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 language | English |
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Pages (from-to) | 833-843 |
Number of pages | 11 |
Journal | Clinical Rehabilitation |
Volume | 29 |
Issue number | 9 |
Early online date | 5 Dec 2014 |
DOIs | |
Publication status | Published - Sept 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