PURPOSE/OBJECTIVE Perceptions of function can differ between persons with stroke and care partners. The current study described the frequency of discrepancy in ratings of poststroke functioning across romantic partners and examined associations between perceptions of function, depressive symptoms, and caregiver strain. RESEARCH METHOD/DESIGN A secondary analysis was conducted using data from the baseline visit of an intervention pilot study. Twenty-nine dyads completed measures of perceived current functioning of the person with stroke (Stroke Impact Scale 3.0: overall percent recovery, ADL, and cognition), self-reported ratings of depressive symptoms for both partners (PROMIS Depression Short Form v8b), and self-reported caregiver strain for the care partners only (Caregiver Strain Index). RESULTS A discrepancy of over 10 points on the SIS 3.0 variables was seen in over 50% of dyads for all subscales, with care partners rating worse recovery on average. Actor partner interdependence models showed that more depressive symptoms were associated with perceptions of worse overall recovery and ADL function in persons with stroke, whereas more depressive symptoms were associated with perceptions of worse cognitive and ADL function in care partners. Discrepancy in perception of ADL function was associated with more caregiver strain though this was inextricable from the overall level of impairment in ADL function perceived by the care partner. CONCLUSIONS/IMPLICATIONS These findings suggest that discrepancy in perceptions of stroke recovery among romantic partners is common. This underscores the importance of perception when considering risk for depression and caregiver strain as well as how to best promote psychological resilience following stroke. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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中风患者和护理伙伴对功能和恢复的看法。

目的/目标 中风患者和护理伙伴对功能的看法可能不同。目前的研究描述了浪漫伴侣对中风后功能评级的差异频率，并检查了功能感知、抑郁症状和照顾者压力之间的关联。研究方法/设计 使用来自干预试点研究的基线访视的数据进行了二次分析。二十九人完成了对中风患者当前功能感知的测量（中风影响量表 3.0：总体恢复百分比、ADL 和认知）、双方自我报告的抑郁症状评分（PROMIS 抑郁简表 v8b）和仅针对护理伙伴的自我报告的护理人员压力（护理人员压力指数）。结果 SIS 3 的差异超过 10 分。在所有子量表的 50% 以上的二分体中看到 0 个变量，护理伙伴的平均恢复情况较差。演员伙伴相互依赖模型表明，更多的抑郁症状与中风患者整体恢复和 ADL 功能较差的看法有关，而更多的抑郁症状与护理伙伴的认知和 ADL 功能较差的看法有关。对 ADL 功能感知的差异与更多的护理人员压力有关，尽管这与护理伙伴感知的 ADL 功能受损的总体水平密不可分。结论/意义 这些研究结果表明，浪漫伴侣对中风恢复的看法存在差异是很常见的。这强调了在考虑抑郁症和照顾者压力的风险以及如何最好地促进中风后心理恢复力时感知的重要性。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。