Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trialArchives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 687-694.
NARIC Accession Number: J75822. What's this?
Author(s): Kootker, Joyce A.; Rasquin, Sascha M. C.; Lem, Frederick C.; van Heugten, Caroline M.; Fasotti, Luciano; Geurts, Alexander C. H..
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study evaluated the effectiveness of individually tailored cognitive behavioral therapy (CBT) for reducing depressive symptoms with or without anxiety after stroke. Sixty-one patients who had a Hospital Anxiety and Depression Scale-depression subscale (HADS-D) score >7 at least 3 months poststroke were randomly allocated to either augmented CBT or computerized cognitive training (CCT). The CBT intervention was based on the principles of recognizing, registering, and altering negative thoughts and cognitions. CBT was augmented with goal-directed real-life activity training given by an occupational or movement therapist. The HADS-D score was the primary outcome, and measures of participation and quality of life were secondary outcomes. Outcome measurements were performed at baseline, immediately posttreatment, and at 4- and 8-month follow-up. Analysis was performed with linear mixed models using group (CBT versus CCT) as the between-subjects factor and time (4 assessments) as the within-subjects factor. Mixed-model analyses showed a significant and persistent time effect for HADS-D and for participation and quality of life in both groups. There was no significant group-by-time effect for any of the outcome measures. Findings indicated that the augmented CBT intervention was not superior to CCT for the treatment of mood disorders after stroke. Future studies should determine whether both interventions are better than natural history.
Descriptor Terms: ANXIETY DISORDERS, DEPRESSION, INTERVENTION, OUTCOMES, PSYCHOTHERAPY, STROKE.
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Citation: Kootker, Joyce A., Rasquin, Sascha M. C., Lem, Frederick C., van Heugten, Caroline M., Fasotti, Luciano, Geurts, Alexander C. H.. (2017). Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 687-694. Retrieved 5/13/2017, from REHABDATA database.
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Archives of Physical Medicine and Rehabilitation.