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Clinical Rehabilitation, Vol. 20, No. 9, 827-834 (2006)
DOI: 10.1177/0269215506070813

Manifestations of mental slowness in the daily life of patients with stroke: a qualitative study

Ieke Winkens

IRv, Institute for Rehabilitation Research, Hoensbroek, The Netherlands, i.winkens{at}irv.nl

Caroline M Van Heugten

IRv, Institute for Rehabilitation Research, Hoensbroek, The Netherlands

Luciano Fasotti

Sint Maartenskliniek Research, Nijmegen, The Netherlands

Annelien A Duits

Department of Medical Psychology, Academic Hospital of Maastricht, Hoensbroek, The Netherlands

Derick T Wade

IRv, Institute for Rehabilitation Research, Hoensbroek, The Netherlands

Objective: To explore the consequences of mental slowness in the daily life of patients with stroke.

Design: In a cross-sectional survey semi-structured interviews were completed. Interviews were transcribed and coded by two independent reviewers. Qualitative analysis was done by means of the ‘constant comparison method’.

Setting: Three rehabilitation centres in the Netherlands.

Participants: A convenience sample of 13 patients with stroke, suffering from mental slowness, was derived from December 2003 to May 2004.

Main outcome measures: Interview descriptions of the everyday consequences of mental slowness.

Results: Patients experienced many problems in daily life due to mental slowness. These could be divided into two main groups: (1) problems in cognitive functioning; (2) psychological and somatic complaints. In response to these problems, some patients mentioned the use of compensation strategies in order to reduce the demands on their information processing capacity.

Conclusions: Mental slowness in cognitive functioning affects a wide range of activities, causing emotional symptoms in many patients and stimulating the spontaneous use of compensation strategies in some patients.


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