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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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Do family-oriented interventions reduce poststroke depression? A systematic review and recommendations for practice.

Kari D B Vallury1, Martin Jones, Richard Gray

  • 1University Department of Rural Health (UDRH), University of South Australia , Whyalla, Australia.

Topics in Stroke Rehabilitation
|March 31, 2015
PubMed
Summary

Family-centered interventions show promise in reducing poststroke depression (PSD) for both survivors and their caregivers. Effective strategies involve structured, multicomponent approaches initiated early in stroke rehabilitation.

Keywords:
CaregiversDepressionFamily therapyPoststroke depression (PSD)RehabilitationStroke

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Poststroke depression (PSD) affects up to 50% of survivors, impairing quality of life, rehabilitation, and increasing mortality risk.
  • Depression in caregivers also negatively impacts stroke survivor outcomes.
  • Current care for PSD prevention and management is often inadequate.

Purpose of the Study:

  • To systematically review evidence on family-oriented interventions for preventing and managing PSD.
  • To identify key components of effective interventions for PSD.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched eight databases, hand-searched journals and reference lists.
  • Included studies engaging stroke patients and family caregivers, measuring depression changes, and published in English.

Main Results:

  • Twenty-five studies met inclusion criteria; five showed significant depression reduction.
  • Effective interventions were structured, multicomponent, and actively engaged patients and families.
  • Coordinated care initiated soon after stroke was a common feature of successful interventions.

Conclusions:

  • Family-oriented stroke rehabilitation may effectively reduce depression in survivors and caregivers.
  • Further research is needed to establish the effectiveness, feasibility, and acceptability of these interventions.