Social cognitive impairments may play a role in participation restrictions after stroke. Understanding their relationship could inform treatment approaches to improve participation. We investigated the relationship between social cognition and participation in the long term after stroke. Of 395 patients participating in a large prospective cohort study, cross-sectional data were available at 3-4 years post-stroke of 118 patients on tests for emotion recognition, theory of mind, empathy, and behaviour regulation. Participation was assessed with the Utrecht Scale for Evaluation of Rehabilitation - Participation (USER-P). Bivariate and multivariate regression analysis were used to examine the relationship between social cognitive domains and participation. The majority suffered from minor stroke (83.1% scored NIHSS 0-4). Only behaviour regulation was related to participation restrictions in bivariate analysis, but social cognitive impairments did not predict participation restrictions in multivariate regression in this group. To conclude, in a sample of minor stroke patients with mild impairments in theory of mind, emotion recognition and behavioural control, there were no associations with restrictions in participation. Research should examine whether a relationship is present in patients with more severe stroke. In addition, measuring social aspects of participation is necessary to further unravel this relationship, to determine treatment targets for improving participation.

中文翻译：

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脑卒中后社会认知与长期参与的关系

社交认知障碍可能在中风后参与限制中发挥作用。了解他们的关系可以为治疗方法提供信息，以提高参与度。我们调查了社会认知与中风后长期参与之间的关系。在参与大型前瞻性队列研究的 395 名患者中，118 名患者在中风后 3-4 年的情绪识别、心理理论、同理心和行为调节测试中可获得横断面数据。参与评估使用乌得勒支康复评估量表 - 参与 (USER-P)。双变量和多变量回归分析用于检查社会认知领域与参与之间的关系。大多数人患有轻微中风（83.1% 的 NIHSS 评分为 0-4）。在双变量分析中，只有行为调节与参与限制有关，但社会认知障碍并未预测该组多元回归中的参与限制。总而言之，在心智理论、情绪识别和行为控制方面有轻度损伤的轻度中风患者样本中，与参与限制没有关联。研究应该检查更严重的中风患者是否存在这种关系。此外，衡量参与的社会方面对于进一步解开这种关系是必要的，以确定改善参与的治疗目标。在心智理论、情绪识别和行为控制方面有轻度损伤的轻度中风患者样本中，与参与限制没有关联。研究应该检查更严重的中风患者是否存在这种关系。此外，衡量参与的社会方面对于进一步解开这种关系是必要的，以确定改善参与的治疗目标。在心智理论、情绪识别和行为控制方面有轻度损伤的轻度中风患者样本中，与参与限制没有关联。研究应该检查更严重的中风患者是否存在这种关系。此外，衡量参与的社会方面对于进一步解开这种关系是必要的，以确定改善参与的治疗目标。