SOUSA, Flávia et al. Cognitive deficits, social support, depression and quality of life of post-stroke patients. []. , 38, 2, pp.153-165. ISSN 0870-8231.  https://doi.org/10.14417/ap.1726.

^len^aA stroke is a life-threatening event which has physical, emotional and cognitive consequences. This study aimed to identify differences between participants who suffered a stroke and healthy controls, concerning cognitive performance, depressive symptoms, social support and quality of life; to examine the associations between these variables among participants who suffered a stroke; and to identify the variables that best classify patients and controls. The sample included 30 patients who suffered a stroke and 30 healthy participants. Both groups presented similar sociodemographic characteristics. All participants were assessed with The Institute of Cognitive Neurology Frontal Screening, the Montreal Cognitive Assessment, the Hospital Anxiety and Depression Scale, the Instrumental-Expressive Social-Support Scale, and the Short Form Health Survey-36. Post-stroke patients had lower cognitive performance, lower social support, lower quality of life and higher depressive symptoms than the control group. Social support was positively related to quality of life and negatively related to depressive symptoms in the clinical group. Cognitive deficits and depressive symptoms correctly classified belonging to the clinical group in 85% of cases, and significantly predicted the stroke. This study underlines the importance of implementing psychological interventions addressing depressive symptoms and cognitive rehabilitation for post-stroke patients.^lpt^aUm acidente vascular cerebral (AVC) é um evento ameaçador à vida que provoca consequências físicas, emocionais e cognitivas. Este estudo apresenta como objectivos: identificar diferenças entre participantes que sofreram um AVC (grupo clínico) e participantes saudáveis (grupo de controlo) no que concerne ao desempenho cognitivo, sintomatologia depressiva, suporte social e qualidade de vida; examinar as associações entre as variáveis em estudo em participantes que sofreram AVC; e identificar as variáveis que melhor classificam os dois grupos de participantes. A amostra incluiu 30 pacientes que sofreram um AVC e 30 participantes saudáveis, com características sociodemográficas semelhantes. A todos os participantes foram aplicados os seguintes instrumentos: The Institute of Cognitive Neurology Frontal Screening, the Montreal Cognitive Assessment, the Hospital Anxiety and Depression Scale, the Instrumental-Expressive Social-Support Scale, e the Short Form Health Survey-36. Pacientes que sofreram um AVC apresentaram défices cognitivos mais significativos, menor suporte social, menor qualidade de vida e sintomatologia depressiva mais elevada comparativamente ao grupo de controlo. O suporte social encontra-se, no grupo clínico, positivamente correlacionado à qualidade de vida e negativamente correlacionado à sintomatologia depressiva. A sintomatologia depressiva e os défices cognitivos classificaram corretamente 85% dos casos do grupo clínico. Este estudo realça a importância de se implementar intervenções psicológicas que incidam na sintomatologia depressiva e na reabilitação cognitiva de pacientes que sofreram um AVC.

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