Modeling the evolution of disability acceptance after hypertensive intracerebral hemorrhage: a latent growth analysis
By
Zuo Lian Zhang
Xi Liu
Song Bin Huang
Meng Huang
Guo Wen Zhang
Man Li Wu
Jia Zhang
April 30, 2026
Clinical Scorecard: Analyzing the Progression of Disability Acceptance Following Hypertensive Intracerebral Hemorrhage: A Latent Growth Model Approach
At a Glance
Category Detail
Condition Hypertensive Intracerebral Hemorrhage (HICH) Key Mechanisms Disability acceptance influenced by self-efficacy and age Target Population Patients aged 18 and older with primary HICH Care Setting Tertiary care hospital
Key Highlights
Disability acceptance evolves dynamically in the first 6 months post-discharge. Self-efficacy positively correlates with disability acceptance. Age influences the rate of change in disability acceptance but not the initial level. Early interventions targeting self-efficacy may enhance psychological recovery. Latent Growth Modeling effectively captures individual change patterns. Guideline-Based Recommendations
Diagnosis
Diagnosis based on acute onset, focal neurological deficits, and CT evidence of hemorrhage. Management
Follow Chinese Guidelines for the Diagnosis and Treatment of Intracerebral Hemorrhage (2019). Monitoring & Follow-up
Assess disability acceptance and self-efficacy at discharge and at 1, 3, and 6 months post-discharge. Risks
Consider risks of loss to follow-up and withdrawal of consent in longitudinal studies. Patient & Prescribing Data
114 patients with primary HICH, aged 18 and older.
Focus on enhancing self-efficacy to improve disability acceptance.
Clinical Best Practices
Implement standardized training for assessors to minimize measurement bias. Conduct follow-up assessments through structured interviews to ensure data integrity. Utilize latent growth models to analyze psychological adaptation over time. References
