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This study employed a longitudinal design in which 200 young and middle\u2010aged stroke survivors were investigated at 1\u2010week pre\u2010discharge (T0), 1 month (T1), 3 months (T2), and 6 months (T3) post\u2010discharge. The Event\u2010Related Rumination Inventory, Simplified Coping Style Questionnaire, and Perceived Social Support Scale were used for data collection. The results showed that intrusive rumination was positively correlated with deliberate rumination at T0 and T1, and negatively correlated with deliberate rumination at T3. Growth mixture modeling identified three classes of intrusive rumination: <jats:italic>Stable\u2010low<\/jats:italic>, <jats:italic>Declined<\/jats:italic>, and <jats:italic>Elevated<\/jats:italic> group, and two classes of deliberate rumination: <jats:italic>High\u2010level<\/jats:italic> and <jats:italic>Low\u2010level<\/jats:italic> group. Furthermore, number of children or dysfunctions, type of stroke, family history of stroke, negative coping, and social support were found to predict intrusive rumination. These findings can help healthcare providers timely intervene on survivors in the <jats:italic>Elevated<\/jats:italic> and <jats:italic>Stable\u2010low<\/jats:italic> intrusive rumination groups, and the <jats:italic>Low\u2010level<\/jats:italic> deliberate rumination group.<\/jats:p>","DOI":"10.1111\/nhs.13073","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T07:07:31Z","timestamp":1703056051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Trajectories of intrusive and deliberate rumination in young and middle\u2010aged stroke survivors: A growth mixture modeling approach"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7700-6406","authenticated-orcid":false,"given":"Qianqian","family":"Sun","sequence":"first","affiliation":[{"name":"School of Nursing and Health Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongxia","family":"Mei","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingxuan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Natural Sciences University of Houston\u2010Downtown  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenna","family":"Wang","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2021.1934608"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2019.1612079"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.20.6.828"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbadis.2018.09.012"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12138"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105316676332"},{"issue":"11","key":"e_1_2_14_8_1","first-page":"486","article-title":"Multicenter evaluation of the ischemic stroked patients with the Chinese Barthel index:A prognostic study","volume":"4","author":"Cai Y.","year":"2007","journal-title":"Chinese Journal of Cerebrovascular Diseases"},{"key":"e_1_2_14_9_1","volume-title":"Mahwah","author":"Calhoun L. 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