Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients: secondary analyses to a randomized controlled trial

Joyce A Kootker, Caroline M van Heugten, Bart Kral, Sascha Mc Rasquin, Alexander C Geurts, Luciano Fasotti

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE:: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being.

DESIGN:: Secondary analyses of the results of a randomized controlled trial.

SUBJECTS:: Fifty caregivers of stroke patients receiving outpatient rehabilitation.

INTERVENTIONS:: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients.

MAIN MEASURES:: Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale).

RESULTS:: Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD) = 1.78, 95% confidence interval (CI) = 0.43-3.13, P = 0.01) and less worrying about patients' well-being (MD = 1.9, 95% CI = 0.56-3.24, P < 0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension.

CONCLUSION:: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients' emotional, behavioural and social functioning positively affects some aspects of caregivers' well-being.

Original languageEnglish
Article number269215519833013
Pages (from-to)1056-1065
Number of pages10
JournalClinical Rehabilitation
Volume33
Issue number6
Early online date7 Mar 2019
DOIs
Publication statusPublished - Jun 2019

Keywords

  • BRAIN-INJURY
  • BURDEN
  • COMMUNITY REINTEGRATION PROGRAM
  • GENERAL HEALTH QUESTIONNAIRE
  • HOSPITAL ANXIETY
  • RELIABILITY
  • SCALE
  • STROKE SURVIVORS
  • Stroke
  • VALIDATION
  • VALIDITY
  • caregivers
  • depression
  • randomized controlled trial
  • secondary analyses

Cite this

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title = "Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients: secondary analyses to a randomized controlled trial",
abstract = "OBJECTIVE:: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being.DESIGN:: Secondary analyses of the results of a randomized controlled trial.SUBJECTS:: Fifty caregivers of stroke patients receiving outpatient rehabilitation.INTERVENTIONS:: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients.MAIN MEASURES:: Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale).RESULTS:: Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD) = 1.78, 95{\%} confidence interval (CI) = 0.43-3.13, P = 0.01) and less worrying about patients' well-being (MD = 1.9, 95{\%} CI = 0.56-3.24, P < 0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension.CONCLUSION:: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients' emotional, behavioural and social functioning positively affects some aspects of caregivers' well-being.",
keywords = "BRAIN-INJURY, BURDEN, COMMUNITY REINTEGRATION PROGRAM, GENERAL HEALTH QUESTIONNAIRE, HOSPITAL ANXIETY, RELIABILITY, SCALE, STROKE SURVIVORS, Stroke, VALIDATION, VALIDITY, caregivers, depression, randomized controlled trial, secondary analyses",
author = "Kootker, {Joyce A} and {van Heugten}, {Caroline M} and Bart Kral and Rasquin, {Sascha Mc} and Geurts, {Alexander C} and Luciano Fasotti",
year = "2019",
month = "6",
doi = "10.1177/0269215519833013",
language = "English",
volume = "33",
pages = "1056--1065",
journal = "Clinical Rehabilitation",
issn = "0269-2155",
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number = "6",

}

Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients : secondary analyses to a randomized controlled trial. / Kootker, Joyce A; van Heugten, Caroline M; Kral, Bart; Rasquin, Sascha Mc; Geurts, Alexander C; Fasotti, Luciano.

In: Clinical Rehabilitation, Vol. 33, No. 6, 269215519833013, 06.2019, p. 1056-1065.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients

T2 - secondary analyses to a randomized controlled trial

AU - Kootker, Joyce A

AU - van Heugten, Caroline M

AU - Kral, Bart

AU - Rasquin, Sascha Mc

AU - Geurts, Alexander C

AU - Fasotti, Luciano

PY - 2019/6

Y1 - 2019/6

N2 - OBJECTIVE:: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being.DESIGN:: Secondary analyses of the results of a randomized controlled trial.SUBJECTS:: Fifty caregivers of stroke patients receiving outpatient rehabilitation.INTERVENTIONS:: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients.MAIN MEASURES:: Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale).RESULTS:: Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD) = 1.78, 95% confidence interval (CI) = 0.43-3.13, P = 0.01) and less worrying about patients' well-being (MD = 1.9, 95% CI = 0.56-3.24, P < 0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension.CONCLUSION:: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients' emotional, behavioural and social functioning positively affects some aspects of caregivers' well-being.

AB - OBJECTIVE:: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being.DESIGN:: Secondary analyses of the results of a randomized controlled trial.SUBJECTS:: Fifty caregivers of stroke patients receiving outpatient rehabilitation.INTERVENTIONS:: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients.MAIN MEASURES:: Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale).RESULTS:: Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD) = 1.78, 95% confidence interval (CI) = 0.43-3.13, P = 0.01) and less worrying about patients' well-being (MD = 1.9, 95% CI = 0.56-3.24, P < 0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension.CONCLUSION:: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients' emotional, behavioural and social functioning positively affects some aspects of caregivers' well-being.

KW - BRAIN-INJURY

KW - BURDEN

KW - COMMUNITY REINTEGRATION PROGRAM

KW - GENERAL HEALTH QUESTIONNAIRE

KW - HOSPITAL ANXIETY

KW - RELIABILITY

KW - SCALE

KW - STROKE SURVIVORS

KW - Stroke

KW - VALIDATION

KW - VALIDITY

KW - caregivers

KW - depression

KW - randomized controlled trial

KW - secondary analyses

U2 - 10.1177/0269215519833013

DO - 10.1177/0269215519833013

M3 - Article

C2 - 30841744

VL - 33

SP - 1056

EP - 1065

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

IS - 6

M1 - 269215519833013

ER -