Cognitions and post‐stroke depression

Nicholl, Catherine R.; Lincoln, Nadina B.; Muncaster, Katie; Thomas, Shirley

doi:10.1348/014466502760379190

Cited by 22 publications

(15 citation statements)

References 12 publications

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“…Alderman (2003) notes that wide individual variability between cases following traumatic brain injury warrants a single case, rather than a randomised control trial approach to gathering evidence for effective interventions. In support of application of CBT, Nicholl, Lincoln, Muncaster, and Thomas (2002) report negative cognitions in poststroke depressed clients to be comparable to those in non-neurological cases of depression. Lincoln, Flannaghan, Sutcliffe, and Rother (1997) report a successful pilot study of CBT for post-stroke depression.…”

Section: Treating Emotional Consequences Of Sahmentioning

confidence: 77%

Finding out if “The ‘me’ will shut down”: Successful cognitive-behavioural therapy of seizure-related panic symptoms following subarachnoid haemorrhage: A single case report

Gracey

Oldham²,

Kritzinger

2007

Neuropsychological Rehabilitation

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Successful cognitive and behavioural therapies for anxiety disorders in separate cases of acquired brain injury and seizure disorder have been reported although evidence of efficacy is limited. This paper describes the presentation and cognitive-behavioural therapy (CBT) of seizure-related panic symptoms in the context of subarachnoid haemorrhage and cavernoma. Multidisciplinary clinical assessment was conducted and 12 sessions of CBT according to the model of Clark (1986) were delivered. Outcome was measured in terms of goal attainment, belief ratings of target cognitions and completion of standardised questionnaire measures pre and post-treatment. Process was measured through client's ratings of anxiety-related beliefs through treatment. The client attained all goals, eliminated avoidance and other unhelpful coping behaviour, and rated reduced levels of anxiety on a standardised measure. Changes in identified target cognitions were also evident. It is concluded that a cognitive-behavioural approach may be helpful in understanding and treating anxiety disorders where symptom presentation is complicated by neurological problems. Further investigation of the relationship between development of anxiety disorders, occurrence of neurological events, and processes of CBT following acquired brain injury is suggested.

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Section: Treating Emotional Consequences Of Sahmentioning

confidence: 77%

Finding out if “The ‘me’ will shut down”: Successful cognitive-behavioural therapy of seizure-related panic symptoms following subarachnoid haemorrhage: A single case report

Gracey

Oldham²,

Kritzinger

2007

Neuropsychological Rehabilitation

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“…Negative cognitions have previously been reported in stroke patients with depression compared to those without [23,24], and the ESM approach demonstrates to what degree these thoughts permeate daily life experiences in a trait-like manner. In the same way, the finding for the capacity of emotional reactivity in this sample to predict elevated depression symptoms three months later may also indicate premorbid personality traits, such as neuroticism, that are well-established risk factors for this disorder [25].…”

Section: Discussionmentioning

confidence: 99%

Evolution of Depression Symptoms following Stroke: A Prospective Study Using Computerized Ambulatory Monitoring

Sibon

Lassalle-Lagadec²,

Renou³

et al. 2012

Cerebrovasc Dis

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Background: Despite the high prevalence and impact of post-stroke depression (PSD), questions persist concerning the nature and stability of PSD over time. The current study uses state-of-the-art computerized ambulatory monitoring techniques to assess daily life depression symptoms following stroke and examines the evolution of depression levels over a three-month period. Methods: 48 patients admitted to a university hospital neurology unit for ischemic or hemorrhagic stroke participated in ambulatory monitoring of DSM-IV depression symptoms for a one-week period after hospital discharge. Clinician-administered measures of depression were also obtained at discharge and again three months later. Results: The percentage of the sample with elevated depression scores was the same at discharge and three months later, but consistency in depression profiles was low. Ambulatory monitoring revealed that elevated depression levels at hospital discharge were most strongly associated with anhedonia (t ratio = 4.840, p < 0.001) and fatigue (t ratio = 4.00, p < 0.001), whereas individuals with elevated scores at three months were predicted by daily life negative thoughts (t ratio = 4.051, p < 0.001), anxious mood (t ratio = 3.489, p < 0.01), sad mood (t ratio = 2.621, p < 0.05) and emotional reactivity (t ratio = 2.466, p < 0.05). Conclusions: The prevalence of depression may appear stable during the immediate weeks and months following stroke, but it is likely to be composed of very different symptom profiles. The immediate physical and psychological impact of stroke may induce somatic symptoms that explain elevated depression levels and which may not indicate a risk factor for later depression.

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“…The risk factors for PSD are likely to be multifactorial (Whyte & Mulsant, 2002). Existing literature suggests that coping strategies (Finset & Andersson, 2000; King et al , 2002), social support (Knapp & Hewison, 1998; Morris, Robinson, Raphael, & Bishop, 1991), and cognitions (Nicholl, Lincoln, Muncaster, & Thomas, 2002) may also be relevant. These factors require further systematic investigation using a longitudinal design in a more representative sample of patients in order to enhance our understanding of the risk factors for depressed mood in stroke patients.…”

Section: Discussionmentioning

confidence: 99%

Factors relating to depression after stroke

Thomas

Lincoln

2006

British J Clinic Psychol

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Locus of control and communication impairment were related to depression. Communication impairment was the strongest predictor of depression severity and prognosis. Mild depression was more likely to resolve. The regression models only accounted for a small proportion of the variance in depression scores. Therefore, further studies of psychosocial factors in a more representative sample are required.

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Cognitions and post‐stroke depression

Abstract: The study suggests that post-stroke depression does not differ qualitatively from general depression and that general theories and thus treatments for depression may be valid within this population.

Cited by 22 publications

References 12 publications

Finding out if “The ‘me’ will shut down”: Successful cognitive-behavioural therapy of seizure-related panic symptoms following subarachnoid haemorrhage: A single case report

Finding out if “The ‘me’ will shut down”: Successful cognitive-behavioural therapy of seizure-related panic symptoms following subarachnoid haemorrhage: A single case report

Evolution of Depression Symptoms following Stroke: A Prospective Study Using Computerized Ambulatory Monitoring

Factors relating to depression after stroke

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