Impact of Cognitive Impairment and Impostor Syndrome on Mental Health Issues among Hemiplegic Stroke Survivors

Article Sidebar

PDF
Published: Sep 30, 2024
DOI: https://doi.org/10.54079/jpmi.38.3.3361
Keywords:
cognitive impairment, impostor syndrome, depression, anxiety, stress

Main Article Content

Ambreen Sadaf
Superior University, Lahore
Muhammad Nasar Iqbal
Lahore School of Behavioural Sciences, The University of Lahore
Fatima Javed
Lahore School of Behavioural Sciences, The University of Lahore
Sybil Rose
Superior University, Lahore

Abstract

Objective: To determine the impact of cognitive impairment and impostor syndrome on mental health issues among hemiplegic stroke survivors.


Methods: A Correlational research design along with a purposive sampling technique was employed on 100 participants to find out the relationship. Data collection was done through the questionnaires i.e., Cognitive Assessment Scale, Clance IP, and DASS-21.


Results: Results indicated that 53% of participants were males and 47% were females. 67% of participants were suffering from left hemiplegic while 33% with right hemiplegic. Pearson product-moment correlation analysis revealed that cognitive impairment was significantly positively correlated with impostor syndrome (.42***) and mental health issues (.44***) among hemiplegic stroke survivors. Results also revealed that cognitive impairment and impostor syndrome are both positive predictors of mental health issues (.44***, .54***) among hemiplegic stroke survivors. Independent sample t-test analysis results showed that female survivors had more mental health issues compared to the male participants.


Conclusion: This study concluded that cognitive impairment and impostor syndrome have a large effect on mental health issues, i.e., depression, anxiety, and stress. In order to give complete care to hemiplegic stroke survivors, healthcare practitioners, and support networks must fully comprehend these relationships. Mental health problems can be lessened by addressing cognitive deficits and impostor syndrome, offering psychological support, and encouraging self-esteem and resilience.

Article Details

How to Cite
1.
Sadaf A, Iqbal MN, Javed F, Rose S. Impact of Cognitive Impairment and Impostor Syndrome on Mental Health Issues among Hemiplegic Stroke Survivors. J Postgrad Med Inst [Internet]. 2024 Sep. 30 [cited 2024 Dec. 18];38(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/3361
Issue
Vol. 38 No. 3 (2024): JPMI
Section
Original Article
Copyright (c) 2024 License

Work published in JPMI is licensed under a

Creative Commons Attribution-NonCommercial 2.0 Generic License.

Creative Commons License

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Author Biographies

Ambreen Sadaf, Superior University, Lahore

Lecturer at  Superior university Lahore

and Student at University of Lahore 

Muhammad Nasar Iqbal, Lahore School of Behavioural Sciences, The University of Lahore

Lecturer

Fatima Javed, Lahore School of Behavioural Sciences, The University of Lahore

Lecturer

Sybil Rose , Superior University, Lahore

Lecturer

References

Ranta A. Projected stroke volumes to provide a 10-year direction for New Zealand stroke services. N Z Med J. 2018;131(1477):15-28.

Abiodun A. Stroke (Cerebrovascular Accident (CVA) or brain attack) and its Management-Literature review. Int J Innov Healthc Res. 2018;6:1-9.

Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: a global response is needed. Bulletin of the World Health Org. 2016;94(9):634.

Almeida OP, Xiao J. Mortality Associated with Incident Mental Health Disorders After Stroke. Aust N Z J Psychiatry. 2007;41(3):274-281. DOI:10.1080/00048670601172772.

Khan MI, Khan JI, Ahmed SI, Ali S. Retracted: The epidemiology of stroke In a developing country (Pakistan). Pak J Neurol Sci. 2019;13(3):30-44.

Schaapsmeerders P, Maaijwee NA, van Dijk EJ, Rutten-Jacobs LC, Arntz RM, Schoonderwaldt HC, et al. Long-term cognitive impairment after first-ever ischemic stroke in young adults. Stroke. 2013;44(6):1621-8. DOI: 10.1161/STROKEAHA.111.000792.

