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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

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

Treatment of Post-Stroke Depression
We present the reader with the most recent evidence to support pharmacological, psychosocial, and neuromodulation interventions in PSD. We also discuss the relevance of using antidepressants and psychotherapy to prevent PSD and discuss evidence that antidepressant treatment may reduce mortality after stroke.Recent findingsNeuroinflammation and decrease neurogenesis and plasticity may play an important role in the mechanism of PSD. The strongest predictors of PSD are stroke severity, early physical disability, and severity of loss of functioning. Nevertheless, populations at risk for PSD are yet to be identified. Recent met...
Source: Current Treatment Options in Neurology - June 24, 2019 Category: Neurology 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

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

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 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

MaLT - Combined Motor and Language Therapy tool for Brain Injury Patients using Kinect.
CONCLUSION: MaLT provides a tool that innovatively combines motor and language therapy for high dosage rehabilitation in the home. It has demonstrated that motion sensor technology can be successfully combined with a language therapy task to target both upper limb and linguistic impairment in patients following brain injury. The initial studies on stroke survivors have demonstrated that the combined therapy approach is viable and the outputs of this study will inform planned larger scale future trials. PMID: 28220928 [PubMed - as supplied by publisher]
Source: Methods of Information in Medicine - February 20, 2017 Category: Information Technology Authors: Wairagkar M, McCrindle R, Robson H, Meteyard L, Sperrin M, Smith A, Pugh M Tags: Methods Inf Med Source Type: research

Can a high-tech treatment help combat some of our oldest fears?
Conclusion This experimental study assessed whether it is possible to counter-condition people against their fear memories by using reward without actually having to re-expose the person to the fearful stimulus. The researchers conclude that they have shown this can be done, all with participants remaining unaware of the content and purpose of the procedure. They further suggest the procedure may be an initial step towards novel treatments for fear-related disorders such as phobia and PTSD, via unconscious processing. While these findings show promise, there are some key limitations, the main one being the small number of ...
Source: NHS News Feed - November 22, 2016 Category: Consumer Health News Tags: Mental health Neurology Source Type: news

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

The pathophysiology of post-stroke aphasia: A network approach.
CONCLUSION: Understanding the pathophysiological mechanism of post-stroke aphasia on a neurophysiological systems level as well as on the molecular level becomes more and more important for aphasia treatment, as the field moves from standardized therapies towards more targeted individualized treatment strategies comprising behavioural therapies as well as non-invasive brain stimulation (NIBS). PMID: 27314978 [PubMed - as supplied by publisher]
Source: Restorative Neurology and Neuroscience - June 18, 2016 Category: Neurology Tags: Restor Neurol Neurosci 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

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