Addressing felt stigma in stroke survivors: Implications for quality of life and future research

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Ali Fakhrudin, Dony Darma Sagita, Sumianto, Iis Aprinawati, Muchamad Arif Kurniawan, Erfan Ramadhani, Aldora Pratama, Ramtia Darma Putri, Safta Hastini

2025 Journal of Clinical Neuroscience Vol. 134 Letter Cited by 0 Quartile

Abstract

This letter to the editor responds to a study on the role of felt stigma in determining the health-related quality of life of stroke survivors in China. The findings demonstrate that felt stigma significantly impacts both physical and mental health outcomes, whereas enacted stigma does not show a significant effect. We argue that cultural factors, such as self-sufficiency values and filial piety, should be further explored as contributing elements to stigma perception. Additionally, we propose several areas for future research, including longitudinal studies, intervention-based approaches, cross-cultural comparisons, and caregiver perspectives. We also emphasize the need for integrating mental health support into post-stroke rehabilitation programs to address stigma more effectively. This commentary aims to stimulate further discussion on the psychosocial dimensions of stroke recovery and encourage a more holistic, patient-centered approach to rehabilitation. © 2025 Elsevier Ltd

Affiliations

Faculty of Education, Universitas Negeri Surabaya, Jl. Lidah Wetan, Lidah Wetan, Kec. Lakarsantri, Kota Surabaya, Indonesia; Universitas Terbuka. Indonesia, Jalan Cabe Raya, Pondok Cabe, Pamulang, Banten, Tangerang Selatan, 15437, Indonesia; Universitas Pahlawan Tuanku Tambusai, Jl. Tuanku Tambusai No. 23 Bangkinang, Kab. Kampar Prop., Riau, Indonesia; Institut Ummul Quro Al-Islami Bogor, Jl. Moh. Noh Nur No 112, Leuwimekar, Leuwiliang, Jawa Barat, Bogor, Indonesia; Department Guidance and Counseling, Universitas PGRI Palembang, Jln. Jend. A. Yani, Lr Gotong Royong 9/10 Ulu, Palembang, Indonesia; Universitas PGRI Palembang, Jln. Jend. A. Yani, Lr Gotong Royong 9/10 Ulu, Palembang, Indonesia; Department of Informatics Engineering, Universitas PGRI Palembang, Jln. Jend. A. Yani, Lr Gotong Royong 9/10 Ulu, Palembang, Indonesia; Department Guidance and Counseling, Universitas PGRI Palembang, Indonesia