The Neuropsychological and Functional Outcomes of Primary Intracerebral Haemorrhage (ICH) at 6 and 12 Month Follow Up: A Population-Based Study

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dc.contributor.advisor Barker-Collo, S en
dc.contributor.author Wright, NJ en
dc.date.accessioned 2016-09-26T20:10:45Z en
dc.date.issued 2016 en
dc.identifier.uri http://hdl.handle.net/2292/30489 en
dc.description.abstract This exploratory population-based study examined the short-term (6-month) and long-term (12-month) mood, cognitive, and functional outcomes of Intracerebral Haemorrhage (ICH). Previous research has tended to use hospital-based samples; examine stroke outcomes generally rather than specific to stroke subtype; assess outcomes only in the acute phase post-stroke; and favour functional outcomes, while neglecting neuropsychological outcomes. The aims of the current study, therefore, were: to compare 6- and 12-month outcomes of ICH survivors to matched controls; to describe the natural course of recovery of mood, cognitive, and functional outcomes over the first year post-ICH; to examine the interrelationships between mood, cognitive, and functional outcomes of ICH; and to determine if there are characteristics of the ICH survivor at baseline that predicts good versus poor functional and cognitive outcomes at 12 months. The study used a sample of 35 ICH survivors drawn from the Auckland Regional Community Stroke (ARCOS) IV Study and 34 healthy controls matched for age, gender, and ethnicity who were recruited from the Auckland community. Both the ICH group and the control group were administered a series of measures assessing their mood, cognition, and functioning (independence in activities of daily living [ADLs] and health related quality of life [HRQoL]). The ICH group were assessed, where possible, at three timeframes: baseline (within 2 weeks of ICH), 6 months post-ICH, and 12 months post-ICH. The results indicate that cognitive impairment following ICH is common, widespread, and persisting. Mood difficulties, particularly mild depression, were also present for ICH survivors over the study period. The ICH group had significantly less independence in ADLs, although improvement over the 12 months was observed. There were mixed findings when it came to HRQoL. Physical HRQoL post-ICH was impaired but not necessarily mental HRQoL. Younger age was found to correlate with poorer mood outcomes. Given the exploratory nature of the study, and limited power due to a small sample size, the findings are not considered conclusive. However, the results highlight the need for a greater focus on cognition and mood in rehabilitation of ICH survivors and on future research in these areas. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof PhD Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264883205802091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title The Neuropsychological and Functional Outcomes of Primary Intracerebral Haemorrhage (ICH) at 6 and 12 Month Follow Up: A Population-Based Study en
dc.type Thesis en
thesis.degree.discipline Clinical Psychology en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Doctoral en
thesis.degree.name PhD en
dc.rights.holder Copyright: The author en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.elements-id 541876 en
pubs.record-created-at-source-date 2016-09-27 en


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