Deans' stroke musings: Cognitive remediation for depressed inpatients: Results of a pilot randomized controlled trial

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, December 26, 2015

Cognitive remediation for depressed inpatients: Results of a pilot randomized controlled trial

Will your doctor be following this up with changes to your stroke depression protocol? Oh you don't have a depression protocol? FUCKING HEY, START SCREAMING AT YOUR DOCTOR FOR BEING USELESS. Don't allow any deflection because this wasn't tested in stroke patients.
http://anp.sagepub.com/content/50/1/46.abstract?

¹Department of Psychiatry, Sozialstiftung Bamberg, Bamberg, Germany
²Department of Physiological Psychology, Otto-Friedrich-Universität Bamberg, Bamberg, Germany
³Centre for Psychiatry, Justus Liebig University School of Medicine Gießen, Gießen, Germany

Wolfgang Trapp, Department of Psychiatry, Sozialstiftung Bamberg, St-.Getreu-Straße 18, 96049 Bamberg, Germany. Email: wolfgang.trapp@sozialstiftung-bamberg.de

Abstract

Objective: Neurocognitive deficits that persist despite antidepressive treatment and affect social and vocational functioning are well documented in major depressive disorder. Cognitive training approaches have proven successful in ameliorating these deficits in other psychiatric groups, but very few studies have been conducted in unipolar depressive patients by now. In contrast to previous studies solely including outpatients, effects of a cognitive remediation intervention on neurocognitive functioning of depressed inpatients were assessed by the present study.

Method: A randomized controlled trial was carried out with 46 depressed inpatients of a psychiatric hospital. Patients were randomly assigned to either a control group that received standard drug and non-drug (cognitive behavioural, occupational, sports, relaxation and music therapy) antidepressive treatment or a remediation group that additionally received 12 sessions of cognitive training for a total of 4 weeks (three sessions per week). An intent to treat analysis and a last observation carried forward method was used for data analyses.

Results: Patients of the remediation group demonstrated greater improvements in neurocognitive measures of verbal and nonverbal memory, working memory and executive function (Cohen’s d effect sizes between .52 and .98).

Conclusions: These results provide preliminary evidence that cognitive remediation interventions can be successfully applied also in psychiatric inpatients experiencing an acute depressive episode.