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Total 47 results found since Jan 2013.

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

Commentary. Freud in the stroke ward: psychodynamic theory for stroke rehabilitation professionals
CONCLUSION: I argue that, by bearing strong feelings; attending to multiple communicative channels; considering transference and countertransference; and accepting more fully the pessimistic and despairing aspects of our patients' experiences, we can become more psychologically effective rehabilitation professionals.PMID:35550000 | DOI:10.1080/10749357.2022.2075080
Source: Topics in Stroke Rehabilitation - May 13, 2022 Category: Neurology Authors: Huw Green 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

A systematic review and evaluation of post-stroke depression clinical practice guidelines
Post-stroke depression is a depressive mood disorder that follows a cerebrovascular accident and is a burden on stroke patients. Its management is included in clinical practice guidelines focused on stroke, and the recommended treatment is selective serotonin reuptake inhibitors in conjunction with psychotherapy. Clinical practice guidelines are recommendations used to standardize best medical practice, but there is no current evaluation of guidelines containing post stroke depression recommendations.
Source: Journal of Stroke and Cerebrovascular Diseases - August 10, 2023 Category: Neurology Authors: James Graham Cross, Brandon R. May, Peter Q.M. Mai, Elizabeth Anderson, Connor Welsh, Shaeker Chandran, Kevin T. Chorath, Shelby Herr, Daniel Gonzalez Source Type: research

The Effect of a Brief Intervention for Patients with Ischemic Stroke: A Randomized Controlled Trial
Depression and anxiety are common after stroke. There is inconclusive evidence of the benefit of psychotherapy for poststroke depression and anxiety. Here, we used a brief intervention, Neuro-Linguistic Programming (NLP) brief therapy plus health education, to evaluate the changes in patients with ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2015 Category: Neurology Authors: Yuehua Peng, Yun Lu, Weiquan Wei, Jincong Yu, Dongming Wang, Yang Xiao, Jinzhi Xu, Zengzhen Wang Source Type: research

Exploring the experience of psychological morbidity and service access in community dwelling stroke survivors: a follow-up study.
Conclusions: The experience of psychological morbidity persists beyond 12 months post-stroke, having a profound impact on community access, and social participation. Clinical implications are a need for long-term psychological monitoring post-stroke and for ongoing rehabilitation that addresses disability, community participation and social support. Implications for Rehabilitation Psychological distress post-stroke is complex and persists over time, thus requiring longer term monitoring beyond the first 12 months of stroke onset. Longer term access to allied health can play a significant role in providing interventions tha...
Source: Disability and Rehabilitation - January 31, 2014 Category: Rehabilitation Authors: White J, Dickson A, Magin P, Tapley A, Attia J, Sturm J, Carter G Tags: Disabil Rehabil Source Type: research

Post-Stroke Depression Therapy: Where are we Now?
Abstract Post-stroke depression is an important psychological consequence of ischemic stroke, and affects around one third of stroke patients at any time post-stroke. It has a negative impact on patient morbidity and mortality, and as such development of effective post-stroke recognition and treatment strategies are very important. There are several therapeutic strategies for post-stroke depression, including both pharmacological and non-pharmacological approaches. In this review, we present evidence regarding the underlying biology of post-stroke depression, commonalities between post-stroke depression and Major ...
Source: Current Neurovascular Research - May 22, 2014 Category: Neurology Authors: Nabavi SF, Turner A, Dean OM, Sureda A, Nabavi SM Tags: Curr Neurovasc Res Source Type: research

Interventions for treating anxiety after stroke.
CONCLUSIONS: Evidence is insufficient to guide the treatment of anxiety after stroke. Further well-conducted randomised controlled trials (using placebo or attention controls) are required to assess pharmacological agents and psychological therapies. PMID: 28535332 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - May 23, 2017 Category: General Medicine Authors: Knapp P, Campbell Burton CA, Holmes J, Murray J, Gillespie D, Lightbody CE, Watkins CL, Chun HY, Lewis SR Tags: Cochrane Database Syst Rev Source Type: research

Post-Stroke Depression: Chaos to exposition.
Abstract Cerebral ischemia contributes to significant disabilities worldwide, impairing cognitive function and motor coordination in affected individuals. Stroke has severe neuropsychological outcomes, the major one being a stroke. Stroke survivors begin to show symptoms of depression within a few months of the incidence that overtime progresses to become a long-term ailment. As the pathophysiology for the progression of the disease is multifactorial and complex, it limits the understanding of the disease mechanism completely. Meta-analyses and randomized clinical trials have shown that intervening early with tric...
Source: Brain Research Bulletin - December 22, 2020 Category: Neurology Authors: Sarkar A, Sarmah D, Datta A, Kaur H, Jagtap P, Raut S, Shah B, Singh U, Baidya F, Bohra M, Kalia K, Borah A, Wang X, Dave KR, Yavagal DR, Bhattacharya P Tags: Brain Res Bull Source Type: research

Post stroke depression: The sequelae of cerebral stroke
Publication date: Available online 12 April 2018 Source:Neuroscience & Biobehavioral Reviews Author(s): Jyotirekha Das, G.K. Rajanikant Post-stroke depression (PSD) is the most common mental health issue, afflicting around 33% of stroke survivors. PSD has a negative impact on the rehabilitation, recuperation of motor and cognitive deficits following stroke and significantly increases the chances of relapsing neurovascular events. It has been demonstrated that biological and psychological factors have a significant role in PSD. Numerous endeavors have been made to discover the risk factors and predictors of PSD. Sc...
Source: Neuroscience and Biobehavioral Reviews - April 13, 2018 Category: Neuroscience 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

An Acceptance and Commitment Therapy (ACT)-Based Intervention for an Adult Experiencing Post-Stroke Anxiety and Medically Unexplained Symptoms
To date, there is little support for the use of any psychotherapy to address post-stroke anxiety. Similarly, there have been no trials of acceptance and commitment therapy (ACT) for post-stroke anxiety, but clinician opinion suggests that an ACT approach may be effective in this context. In this case study, a high-functioning younger man with post-stroke anxiety and associated medically unexplained symptoms (chest pain and dizziness) was assessed and treated using an ACT approach. Mediators of change for both ACT (psychological flexibility) and cognitive therapy (illness perceptions) were recorded as were measures of depre...
Source: Clinical Case Studies - February 25, 2015 Category: Psychiatry Authors: Graham, C. D., Gillanders, D., Stuart, S., Gouick, J. Tags: Articles Source Type: research