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A systematic review of non-drug interventions to prevent and treat anxiety in people with aphasia after stroke
CONCLUSION: Definitive conclusions about the effectiveness of non-drug interventions for the prevention and/or treatment of anxiety in people with aphasia post-stroke cannot be made. Interventions that may show promise for those with aphasia and symptoms of anxiety include mindfulness meditation, modified cognitive behaviour therapy, unilateral nostril breathing, and the "Enhance Psychological Coping after Stroke" programme. Further high-quality research with better reporting of the inclusion of participants with aphasia and their specific sub-group results are required.Implications for RehabilitationIt is important for re...
Source: Disability and Rehabilitation - June 12, 2021 Category: Rehabilitation Authors: Brooke J Ryan Stephanie M Clunne Caroline J Baker Ciara Shiggins Miranda L Rose Ian I Kneebone Source Type: research

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

Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients: secondary analyses to a randomized controlled trial.
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. PMID: 30841744 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 6, 2019 Category: Rehabilitation Authors: Kootker JA, van Heugten CM, Kral B, Rasquin SM, Geurts AC, Fasotti L Tags: Clin Rehabil Source Type: research

Cognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling: a case report
We present the case of a 42-year-old man with subacute stroke who developed remarkable fear of falling and eventually recovered with an approach based on cognitive behavioral therapy (CBT). The CBT-based approach was implemented after the patient developed significant fear of falling with exacerbated obsessive-compulsive symptoms appeared immediately after a fall. The patient’s anxiety decreased over time, and his ability to perform these tasks and activities of daily living improved accordingly. After 6 weeks of intervention, his anxiety toward gait and stairs almost disappeared; additionally, he achieved modified indep...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Case Report Source Type: research

The use of mindfulness-based interventions in stroke rehabilitation: A scoping review.
Conclusions/Implications: The available evidence lends qualified support to the view that mindfulness has the potential to be a therapeutic intervention that offers health benefits to individuals poststroke. Yet, the diversity of results highlights the need for a more rigorous examination in further research. We also identified several knowledge gaps in mindfulness research in the stroke population, such as the limited amount of evidence for mindfulness-based cognitive therapy (MBCT), inadequate evaluations of physical outcomes, and the lack of methodologically robust trials. Further investigations are warranted to strengt...
Source: Rehabilitation Psychology - June 1, 2023 Category: Rehabilitation Source Type: research

The Effectiveness of Cognitive Behavioural Therapy for The Management of Post-Stroke Depressive Symptoms
To conduct a systematic review of the available evidence regarding the effectiveness of cognitive behavioural therapy (CBT) for the management of post-stroke depressive symptoms (PSDS).
Source: Archives of Physical Medicine and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Joshua Wiener, Swati Mehta, Jerome Iruthayarajah, Scott Janssen, Robert Teasell Source Type: research

Cognitive Behavioural Therapy for Managing Depressive and Anxiety Symptoms After Stroke: A Systematic Review and Meta-Analysis
To evaluate the efficacy of cognitive behavioural therapy on anxiety and depression among the stroke population.
Source: Archives of Physical Medicine and Rehabilitation - September 28, 2021 Category: Rehabilitation Authors: Jessica Ahrens, Swati Mehta, Daymon Blackport, Steven Macaluso, Ricardo Viana, Robert Teasell, Richard Shao Tags: SYSTEMATIC/META-ANALYTIC REVIEW POSTER 1710145 Source Type: research

Internet Cognitive Behavioural Therapy for Persons with Stroke: Developmental Phase
To identify gaps in the content of an existing ICBT program to meet the needs of those with stroke; to identify features of the online program and how it can be integrated into patient care; and to identify needs, potential facilitators and barriers that can influence implementation and use of the program.
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Daymon Blackport, Randy Upper, Dominik Polasek, Ricardo Viana, Robert Teasell, Swati Mehta Tags: Research Poster 2194704 Source Type: research

Cognitive-and-motor therapy after stroke is not superior to motor and cognitive therapy alone to improve cognitive and motor outcomes: new insights from a meta-analysis
To evaluate whether cognitive-and-motor therapy (CMT) is more effective than no therapy, motor therapy or cognitive therapy on motor and/or cognitive outcomes after stroke. Additionally, this study evaluates whether effects are lasting, and which CMT approach is most effective.
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2023 Category: Rehabilitation Authors: Elissa Embrechts, Dr Thomas B. McGuckian, Dr Jeffrey M. Rogers, Prof Chris H. Dijkerman, Prof Bert Steenbergen, Prof Peter H. Wilson, Associate Prof Tanja C.W. Nijboer Tags: Review Article (Meta-Analysis) Source Type: research

Cognitive and Motor Therapy After Stroke Is Not Superior to Motor and Cognitive Therapy Alone to Improve Cognitive and Motor Outcomes: New Insights From a Meta-analysis
To evaluate whether cognitive and motor therapy (CMT) is more effective than no therapy, motor therapy, or cognitive therapy on motor and/or cognitive outcomes after stroke. Additionally, this study evaluates whether effects are lasting and which CMT approach is most effective.
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2023 Category: Rehabilitation Authors: Elissa Embrechts, Thomas B. McGuckian, Jeffrey M. Rogers, Chris H. Dijkerman, Bert Steenbergen, Peter H. Wilson, Tanja C.W. Nijboer Tags: REVIEW ARTICLE Source Type: research

Cognitive behavioural therapy for post-stroke fatigue and sleep disturbance: a pilot randomised controlled trial with blind assessment
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Source: Neuropsychological Rehabilitation - May 19, 2017 Category: Rehabilitation Authors: Sylvia Nguyen Dana Wong Adam McKay Shantha M.W. Rajaratnam Gershon Spitz Gavin Williams Darren Mansfield Jennie L. Ponsford Source Type: research

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