I= NEUROPSYCHOPATHOLOGY AND THE ROLE OF FAMILY SUPPORT IN IMPROVEMENT OF THE STROKE PATIENT
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Title of Thesis
NEUROPSYCHOPATHOLOGY AND THE ROLE OF FAMILY SUPPORT IN IMPROVEMENT OF THE STROKE PATIENT

Author(s)
SAYEDA RIFFAT NAHEED
Institute/University/Department Details
National Institute Of Psychology, Quaid-i-Azam University, Islamabad
Session
2000
Subject
Psychology
Number of Pages
163
Keywords (Extracted from title, table of contents and abstract of thesis)
neuropsychopathology, family support, stroke patient, family attitude, family system

Abstract
The present study was carried out to examine the impact of family support and family attitude on improvement of neuropsychological impairment of stroke patients. The study also investigated the extent of relative improvement in the neuropsychological impairment of stroke patients of different sex, age, educational qualifications and socioeconomic levels. The study was carried out in two phases, phase 1 including two sub studies (i.e., survey & pilot study) and phase 2(i.e., main study). In phase I, a survey was conducted on a sample of 30 stroke inpatients or visiting the hospital as out door patients, and their 30 care givers to identify the area of problems related to stroke patients, type of support and attitude extended by their family members. Interviews with neuro-physicians, physiotherapists and related literature review also helped in establishing the dimensions of the scales. In the pilot study three indigenous scales including Neuropsychological Impairment Scale (NSI), Family Support Scale (FS), and Family Attitude Scale (FA) were developed to assess physical, cognitive and psychological problems faced by the stroke patients and altitude and support extended by the family members. Psychometric properties of these scales were tested on a random sample of 40 stroke inpatients and their caregivers (both male & female stroke patients were taken from civil & military hospitals of Rawalpindi, Lahore & Peshawar).

Phase 2 sample consisted of 50 patients randomly drawn from the population of admitted (male & female) stroke patients in civil and military hospitals of Rawalpindi . A sample of 50 family members of the stroke patients were included to assess their attitude towards the patient.

In the main study the neuropsychological impairment of stroke patients and family support and attitude were assessed with the help of these scales. The results indicated neuropsychological impairment of stroke patients on the first administration in the hospital and an observable improvement after one month stay at home on the second administration of Neuropsychological Impairment Scale. The results indicated that family support was a crucial factor in the improvement of the patient, whereas, the family attitude showed no effect, whereas, family support and family attitude were positively related. The results also indicated that higher socio-economic status and educational level of the patients were of considerable significance in the overall improvement of the patient, but they had no relationship to family support and family attitude. The results showed no gender differences in family support and family attitude. However, older age was negatively related with improvement as well as with family support and family attitude as compared to younger age.

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S. No. Chapter Title of the Chapters Page Size (KB)
1 0 Contents
128.77 KB
2 1 Introduction
794.64 KB
  1.1 Family System
  1.2 Family System In Pakistan
  1.3 Affect Of An Ailment On Family Relations
  1.4 Neuropsychopathology Of Brain (Stroke)
  1.5 Researches On Post Stroke Neurological And Cognitive Deficits
  1.6 Researches On Post Stroke Psychological Impairment
  1.7 Researches On Demographic Variables Related To Stroke
  1.8 Researches On Family Support In Re-Habilitation Of Stroke Patients
  1.9 Researches On Attitude Of Care Givers Towards Stroke Patients
  1.10 Assessment Of Psychopathology And Psycho-Social Variables (Scales)
  1.11 Attitudes
  1.12 Attitude Measurement
  1.13 Objectives Of The Study
  1.14 Hypotheses
3 2 Method
572.9 KB
  2.1 Research Design
  2.2 Phase 1 (Pilot Study)
  2.3 Samples
  2.4 Procedure
  2.5 Instrument Development
  2.6 Neuropsychological Impairment Scale ( Nsi )
  2.7 Family Support Scale (FS)
  2.8 Family Attitude Scale (FA)
  2.9 Instructions
  2.10 Scoring
  2.11 Results
  2.12 Reliability Of Scales
  2.13 Phase II (Main Study)
  2.14 Instruments
  2.15 Neuropsychological Impairment Scale( NSI)
  2.16 Family Support Scale (FS)
  2.17 Family Attitude Scale (FA)
  2.18 Sample
  2.19 Procedure
  2.20 Instructions
  2.21 Scoring
  2.22 Results
4 3 Discussion
216.33 KB
5 4 Conclusion & Suggestions
29.65 KB
6 5 References
804.57 KB
  5.1 Annexure