ORIGINAL PAPER
Patients’ strategies of coping with stress after stroke
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1
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
2
Department of Epidemiology and Biostatistics, Medical University of Silesia, Katowice, Poland
Submission date: 2025-07-14
Acceptance date: 2025-08-17
Online publication date: 2026-01-27
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Stress is an inherent aspect of everyone’s life, particularly for individuals who have experienced a cerebral
stroke and face the resultant physical and mental challenges. The study aimed to assess the perceived stress and coping strategies of patients in the neurological rehabilitation
ward who had experienced a stroke.
Material and methods:
The study involved 201 stroke patients, comprising 87 (43%) women and 114 (57%) men. The study
was carried out at the Rehabilitation Department, which encompasses the Department of Neurological Rehabilitation in
the Podkarpackie Province. The research methods included the Mini-Mental State Examination Scale (MMSE), the Perceived
Stress Scale-10 (PSS-10), and the Mini Coping Orientations to Problems Experienced (Mini-COPE).
Results:
A high level of stress was observed in 57.5% of the women and 64.9% of the men. Women most frequently reported
using the following methods to cope with stress: Acceptance, Turning to religion, and Seeking emotional support. Men, on the other
hand, reported employing strategies such as Active coping and Acceptance.
Conclusions:
Following a cerebral stroke, most patients experienced high levels of stress. The study revealed that older
patients were less likely to employ stress-coping strategies, such as Active coping, Planning, Positive revaluation, and Sense of humour.
However, as patients aged, they tended to favour methods like Turning to religion, Denial, and Withdrawal from activities.
A statistically significant relationship was found between the location of the stroke and strategies such as Sense of humour,
Unloading, and Blaming oneself. It is important to emphasise that stress should be routinely addressed in clinical practice.
Conclusions:
Following a cerebral stroke, most patients experienced high levels of stress. The study revealed that older patients were less likely to employ stress-coping strategies, such as Active coping, Planning, Positive revaluation, and Sense of humour. However, as patients aged, they tended to favour methods like Turning to religion, Denial, and Withdrawal from activities. A statistically significant relationship was found between the location of the stroke and strategies such as Sense of humour, Unloading, and Blaming oneself. It is important to emphasise that stress should be routinely addressed in clinical practice.
REFERENCES (30)
1.
Dugiel G, Tustanowska B, Kęcka K, Jasińska M. Overview of theories of stress. Acta Sci Acad Ostroviensis. 2012; 1: 47-71.
2.
Jośko J. Stress in chronic diseases. Wydawnictwo Lekarskie PZWL, Warsaw 2007 (in Polish).
3.
Chudzik R, Jarosz K, Gołębiewska M, Gołębiewska B. Stress disease of the 21st century? J Educ Health Sport. 2017; 7(8): 20-26.
4.
Juczyński Z, Ogińska-Bulik N. Tools for measuring stress and coping with stress. In: Perceived Stress Scale-10 – PSS-10. Cohen S, Kamarck T, Marmelstein R (eds.) Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warsaw 2012; 11-22 (in Polish).
5.
Kozłowski P, Kożuch K, Kozłowski M, Cuch B. Estimation of the frequency of occurrence of stress and its symptoms, and evaluation of causes and management of stress among students/learners. J Educ Health Sport. 2016; 6: 393-402.
6.
Fink, G. Stress: Concepts, Definition and History. In: Reference Module in Neuroscience and Biobehavioral Psychology. Elsevier 2017; 10: 1-9.
7.
Juczyński Z, Ogińska-Bulik N. Tools for measuring stress and coping with stress. In: Carver CS. Mini Coping Orientations to Problems Experienced – Mini-COPE. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warsaw 2012, 45-56 (in Polish).
8.
Ziarko M. Coping with the stress of chronic illness. In: Chronic disease as a source of stress. Wydawnictwo Naukowe Wydziału Nauk Społecznych Uniwersytetu im. Adama Mickiewicza w Poznaniu; 2014, 31-47 (in Polish).
9.
Bhargava D, Trivedi T. A study of causes of stress and stress management among youth. Int J Manag Soc Sci. 2018; 11(3): 108-117.
