An augmented cognitive behavioural therapy for treating post-stroke depression: description of a treatment protocol

J.A. Kootker*, S.M.C. Rasquin, P. Smits, A.C. Geurts, C.M. van Heugten, L. Fasotti

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aim: Currently, no evidence-based treatment is available for mood problems after stroke. We present a new psychological intervention designed to reduce depressive complaints after stroke.

Method of protocol development: This intervention was based on cognitive behavioural therapy principles and was shown feasible in a pilot study. In order to meet the specific needs of stroke patients (concerning both sensori-motor, cognitive, and behavioural problems), we incorporated motivational interviewing, grief resolution, and psycho-education. We emphasised for each session to take into account the cognitive deficits of the patients (i.e. be concrete, accessible, structured, specific, and repeat information). Moreover, we augmented the psychologist-administered therapy with the contribution of an occupational or movement therapist aimed at facilitating patients' goal-setting and attainment. The intervention consisted of 12 one-hour sessions with a psychologist and three or four one-hour sessions with an occupational or movement therapist. Currently, the effectiveness of the intervention is evaluated in a randomised controlled trial.

Discussion: The proposed psychological treatment protocol is innovative, as it applies cognitive behavioural therapy in a stroke-specific manner; moreover, it supports goal attainment by incorporating occupational or movement therapy sessions.

Original languageEnglish
Pages (from-to)833-843
Number of pages11
JournalClinical Rehabilitation
Volume29
Issue number9
Early online date5 Dec 2014
DOIs
Publication statusPublished - Sep 2015

Keywords

  • Stroke
  • depression
  • anxiety
  • treatment protocol
  • cognitive behavioural therapy
  • RANDOMIZED CONTROLLED-TRIAL
  • LONDON STROKE REGISTER
  • QUALITY-OF-LIFE
  • FOLLOW-UP
  • NATURAL-HISTORY
  • LESION LOCATION
  • INTERVENTION
  • OUTCOMES
  • ANXIETY
  • COMPENSATION

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