The Perceived Social Support, Dysfunctional Attitude, Resilience and Quality of Life in Hemiplegic Paralyzed Patients

Authors

  • Nadeem Shoukat Department of Applied Psychology, Govt. College University, Faisalabad Pakistan
  • Rabia Khawar Department of Applied Psychology, Govt. College University, Faisalabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.9269

Keywords:

Dysfunctional attitude, Hemiplegic, Paralysis, Resilience, Social support, Quality of life

Abstract

Objectives: To assess how perceived social support and dysfunctional attitudes influence the quality of life of hemiplegic
paralysed patients and the role of resilience in changing the dysfunctional attitudes of these patients.

Study Design: Cross-sectional study.

Place and Duration of Study: Allied Hospital Neurology/Medicine Department, Ali Poly Clinic, and Bukhari Homeopathic
Clinic Faisalabad Pakistan, from Mar to Jul 2022.

Methodology: Two hundred and ten hemiplegic paralysed patients were included in the study. Multidimensional Scale for
Perceived Social Support, Dysfunctional Attitude Scale, Brief Resilience Scale, and World Health Organization Quality of Life
–Bref were used for data collection.

Results: Findings demonstrated significant mean difference across age groups on quality of life [F (2, 207) = 17.34, p<0.01],
resilience [F (2, 207) = 16.94, p<0.01], perceived social support, [F (2, 207) = 7.99, p<0.01] and dysfunctional attitude [F (2, 207) = 3.05 p<0.05]. Perceived social support has a positive correlation with resilience (p-value <0.01, r=.24) and quality of life (pvalue <0.01, r=.48). In contrast, negatively correlated with dysfunctional attitude subscales of social approval (p<0.01, r=-0.23) and autonomy (p<0.01, r=-0.29) while no correlation with dysfunctional attitude subscales perfectionism (p=0.06, r=.12) and dependency (p=0.41, r=-.05).

Conclusion: Our study indicated that paralysed patients with high perceived social support will have high resilience, a better quality of life, and a low dysfunctional attitude towards the ailment.

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References

Bitnun A, Yeh EA. Acute Flaccid Paralysis and Enteroviral

Infections. Curr Infect Dis Rep 2018; 20(9): 34.

https://doi.org/10.1007/s11908-018-0641-x.

Kalfoss MH, Reidunsdatter RJ, Klöckner CA, Nilsen M.

Validation of the WHOQOL-Bref: psychometric properties and

normative data for the Norwegian general population. Health

Qual Life Outcomes 2021; 19(1): 13.

https://doi.org/10.1186/s12955-020-01656-x.

Feng J, Li T, Lv M, Kim S, Shin JH, Zhao N, et al. Reconstruction

of paralyzed arm function in patients with hemiplegia through

contralateral seventh cervical nerve cross transfer: a multicenter

study and real-world practice guidance. EClinicalMedicine 2022;

: 101258. https://doi.org/10.1016/j.eclinm.2021.101258.

Armour BS, Courtney-Long EA, Fox MH, Fredine H, Cahill A.

Prevalence and Causes of Paralysis-United States, 2013. Am J

Public Health 2016; 106(10): 1855-1857.

https://doi.org/10.2105/ajph.2016.303270

Cheong MJ, Kang Y, Kang HW. Psychosocial Factors Related to

Stroke Patients’ Rehabilitation Motivation: A Scoping Review

and Meta-Analysis Focused on South Korea. Healthcare 2021;

(9): 1211. https://doi.org/10.3390%2Fhealthcare9091211.

Barrera M. Distinctions Between Social Support Concepts,

Measures, and Models. Am J Community Psychol 1986; 14: 413–

http://doi.org/10.1007/BF00922627.

Ioannou M, Kassianos AP, Symeou M. Coping with depressive

symptoms in young adults: perceived social support protects

against depressive symptoms only under moderate levels of

stress. Front Psychol 2019; 9(1): 2780.

https://doi.org/10.3389%2Ffpsyg.2018.02780.

