stress
  (vi) Conflict with spouse[2, 4, 1015]
  (vii) Conflict with children
  (viii) Childcare difficulties
  (ix) Sexual problems
  (x) Separation or divorce
  (xi) Reduced social and leisure activity

Psychological disorders/reactions
  (i) Depression
  (ii) Fatigue
  (iii) Anxiety
  (iv) Anger[4, 11, 13, 16]
  (v) Denial
  (vi) Anger/frustration
  (vii) Negative body image
  (viii) Impaired self-efficacy and self-esteem (e.g., through a sense of permanent impairment)

Lack of acknowledgment of covert impairments (e.g., cognitive)[11, 14, 17]

Disruption of self and identity
  (i) Changed self-perception[14, 15, 1820]
  (ii) Acquiring an untimely, old-person’s disease.

Reduced life satisfaction. Associated with impaired concentration (men and women) and being single and not working (only men)[13]

New perspectives and new roles, helpful to adjustment.[11]

Self-efficacy determined and maintained by perspectives about the aims of rehabilitation and engagement in the process.[21]