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Group cognitive behavioural therapy for stroke survivors with depression and their carers

Ward, Susan K., Turner, Alyna, Hambridge, John A., Halpin, Sean A., Valentine, Megan E., Sweetapple, Anne L., White, Jennifer H. and Hackett, Maree L. 2016, Group cognitive behavioural therapy for stroke survivors with depression and their carers, Topics in stroke rehabilitation, vol. 23, no. 5, pp. 358-365, doi: 10.1080/10749357.2016.1143706.

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Title Group cognitive behavioural therapy for stroke survivors with depression and their carers
Author(s) Ward, Susan K.
Turner, AlynaORCID iD for Turner, Alyna orcid.org/0000-0001-7389-2546
Hambridge, John A.
Halpin, Sean A.
Valentine, Megan E.
Sweetapple, Anne L.
White, Jennifer H.
Hackett, Maree L.
Journal name Topics in stroke rehabilitation
Volume number 23
Issue number 5
Start page 358
End page 365
Total pages 8
Publisher Taylor & Francis
Place of publication Abingdon, Eng.
Publication date 2016-10
ISSN 1074-9357
1945-5119
Keyword(s) Cognitive behaviour therapy
anxiety
carers
depression
group therapy
stroke
Science & Technology
Life Sciences & Biomedicine
Rehabilitation
RANDOMIZED CONTROLLED-TRIAL
MAJOR DEPRESSION
CARDIAC PATIENTS
INTERVENTION
VALIDITY
Summary BACKGROUND: Depression in stroke survivors is common, leads to poorer outcomes and often not treated. A group cognitive behavioural therapy (CBT) program (Brainstorm) for stroke survivors with depression, and their carers has been running as part of usual care since 2007.
OBJECTIVE: To evaluate the implementation and acceptability of Brainstorm, a closed group intervention consisting of up to 10 sessions of education, activity planning, problem solving and thought challenging. METHODS: Participating stroke survivors and their carers complete assessment measures at baseline, post-treatment and 1-month and 6-months follow-up. A mixed models for repeated measures data was conducted with depression and anxiety scores for stroke survivors (Beck Depression Inventory-II; Hospital Anxiety and Depression Scale) and the assessment of depression, anxiety and carer burden for carers. Acceptability was assessed by session attendance and written and open participant feedback upon completion of the program.
RESULTS: Forty-eight community dwelling stroke survivors and 34 carers attended Brainstorm, with a median attendance of 88% of sessions. Follow-up assessments were completed by 77% (post-treatment), 46% (1-month) and 38% (6-month) of stroke survivors. Stroke survivors' depression scores decreased from baseline to post-treatment (p<.001); maintained at 1-month (p<.001) but not at 6-month (p=.056). Anxiety scores decreased between baseline and 1-month (p=.013). Carer burden, depression and anxiety scores at 1-month and 6-month follow-up, for carers, were all reduced when compared with baseline (p<.05).
CONCLUSION: The Brainstorm group intervention for depression in stroke survivors appears to have been effectively implemented and is acceptable to stroke survivors and carers.
Language eng
DOI 10.1080/10749357.2016.1143706
Field of Research 119999 Medical and Health Sciences not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Informa UK Limited
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088157

Document type: Journal Article
Collection: School of Medicine
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