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Integrative-interpersonal dynamic therapy for poststroke depression (INID): study protocol of a randomised controlled pilot trial
Introduction Depression is the most frequent psychiatric disorder following stroke, affecting about one-third of stroke survivors. Patients experience poorer recovery, lower quality of life and higher mortality compared with stroke survivors without depression. Despite these well-known malign consequences, poststroke depression (PSD) is regarded underdiagnosed and undertreated. Evidence of beneficial effects of psychotherapy to treat PSD remains scarce and inconclusive and is limited by heterogeneity in design, content and timing of the intervention. This pilot study aims to assess the feasibility of a newly developed inte...
Source: BMJ Open - August 8, 2023 Category: General Medicine Authors: Volz, M., Mundiyanapurath, S., Schauenburg, H., Meuth, S. G., Wild, B., Werheid, K., Barber, J. P., Schäfer, R., Beerbaum, L., Dinger, U. Tags: Open access, Rehabilitation medicine Source Type: research

Depressive symptoms and quality of life prior to metabolic surgery in Cape Town, South Africa
Conclusion: This study highlights the complex interplay between metabolic, clinical and psychiatric factors in patients undergoing metabolic surgery. The study highlights the vital role of a psychiatrist as part of a multidisciplinary team pre- and post-operatively in the early identification of depressive symptoms. Psychiatrists may have an important role to play as part of the multidisciplinary team in metabolic surgery, including screening for mental health problems pre- and post-operatively, providing psychoeducation and relevant pharmacological treatment and psychotherapy where needed.Contribution: This study expands ...
Source: South African Journal of Psychiatry - February 9, 2023 Category: Psychiatry Authors: Wilma M. Kruger-Steyn, Jeanne Lubbe, Kerry-Ann Louw, Laila Asmal Source Type: research

The effect of intensive family-centered health education on the awareness rate, diagnosis, and treatment of post-stroke depression in community families
CONCLUSION: Intensive family-centered health education can improve the level of knowledge of PSD in the community, promote the timely treatment and diagnosis of PSD in patients, and improve the compliance rates of drug therapy and psychotherapy, so this is worthy of promotion.PMID:36371180 | DOI:10.1186/s12875-022-01895-5
Source: Primary Care - November 12, 2022 Category: Primary Care Authors: Hao Wang Shuchao Pan Qiwu Xu Ting Ding Source Type: research

The Efficacy of Group Acceptance and Commitment Therapy for Preventing Post-Stroke Depression: A Randomized Controlled Trial
In this study, group Acceptance and Commitment Therapy (G-ACT) was performed in acute stroke patients to see if it can effectively relieve depressive symptoms and improve neurological function. The efficacy was also evaluated in stroke patients of different severity.
Source: Journal of Stroke and Cerebrovascular Diseases - November 24, 2021 Category: Neurology Authors: Yunlian Niu, Shiying Sheng, Yan Chen, Jian Ding, Huajie Li, Shujing Shi, Jian Wu, Dan Ye Source Type: research

Treatment of sleep disturbance following stroke and traumatic brain injury: a systematic review of conservative interventions.
CONCLUSIONS: Some conservative interventions might be useful for improving sleep disturbance or disorders in these populations, but further research is required. IMPLICATIONS FOR REHABILITATION Sleep disturbance is common following stroke and traumatic brain injury, with insomnia and obstructive sleep apnoea being the most frequently diagnosed sleep disorders. Psychotherapy-based approaches might be useful for sleep disturbance after TBI and acupuncture may help improve insomnia or sleep disturbance following stroke or TBI, respectively. Morning bright light therapy appeared to be more beneficial for fatigue rather than sl...
Source: Disability and Rehabilitation - December 11, 2020 Category: Rehabilitation Authors: Lowe A, Bailey M, O'Shaughnessy T, Macavei V Tags: Disabil Rehabil Source Type: research

Telepsychotherapy with children and families: Lessons gleaned from two decades of translational research.
We describe adaptation for international contexts and strategies for troubleshooting technological challenges and working with families of varying socioeconomic strata. The extensive research literature reviewed and synthesized provides considerable support for the utility of telepsychotherapy with children with neurological conditions and their families and underscores its high level of acceptability with both diverse clinical populations and providers. During this period of heightened vulnerability and stress and reduced access to usual supports and services, telepsychotherapy approaches such as online family problem-sol...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Aphasia Park: A pilot study using the co-active therapeutic theater model with clients in aphasia recovery
Publication date: February 2020Source: The Arts in Psychotherapy, Volume 67Author(s): Laura L. Wood, Dani Bryant, Kerryann Scirocco, Hia Datta, Susan Alimonti, Dave MowersAbstractAphasia, most often caused by brain damage due to stroke, is a language disorder hindering one's ability to verbally express and/or comprehend language, ranging in severity from mild to severe. An Applied Thematic Analysis (ATA) was undertaken of a post-production focus group to evaluate a 12-week pilot program that used the CoActive Therapeutic Theater (CoATT) Model for persons in Aphasia recovery. Results of a focus group interview found five th...
Source: Arts in Psychotherapy - December 14, 2019 Category: Psychiatry & Psychology Source Type: research