Lee JS, Hong JM, Moon GJ, Lee PH, Ahn YH, Bang OY. A long-term follow-up study of intravenous autologous mesenchymal stem cell transplantation in patients with ischemic stroke. Stem cells. 2010;28(6):1099-106. DOI: 10.1002/stem.430.

Jokinen H, Melkas S, Ylikoski R, Pohjasvaara T, Kaste M, Erkinjuntti T, et al. Post-stroke cognitive impairment is common even after successful clinical recovery. Eur J Neurol. 2015;22(9):1288-94. DOI: 10.1111/ene.12743.

Hankin BL. Cognitive vulnerability–stress model of depression during adolescence: Investigating depressive symptom specificity in a multi-wave prospective study. J Abnorm Child Psychol. 2008;36:999-1014.

Carod-Artal FJ. Determining quality of life in stroke survivors. Expert Rev Pharmacoecon Outcomes Res. 2012;12(2):199-211.

Dalvandi A, Heikkila K, Maddah SS, Khankeh HR, Ekman SL. Life experiences after stroke among Iranian stroke survivors. Int Nurs Rev. 2010;57(2):247-53.

Chuluunbaatar E, Chou YJ, Pu C. Quality of life of stroke survivors and their informal caregivers: A prospective study. Disability Health J. 2016;9(2):306-12.

Feenstra S, Begeny CT, Ryan MK, Rink FA, Stoker JI, Jordan J. Contextualizing the impostor syndrome. Front Psychol. 2020;11:3206. DOI: 10.3389/fpsyg.2020.575024.

Kananifar N, Seghatoleslam T, Atashpour SH, Hoseini M, Habil MH, Danaee M. The relationships between imposter phenomenon and mental health in Isfahan University students. Int Med J. 2015;22(3):144-6.

Dossa A, Glickman ME, Berlowitz D. Association between mental health conditions and rehospitalization, mortality, and functional outcomes in patients with stroke following inpatient rehabilitation. BMC Health Serv Res. 2011;11:1-0. DOI: 10.1186/1472-6963-11-311.

Cohen J. Statistical power analysis for the behavioral sciences. Abingdon. England: Routledge 1988; 6(8): 222-38.

Qamar S, Iqbal MN, Rafiq M, Cheema IU, Masood K. Development and validation of Cognitive Assessment Scale for Stroke Survivors. Anaesth Pain Intensive Care. 2022;26(5):663-8. DOI: 10.35975/apic.v26i5.2025.

Clance PR. Clance impostor phenomenon scale. Pers Individ Dif. 1985. DOI: 10.1037/t11274-000.

Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43.

Blomgren C, Samuelsson H, Blomstrand C, Jern C, Jood K, Claesson L. Long-term performance of instrumental activities of daily living in young and middle-aged stroke survivors—Impact of cognitive dysfunction, emotional problems and fatigue. PloS One. 2019;14(5):e0216822. DOI: 10.1371/journal.pone.0216822.

Park J, Lee SU, Jung SH. Prediction of post-stroke functional mobility from the initial assessment of cognitive function. Neuro Rehabilitation. 2017;41(1):169-77. DOI: 10.3233/NRE-171469.

Angermann CE, Ertl G. Depression, anxiety, and cognitive impairment: comorbid mental health disorders in heart failure. Curr Heart Fail Rep. 2018:398-410. DOI: 10.1007/s11897-018-0414-8.

Cusack CE, Hughes JL, Nuhu N. Connecting gender and mental health to imposter phenomenon feelings. Psi Chi Journal of Psychological Research. 2013;18(2). DOI: 10.24839/2164-8204.JN18.2.74.

Pustokhanova L, Morozova E. Cognitive impairment and hypothymia in post stroke patients. J Neurol Sci. 2013;325(1-2):43-5. DOI: 10.1016/j.jns.2012.11.013.

Gray LJ, Sprigg N, Bath PM, Boysen G, De Deyn PP, Leys D, et al, Ringelstein EB. Sex differences in quality of life in stroke survivors: data from the Tinzaparin in Acute Ischaemic Stroke Trial (TAIST). Stroke. 2007;38(11):2960-4. DOI: 10.1161/STROKEAHA.107.488304.