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Improving sleep and learning in rehabilitation after stroke, part 2 (INSPIRES2): study protocol for a home-based randomised control trial of digital cognitive behavioural therapy (dCBT) for insomnia
Introduction Consolidation of motor skill learning, a key component of rehabilitation post-stroke, is known to be sleep dependent. However, disrupted sleep is highly prevalent after stroke and is often associated with poor motor recovery and quality of life. Previous research has shown that digital cognitive behavioural therapy (dCBT) for insomnia can be effective at improving sleep quality after stroke. Therefore, the aim of this trial is to evaluate the potential for sleep improvement using a dCBT programme, to improve rehabilitation outcomes after stroke. Methods and analysis We will conduct a parallel-arm randomised c...
Source: BMJ Open - April 6, 2023 Category: General Medicine Authors: Weightman, M., Robinson, B., Fallows, R., Henry, A. L., Kyle, S. D., Garratt, E., Pick, A., Teal, R., Ajina, S., Demeyere, N., Espie, C. A., Seymour, B., Johansen-Berg, H., Fleming, M. K. Tags: Open access, Rehabilitation medicine Source Type: research

Management of communication disability in the first 90 days after stroke: a scoping review
CONCLUSION: A coordinated, integrated approach to developing and testing acute and subacute interventions for all communication disabilities across all communication-related domains is required.IMPLICATIONS FOR REHABILITATIONInterdisciplinary stroke clinicians need to manage communication disabilities in the first 90 days after stroke to optimise healthcare communication and rehabilitation outcomes.There is some evidence to guide clinicians in aphasia management but less in other disabilities of speech and cognitive functioning.Most interventions to inform clinical practice address communication-related body functions and ...
Source: Disability and Rehabilitation - December 17, 2021 Category: Rehabilitation Authors: Caroline Baker Abby M Foster Sarah D'Souza Erin Godecke Ciara Shiggins Edwina Lamborn Lucette Lanyon Ian Kneebone Miranda L Rose Source Type: research

Featured Reviews: Behavioural activation therapy for depression
How well does behavioural activation therapy work for depression in adults?  And what about the effects of this treatment on depression for adults with long‐term physical conditions? Two new Cochrane systematic reviews look at the available evidence.Depression is a common mental health problem. It can cause a persistent feeling of sadness and loss of interest in people, activities, and things that were once enjoyable. Treatments for depression include psychological therapies (talking therapies). Two reviews recently published byCochrane Common Mental Disordersfocus on a type of psychological therapy called behavioural a...
Source: Cochrane News and Events - September 9, 2020 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Wants Talk Psychotherapy but Cannot Talk: EMDR for Post-stroke Depression with Expressive Aphasia
CONCLUSION This is the first reported case demonstrating that EMDR can be effective for depression, even in those with severe expressive aphasia. In our case, there was no reluctance to disclose information, simply a neurological inability to do so. Through preparation, patience, perseverance, and plasticity (clinician flexibility, though perhaps also neuroplasticity), the patient’s PSD gradually improved, and she was able to reinvent her life within her limitations. ACKNOWLEDGMENTS The authors gratefully acknowledge Eugene Schwartz, E.C. Hurley, and Mark Hubner for providing consultation during patient care. REFERENCES ...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Case Report Current Issue Neurologic Systems and Symptoms Neurology Psychotherapy Stroke aphasia depression EMDR Source Type: research

Randomised, waiting list controlled trial of cognitive-behavioural therapy for persistent postconcussional symptoms after predominantly mild-moderate traumatic brain injury
Conclusions This study suggests that CBT can improve quality of life for adults with persistent PCS and potentially reduce symptoms for some, in the context of outpatient brain injury rehabilitation services. Trial registration number ISRCTN49540320.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 12, 2016 Category: Neurosurgery Authors: Potter, S. D. S., Brown, R. G., Fleminger, S. Tags: Dementia, Neurological injury, Stroke, Trauma CNS / PNS, Anxiety disorders (including OCD and PTSD), Memory disorders (psychiatry), Trauma, Injury Neuropsychiatry Source Type: research

Being optimistic after heart attack may help with recovery
Conclusion This well-designed study found that people who have a higher level of optimism are less likely to smoke or have depressive symptoms, more likely to be eating five portions of fruit and vegetables a day, and have a slightly higher physical health score. It also found that people who have low optimism and depressive symptoms are more than twice as likely to have a major cardiac event than people with high optimism and no depressive symptoms. In many ways the overall findings that a greater sense of wellbeing could be transferred into positive lifestyle changes, which could be linked to lower risk of subsequent he...
Source: NHS News Feed - March 6, 2015 Category: Consumer Health News Tags: Heart/lungs Mental health Source Type: news

An augmented cognitive behavioural therapy for treating post-stroke depression: description of a treatment protocol.
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). More...
Source: Clinical Rehabilitation - December 1, 2014 Category: Rehabilitation Authors: Kootker JA, Rasquin SM, Smits P, Geurts AC, van Heugten CM, Fasotti L Tags: Clin Rehabil Source Type: research

The neuropsychiatry of tinnitus: a circuit-based approach to the causes and treatments available
In conclusion, a review of the literature demonstrates the varied neuropsychiatric manifestations of tinnitus. Imaging studies help to explain the mechanism of the association. However, more research is needed to elucidate the neurocircuitry underlying the association.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 9, 2014 Category: Neurosurgery Authors: Minen, M. T., Camprodon, J., Nehme, R., Chemali, Z. Tags: Headache (including migraine), Pain (neurology), Stroke, Drugs: psychiatry, Personality disorders, Psychotic disorders (incl schizophrenia), Radiology, Drugs: musculoskeletal and joint diseases, Radiology (diagnostics), Ear, nose and throat/otolaryngology Source Type: research

Cost analysis of the Communication and Low Mood (CALM) randomised trial of behavioural therapy for stroke patients with aphasia.
CONCLUSION: Overall the behavioural therapy was found to improve mood and resulted in some encouraging savings in resource utilisation over the six months follow-up. PMID: 24942481 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 18, 2014 Category: Rehabilitation Authors: Humphreys I, Thomas S, Phillips C, Lincoln N Tags: Clin Rehabil Source Type: research