Article

Currently, no evidence-based treatment is available for mood problems after
stroke. We present a new psychological intervention designed to reduce depressive
complaints after stroke. METHOD OF PROTOCOL DEVELOPMENT:
This intervention was
based on cognitive behavioural therapy principles and was shown feasible in a
pilot study. In order to meet the specific needs of stroke patients (concerning
both sensori-motor, cognitive, and behavioural problems), we incorporated
motivational interviewing, grief resolution, and psycho-education. We emphasised
for each session to take into account the cognitive deficits of the patients
(i.e. be concrete, accessible, structured, specific, and repeat information).
Moreover, we augmented the psychologist-administered therapy with the
contribution of an occupational or movement therapist aimed at facilitating
patients' goal-setting and attainment. The intervention consisted of 12 one-hour
sessions with a psychologist and three or four one-hour sessions with an
occupational or movement therapist. Currently, the effectiveness of the
intervention is evaluated in a randomised controlled trial. DISCUSSION: The
proposed psychological treatment protocol is innovative, as it applies cognitive
behavioural therapy in a stroke-specific manner; moreover, it supports goal
attainment by incorporating occupational or movement therapy sessions.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS