How effective are treatments for anxiety after stroke? - A Cochrane Review summary with commentary.

How effective are treatments for anxiety after stroke? - A Cochrane Review summary with commentary. NeuroRehabilitation. 2019 May 31;: Authors: Knapp P Abstract  The aim of this commentary is to discuss in a rehabilitation perspective the published Cochrane Review "Interventions for treating anxiety after stroke" by Knapp, Campbell Burton, Holmes, Murray, Gillespie, Lightbody, Watkins, Chun, &Lewis1, under the direct supervision of the Cochrane Stroke Group. This Cochrane Corner is produced in agreement with NeuroRehabilitation by Cochrane Rehabilitation. PMID: 31177247 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

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In this study, we assessed CG burden, psychiatric morbidity, quality of life (QoL), and predictors of burden. Materials and Methods: We recruited 150 dyads of CGs/SSs from two outpatient clinics in Nigeria. Data were collected through sociodemographic/clinical questionnaire, the Zarit caregiver burden interview, the World Health Organization QoL-BREF, and the Mini-International Neuropsychiatric Interview. Disability in SSs was graded with the Modified Rankin Scale. Results: Compared to CGs who were mostly females (86.7%) with a mean age of 42.8 (±12.6) years, SSs were older with a mean age of 61.6 (±1...
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CONCLUSION: In this group of patients with mild symptoms of emotional distress, it seems that pre-stroke physical activity might be protective against post-stroke depression, but not anxiety. Many patients with mild-to-moderate stroke report being equally active before and after the stroke. PMID: 31565752 [PubMed - as supplied by publisher]
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Conclusions: Self-reported pre-sleep somatic symptoms are a marker of comorbid anxiety and, potentially chronic pain, impacting nighttime sleep. The optimal cutoff scores of 14 and 20 proposed herein can help clinicians with case formulation, with tailoring BSM treatments and their targets. PMID: 31545084 [PubMed - as supplied by publisher]
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ConclusionCRS is associated with an increased incidence of asthma, AMI, stroke, anxiety disorder, and depression. Therefore, we suggest that clinicians should monitor CRS patients carefully, and optimize management as a means to potentially decrease these other associated comorbid conditions.
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