Relationship between depressive symptoms, satisfaction with meaningful occupation, and self-efficacy for stroke patients in the recovery rehabilitation phase

Abstract

The aim of this study was to verify whether satisfaction with meaningful occupation mediates self-efficacy and reduces depressive symptoms for post-stroke depression (PSD) patients in the recovery rehabilitation phase. We used a mediation analysis of the change in depressive symptoms, satisfaction with meaningful occupation, and self-efficacy scores between admission and discharge in 72 patients. The results showed that satisfaction with meaningful occupation had a significant direct effect on depressive symptoms without mediating self-efficacy (β=－2.5, 95%CI [－4.2, －0.86], p=0.004). The results suggest that satisfaction with meaningful occupation may contribute to the reduction of PSD in the recovery rehabilitation phase.