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The Effects of Meditation, Race, and Anxiety on Stroke Survivor Resilience

Journal of Neuroscience Nursing: June 2020 - Volume 52 - Issue 3 - p E5-E6
doi: 10.1097/JNN.0000000000000520


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Registration Deadline: June 3, 2022

Disclosure Statement:

The authors and planners have disclosed that they have no financial relationships related to this article.

Provider Accreditation:

Lippincott Professional Development, publisher of Journal of Neuroscience Nursing will award 1.0 contact hour for this continuing nursing education activity. This activity has been assigned 0 pharmacology credits.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker#50-1223. Your certificate is valid in all states.


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PURPOSE: To provide information on the effect of meditation on the resilience of community-dwelling stroke survivors.

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:

1. Recognize the relationships between illness (including stroke), meditation, and resilience.

2. Analyze studies assessing the impact of socioeconomic level, race, and anxiety on resilience.

  1. Research by Williams and Murray (2013) revealed that responses later in stroke recovery may include
    1. apprehension.
    2. feelings of hopelessness.
    3. fear.
  2. White et al (2012) identified 4 trajectories in poststroke psychological recovery, including
    1. ongoing mood disturbance.
    2. residual physical disability.
    3. angry defiance.
  3. The resilient trajectory in the White et al (2012) study was characterized by all of the following except
    1. an ability to embrace the future.
    2. denial of the severity of the disability.
    3. being optimistic rather than pessimistic.
  4. As noted in the article, what other disease has a significant inverse relationship with resilience?
    1. acute coronary syndrome
    2. chronic renal failure
    3. rheumatoid arthritis
  5. The authors report demographic factors positively associated with resilience among cardiovascular disease populations include
    1. female sex.
    2. living alone.
    3. higher income.
  6. A multivariate analysis of the Brief Resilience Scale by Smith et al (2013) resulted in a model with 5 variables hypothesized to influence resilience, including
    1. purpose in life.
    2. experience with positive outcomes.
    3. an upbringing emphasizing resilience.
  7. Results from the study described in this article reveal that the meditation intervention
    1. significantly decreased stroke survivor resilience scores from baseline.
    2. significantly increased stroke survivor resilience scores from baseline.
    3. did not change stroke survivor resilience scores significantly from baseline.
  8. Baseline resilience scores were statistically significantly lower for
    1. Hispanic white participants.
    2. non-Hispanic black participants.
    3. non-Hispanic white participants.
  9. In the Hwang et al (2018) study, there were significant longer-term effects from an intensive meditation intervention when effects were measured at
    1. 1 month.
    2. 3 months.
    3. 6 months.
  10. In the final multivariate model in the study described in this article, there was an inverse correlation between resilience and
    1. state anxiety.
    2. depression.
    3. trait anxiety.
  11. In the 2018 study by Chun et al, what type of anxiety was the most prevalent type experienced by a cohort of stroke survivors in the first 3 months of recovery?
    1. phobic
    2. panic
    3. social
  12. What was a predictor for adverse cardiac events in both younger and female African Americans in the Jackson Heart Study (2015)?
    1. lower average age at marriage
    2. 2 or more comorbid conditions
    3. adult socioeconomic position
  13. What did Booth et al (2015) suggest is associated with an increased risk of stroke?
    1. poor dietary practices
    2. perceived psychosocial stress
    3. lack of religious affiliation
  14. In a subcohort of black women enrolled in the Women's Health Initiative Observational Study and Clinical Trial (2019), compared with women with lower resilience, those with higher resilience reported lower stress and
    1. higher education.
    2. larger families.
    3. younger age.
  15. According to Odafe et al (2017), potential resilience resources for African American adults include
    1. social support.
    2. community-based health clinics.
    3. antidiscrimination legislation.
  16. Among stroke survivors, the authors suggest strategies to enhance resilience might also improve
    1. family cohesiveness.
    2. perception of mental health issues.
    3. adherence to self-care measures.
Copyright © 2020 American Association of Neuroscience Nurses