Stroke Survivors Experience Elevated Levels of Loneliness: A Multi-Year Analysis of the National Survey for Wales.



Byrne, Christopher ORCID: 0000-0002-8229-5361, Saville, Christopher WN, Coetzer, Rudi and Ramsey, Richard ORCID: 0000-0002-0329-2112
(2022) Stroke Survivors Experience Elevated Levels of Loneliness: A Multi-Year Analysis of the National Survey for Wales. Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 37 (2). pp. 390-407.

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Abstract

<h4>Objective</h4>Despite clinical observation that stroke survivors frequently experience loneliness, there is no large-scale empirical evidence to support this observation. Therefore, the primary objective of this research was to provide the first large-scale and comprehensive estimate of loneliness in the stroke survivor population.<h4>Method</h4>To address this issue, we completed two preregistered analyses of a nationally representative annual survey (N > 21,000). A two-phase approach was adopted combining both exploratory (Study 1) and confirmatory (Study 2) phases. The benefit of such an approach is that replication is built into the design, which considerably strengthens the inferences that can be made.<h4>Results</h4>Across two separate cohorts, the results consistently showed that human stroke survivors report higher levels of loneliness compared with healthy individuals, and this relationship could not be accounted for by demographic factors (e.g., age, sex) or objective measures of social isolation (e.g., marital status, number of household members).<h4>Conclusions</h4>These findings demonstrate that elevated levels of loneliness poststroke are robust in that they replicate in large nationally representative samples and cannot be reduced to objective measures of social isolation. The work has clinical and societal relevance by suggesting that loneliness poststroke is unlikely to be adequately "treated" if only the quantity and not the quality of social experiences are considered.

Item Type: Article
Uncontrolled Keywords: Humans, Loneliness, Neuropsychological Tests, Survivors, Wales, Stroke
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 31 Jan 2024 09:16
Last Modified: 16 Mar 2024 02:52
DOI: 10.1093/arclin/acab046
Open Access URL: https://doi.org/10.1093/arclin/acab046
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3178144