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Cognitive-behavioural intervention for depression after stroke: five single case studies on effects and feasibility
S M C Rasquin1, P Van De Sande, A J Praamstra
1Vilans, Utrecht, The Netherlands. s.rasquin@srl.nl
Neuropsychological Rehabilitation
|July 9, 2008
Summary
This study explored a cognitive-behavioral intervention for post-stroke depression. Results suggest the intervention positively impacts mood and is feasible for stroke survivors.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Stroke survivors frequently experience depression, impacting recovery and quality of life.
- Cognitive-behavioral interventions (CBI) show promise in managing mood disorders.
Purpose of the Study:
- To evaluate the effectiveness and feasibility of a CBI for depression in first-episode stroke patients.
- To assess the impact of CBI on mood and quality of life post-stroke.
Main Methods:
- A single-subject quasi-experimental design (SSED) with an AB design and follow-up was employed.
- Five outpatient stroke patients participated over an 8-week intervention period.
- Mood and quality of life were assessed at baseline, post-intervention, and at 1 and 3 months follow-up.
Main Results:
- Following the intervention, improvements in mood were reported by 4 patients, and 3 reported enhanced quality of life.
- Three months post-intervention, 3 patients showed reduced depressive symptoms.
- Patients and therapists found the CBI feasible, with sustained strategy use in daily life.
Conclusions:
- The cognitive-behavioral intervention appears to have a positive effect on mood in stroke patients.
- The intervention is considered feasible and beneficial for managing post-stroke depression.
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