Killgore WDS, Taylor EC, Cloonan SA, Dailey NS. Psychological

resilience during the COVID-19 lockdown. Psychiatry Res 2020;

: 113216. https://doi.org/10.1016/j.psychres.2020.113216.

Carr AJ, Gibson B, Robinson PG. Is quality of life determined by

expectations or experience? BMJ 2001; 322(7296): 1240–1243.

https://doi.org/10.1136/bmj.322.7296.1240.

Bamonti PM, Fiske A. Engaging in pleasant events explains the

relation between physical disability and mental health outcomes

in older adults. Aging Ment Health 2021; 25(2): 225–233.

https://doi.org/10.1080/13607863.2019.1683811.

Kashif M, Jones S, Darain H, Iram H, Raqib A, Butt A, et al.

Factors influencing the community integration of patients

following traumatic spinal cord injury: a systematic review. J Pak

Med Assoc 2019; 69(9): 1337-1343.

Sharif M, Zaidi A, Waqas A, Malik A, Hagaman A, Maselko J, et

al. Psychometric Validation of the Multidimensional Scale of

Perceived Social Support During Pregnancy in Rural Pakistan.

Front Psychol 2021; 12: 601563.

https://doi.org/10.3389/fpsyg.2021.601563.

Oliver J, Baumgart EP. The Dysfunctional Attitude Scale:

Psychometric properties and relation to depression in an

unselected adult population. Cogn Ther Res1985; 9: 161-167.

https://doi.org/10.1007/BF01204847.

De La Rosa GM, Webb-Murphy JA, Johnston SL. Development

and validation of a brief measure of psychological resilience: an

adaptation of the response to stressful experiences scale. Mil

Med 2016; 181(3): 202–208.

https://doi.org/10.7205/milmed-d-15-00037.

Paykani T, Zimet GD, Esmaeili R, Khajedaluee AR, Khajedaluee

M. Perceived social support and compliance with stay-at-home

orders during the COVID-19 outbreak: evidence from Iran. BMC

Public Health 2020; 20(1): 1650.

https://doi.org/10.1186/s12889-020-09759-2.

Hoang VL, Green T, Bonner A. Examining social support,

psychological status and health-related quality of life in people

receiving haemodialysis. J Ren Care 2022; 48(2): 102–111.

https://doi.org/10.1111/jorc.12380.

García-Martínez P, Ballester-Arnal R, Gandhi-Morar K, CastroCalvo J, Gea-Caballero V, Juárez-Vela R, et al. Perceived Stress in

Relation to Quality of Life and Resilience in Patients with

Advanced Chronic Kidney Disease Undergoing Hemodialysis.

Int J Environ Res Public Health 2021; 18(2): 536.

https://doi.org/10.3390/ijerph18020536.

Rojas R, Behnke A, Hautzinger M. Stress events and changes in

dysfunctional attitudes and automatic thoughts following

recovery from depression in inpatient psychotherapy: Mediation

Analyses with Longitudinal Data. Cogn Ther Res 2022; 46(3):

–559.

Seiler A, Jenewein J. Resilience in Cancer Patients. Front

Psychiatry 2019; 10(1): 208-210.

https://doi.org/10.3389/fpsyt.2019.00208.

Lutz J, Fiske A. Functional disability and suicidal behavior in

middle-aged and older adults: A systematic critical review. J

Affect Disord 2018; 227: 260–271.

https://doi.org/10.1016/j.jad.2017.10.043.

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Published

30-12-2023

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Original Articles

How to Cite

1.
Shoukat N, Khawar R. The Perceived Social Support, Dysfunctional Attitude, Resilience and Quality of Life in Hemiplegic Paralyzed Patients. Pak Armed Forces Med J [Internet]. 2023 Dec. 30 [cited 2024 Dec. 27];73(6):1695-8. Available from: https://pafmj.org/PAFMJ/article/view/9269