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Peculiarities Of Existential Fulfillment And Coping Strategies In Post-Stroke Patients

Diseases in the circulatory system of the brain are not only a medical but also a social problem. Social support is one of the factors for successful rehabilitation and prevention of post-stroke depression (PSD). The purpose of the study is to identify the peculiarities of coping strategies and existential fulfillment in post-stroke patients with speech disorders. The study involved 50 patients with the first occurrence of ischemic stroke (25 patients with both motor and speech disorders, 25 patients with motor disorders without any speech defects). Were applied the Rankin Scale (mRs), the Barthel Index (BI), Existence Scale Questionnaire (A. Langle and C. Orgler), D. Amirkhan's "Coping Strategy Indicator" (adapted by N.A. Sirota and V.M. Yaltonsky), the non-parametric Mann-Whitney U test. The analysis of the results of the coping-strategy examination showed significant differences between groups on the strategy of "seeking social support" (U = 82,000; at p = 0.074), on the Self-Transcendence subscale (U = 65,000; at p = 0.015) and the Freedom subscale (U = 54,500; at p=0.004). In conclusion, the lack of ability to express their emotions and desires through speech, as well as to interact with people in patients with speech disorders leads to emotional flattening and poor interaction with the world and people, refusal to seek help and social support from family, friends and other important people.