10.
Juczyński Z, Ogińska-Bulik N. Tools for measuring stress and coping with stress. In: Multidimensional Inventory for Measuring Coping with Stress – COPE. Carver CS, Scheier MF, Jagdish KW (eds.). Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warsaw 2012; 23-43 (in Polish).
11.
Sygit-Kowalkowska E. Coping with stress as a health behavior – psychological perspectives. Hygeia Public Health. 2014; 49(2): 202-208.
12.
Kusz J. A disease as a stressful situation and the ways how people cope with it. Puls Uczelni. 2012; 6(1): 11-13.
13.
Strepikowska A, Buciński A. Cerebral stroke – risk factors and prophylaxis. Post Farmakoter. 2009; 65(1): 46-50 (in Polish).
14.
Surman M, Janik ME. Stress and its molecular consequences in cancer progression. Post Hig Med Dosw. 2017; 71: 485-499.
15.
McCarthy MJ, Sucharew HJ, Alwell K, Moomaw CJ, Woo D, Flaherty ML, Khatri P, Ferioli S, Adeoye O, Kleindorfer DO, Kissela BM. Age, subjective stress, and depression after ischemic stroke. J Behav Med. 2016; 39(1): 55-64.
16.
Tyrrell P, Swain S, Rudd A. Diagnostyka i początkowe leczenie przemijającego niedokrwienia mózgu (TIA). Med po Dypl. 2011; 20(5): 35-40.
17.
Wysokiński A. Post-stroke depression. Psychiatr Psychol Klin. 2016; 16(3): 171-175.
18.
Cebella A, Łucka I. Post-traumatic stress disorder – understanding and treatment. Psychiatria. 2007; 4(3): 128-137.
19.
Rozpędek W. Neurobiology of posttraumatic stress disorder. Neuropsych Neuropsychol. 2015; 10(1): 27-39.
20.
Basińska B. Coping with stress caused by different health hazard. Przegl Psychol. 2004; 47(1): 109-119 (in Polish).
21.
Kaźmierczak M, Gebuza G, Gierszewska M, Mieczkowska E, Dombrowska-Pali A, Kłosowska M. Stress connected with the work of nurses and midwives and the styles of managing stress. Pol Przegl Nauk Zdr. 2019; 4(61): 295-311.
22.
Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007; 298(14): 1685-1687.
23.
Kotlęga D, Gołąb-Janowska M, Masztalewicz M, Cieć- wież S, Nowacki P. The emotional stress and risk of ischemic stroke. Neurol Neurochir Pol. 2016; 50: 265-270.
24.
Ponczek D, Piątkowska A. Stress and anxiety in Neurosurgical Patients before surgery. J Neurol Neurosurg Nurs. 2023; 12(2): 55-62.
25.
Ostwald SK, Bernal MP, Cron SG, Godwin KM. Stress experienced by stroke survivors and spousal caregivers during the first year after discharge from inpatient rehabilitation. Top Stroke Rehabil. 2009; 16(2): 93-104.
26.
Santos EB, Rodrigues RA, Marques S, Pontes-Neto OM. Estresse percebido nos idosos sobreviventes do AVC após a alta hospitalar para casa. Perceived stress in elderly stroke survivors after hospital discharge to home. Rev Esc Enferm USP. 2015; 49(5): 797-803.
27.
Wojcieszek A, Nawalana A, Majda A. Intensity of the stress and coping strategies in the group of the Małopolska officers from the State Fire Service. Nurs Probl. 2017; 25(1): 49-55.
28.
Austenfeld JL, Stanton AL. Coping through emotional approach: a new look at emotion, coping, and health-related outcomes. J Pers. 2004; 72(6): 1335-1363.
29.
Rai P, Rohatgi J, Dhaliwal U. Coping strategy in persons with low vision or blindness – an exploratory study. Indian J Ophthalmol. 2019; 67(5): 669-676.
30.
Syta A. Right hemisphere cerebral dysfunctions in relation to language and communication deficits. Logopedia. 2019; 48(1): 79-90.