Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, May 12, 2017

Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial

Why would you want to do this for depression rather than SSRIs which also gives you better recovery? The comparison should have also been against SSRIs. Now more followup research still needs to be done. All because there is NO stroke strategy and NO stroke leadership.

Common antidepressant can help stroke patients improve movement and coordination Sept. 2015 

Antidepressants may help people recover from stroke even if they are not depressed Jan. 2013


Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial

Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 687-694.

NARIC Accession Number: J75822.  What's this?
ISSN: 0003-9993.
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.


Can this document be ordered through NARIC's document delivery service*?: Y.

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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More information about this publication:
Archives of Physical Medicine and Rehabilitation.

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