Aphasia Park: A Pilot Study Using The CoActive Therapeutic Theater Model with clients in Aphasia recovery
This article presents an Applied Thematic Analysis (ATA) of a post-production focus group exploring a 12-week pilot program that used the CoActive Therapeutic Theater (CoATT) Model for persons in Aphasia recovery. Results of a focus group interview found five themes that participants noted as unique outcomes: 1) More meaningful relationships; 2) An increased belief in oneself; 3) An invigorating experience; 4) CoATT provides a unique healing opportunity; 5) Perceived language and speech improvement.
Source: Arts in Psychotherapy - November 29, 2019 Category: Psychiatry & Psychology Source Type: research

Borderline Personality Disorder in Patients With Medical Illness: A Review of Assessment, Prevalence, and Treatment Options
Conclusions Health care could be substantially improved if all medical specialties would be familiar with BPD, its pathology, medical and psychiatric comorbidities, complications, and treatment. In mental health care, several empirically validated treatments that are applicable in a wide range of clinical settings are available.
Source: Psychosomatic Medicine - August 29, 2019 Category: Psychiatry & Psychology Tags: CLINICAL APPLICATIONS Source Type: research

The dynamic Duo: Combining noninvasive brain stimulation with cognitive interventions
Publication date: Available online 9 October 2018Source: Progress in Neuro-Psychopharmacology and Biological PsychiatryAuthor(s): Aakash V. Sathappan, Bruce M. Luber, Sarah H. LisanbyAbstractPharmacotherapy, psychotherapy, and non-invasive brain stimulation (NIBS)1 each show efficacy in the treatment of psychiatric disorders; however, more efficacious interventions are needed as reflected by an overall unmet need in mental health care. While each modality has typically been studied and developed as a monotherapy, in practice they are typically used in combination. Research has begun to emerge studying the potential synergi...
Source: Progress in Neuro Psychopharmacology and Biological Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Effectiveness of paroxetine in the treatment of poststroke depression
This study retrospectively investigated the effectiveness of paroxetine for the treatment of poststroke depression (PSD). Seventy patient cases with PSD were included in this study, and were assigned to an intervention group and a control group equally. All patients received routine treatment in both groups. Additionally, patients in the intervention group underwent paroxetine, while patients in the control group received psychotherapy for a total of 8 weeks intervention. The primary outcomes included depression, measured by Hamilton depression rating scale (HAMD); and anxiety, measured by Hamilton Anxiety Rating Scale (H...
Source: Medicine - July 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

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

Editorial Message and Issue Highlights – Vol. 15, No. 1 –2, January-February 2018
Dear Colleagues: Welcome to the January-February 2018 issue of Innovations in Clinical Neuroscience (ICNS). This is a milestone year for us as it marks the beginning of our 15th year of publication! We are pleased to continue serving you, our valued readers and colleagues, by providing peer-reviewed, evidence-based information on the latest innovations in both research and clinical practice in the field of neuroscience. We’d like to thank those dedicated readers who have been with us since 2004, the year we launched the journal, and to welcome new readers who are just discovering ICNS and what it has to offer. We’d als...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Current Issue Editor's Message: Issue Highlights Source Type: research

I ’ ve Been Seeing a Therapist for Years, So Why Am I Not Getting Better?
The answer: We need to address what’s happening inside the office as well as stigma. During the creation of the documentary Going Sane I interviewed Cindy Bulik. She is perhaps the most important researcher on anorexia today. She lives between UNC where she is a distinguished Professor of Eating Disorders and Sweden where she is a professor at the Karolinska Institute. Her current research is exploring genetic influences on anorexia and by the end of our interview she asked if my entire family would be willing to give a sample of blood for the study. She is not the single-minded professor oblivious to social customs tha...
Source: Psych Central - October 10, 2017 Category: Psychiatry Authors: Josh Sabey Tags: Disabilities Disorders Editorials Essays Medications Motivation and Inspiration Policy and Advocacy Psychology Psychotherapy Suicide Treatment Child Development child therapy Clinical Outcome evidence-based practices evidence Source Type: news

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