{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:10:55Z","timestamp":1767856255475,"version":"3.49.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1997,5,1]],"date-time":"1997-05-01T00:00:00Z","timestamp":862444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[1997,5]]},"abstract":"<jats:p> Objective: To examine the effect of abnormal illness behaviour (AIB) on rehabilitation outcome following stroke. <\/jats:p><jats:p> Design: A longitudinal design, with assessments on admission to and discharge from rehabilitation, and six and 12 months after discharge. <\/jats:p><jats:p> Setting: The study was undertaken in the rehabilitation unit at Repatriation General Hospital, in Adelaide, South Australia. <\/jats:p><jats:p> Subjects: Ninety-four 12-month stroke survivors who had undergone an inpatient rehabilitation programme. <\/jats:p><jats:p> Main outcome measures: AIB was assessed using the Illness Behaviour Questionnaire. Additional psychological measurements comprised the Zung Self-Rating Depression Scale, General Health Questionnaire, and a visual analogue mood scale. Functional ability was assessed with the Australian ADL Index, and lifestyle activities with the Frenchay Activities Index. <\/jats:p><jats:p> Results: Cluster analysis of discharge data was used to define a rule for identifying patients with AIB. AIB was apparent in nearly 30% of patients at discharge, and persisted for 12 months. Patients with AIB scored more poorly than non-AIB patients on functional, social and psychological indicators. <\/jats:p><jats:p> Conclusions: AIB emerged as a key determinant of long-term disability. 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