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

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Ward, SK ; Turner, A ; Hambridge, JA ; Halpin, SA ; Valentine, M ; Sweetapple, A ; White, J ; Hackett, Maree (2016)

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.\ud \ud 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.\ud \ud 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.\ud \ud 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).\ud \ud Conclusion: The Brainstorm group intervention for depression in stroke survivors appears to have been effectively implemented and is acceptable to stroke survivors and carers.
  • References (16)
    16 references, page 1 of 2

    11. Rasquin SMC, van de Sande P, Praamstra AJ, van Heugten CM. Cognitivebehavioural intervention for depression after stroke: Five single case studies on effects and feasibility. Neuropsychol Rehabil. 2009;19(2):208-22.

    12. Lincoln NB, Flannaghan T. Cognitive Behavioral psychotherapy for depression following stroke: A Randomised Controlled Trial. Stroke. 2003;34:111-5.

    13. Thomas S, A, Walker M, Macniven JA, Haworth H, Lincoln NB. Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clin Rehabil. 2012;27(5):398-408.

    14. Vos T, Corry J, Haby MM, Carter R, Andrews G. Cost-effectiveness of cognitive-behavioural therapy and drug interventions for major depression. Aust NZ J Psychiat. 2005;39:683-92.

    15. National Stroke Foundation. National Stroke Audit Acute Services Clinical Audit Report Melbourne, Australia: National Stroke Foundation; 2009 [cited 2013 August 17]. Available from:

    16. Hambridge JA, Turner A, Baker AL. Braveheart begins: pilot results of group cognitive behaviour therapy for depression and anxiety in cardiac patients. Aust N Z J Psychiat. 2009;43:1171-7.

    17. Turner A, Hambridge JA, Baker AL, Bowman J, McElduff P. Randomised controlled trial of group cognitive behaviour therapy versus brief intervention for depression in cardiac patients. Aust NZ J Psychiat. 2013;47(3):235-43.

    18. Edelman S, Lemon J, Kidman A. The perceived benefits of a group CBT intervention for patients with coronary heart disease. Journal of Cognitive Psychotherapy. 2003 2003;17(1):59-65(7).

    19. Beck AT, Steer RA, Brown GK. BDI-II, Beck Depression Inventory: Manual. 2nd ed. San Antonio, Texas: Psychological Corporation; 1996.

    20. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiat Scand. 1983;67:361-70.

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