Effect of Psychological Interventions on Depressive Symptoms in Long-Term Rehabilitation After an Acquired Brain Injury: A Systematic Review and Meta-Analysis

Stalder-Lüthy, Franziska; Messerli‐Bürgy, Nadine; Hofer, Helene; Frischknecht, Eveline; Znoj, Hansjörg; Barth, Jürgen

doi:10.1016/j.apmr.2013.02.013

Cited by 58 publications

(38 citation statements)

References 45 publications

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“…To examine whether psychological factors can be modified by treatment programmes, systematic reviews and meta-analyses provide some evidence for the ability to change depression, anxiety, self-efficacy and coping by means of psychological therapy, to possibly improve the outcomes of patients with stroke in terms of quality of life and participation (36)(37)(38)(39)(40). Given these positive findings related to the modifiability of some psychological factors, treatment could be aimed at enhancing adaptive psychological factors and limiting maladaptive psychological factors in order to improve participation and quality of life of patients with stroke.…”

Section: Discussionmentioning

confidence: 99%

Psychological factors after stroke: Are they stable over time?

Wijenberg¹,

Heugten²,

Mierlo³

et al. 2019

J Rehabil Med

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Every person has a distinct personality. Personality traits may influence how people recover from stroke. This study followed 324 patients in the first 2 years after stroke and examined whether these personality traits are stable over time. We found changes to less favourable outcomes, such as less extraversion, less optimism and more neuroticism. Clinicians should be aware of these changes and stimulate the use of more adaptive psychological factors, such as proactive coping and optimism. Objective: Psychological factors influence stroke outcomes, such as participation and quality of life. Although important for clinical practice, not much is known about the temporal stability of these factors. This study explored whether psychological factors are stable post-stroke. Methods: Prospective longitudinal cohort study. The following psychological factors were assessed using self-report questionnaires at 2 months and at 2 years post-stroke: proactive coping, self-efficacy, extraversion, optimism, passive coping, neuroticism and pessimism. Changes over time, associations and dimensions among psychological factors were considered. Results: Data for 324 participants were available. Only passive coping scores showed no change between 2 months and 2 years post-stroke. Participants showed less proactive coping, lower self-efficacy, less extraversion, less optimism, more neuroticism and more pessimism over time. All but one inter-correlation of psychological factors, r = [-0.14; 0.71], and all correlations over time, r = [0.42-0.64], were significant. At both time-points, the psychological factors clustered into an "adaptive psychological factor" (proactive coping, self-efficacy, extraversion) and a "maladaptive psychological factor" (passive coping, neuroticism). Conclusion: Across all psychological factors, changes toward less favourable scores were found. Clinicians should pay attention to adaptive and maladaptive psychological factors among stroke patients during long-term care.

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Section: Discussionmentioning

confidence: 99%

Psychological factors after stroke: Are they stable over time?

Wijenberg¹,

Heugten²,

Mierlo³

et al. 2019

J Rehabil Med

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“…[23][24][25] Clearly, more research is needed to examine the efficacy and potential mediators of 54 FANN ET AL.…”

Section: Resultsmentioning

confidence: 99%

“…Recent reviews of depression treatment literature in people with TBI conclude that serotonergic antidepressants and cognitive behavioral therapy (CBT) appear to be the most promising approaches to treating depression following TBI; however, there is an absence of high quality depression treatment trials and no published psychotherapy trials for MDD. [23][24][25] Important theoretical and preliminary work has described how CBT could be adapted for people with TBI. [26][27][28][29] Structural equation modeling has shown that post-TBI depression is consistent with cognitive behavioral theory, 30 and preliminary CBT trials have been promising for decreasing depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Telephone and In-Person Cognitive Behavioral Therapy for Major Depression after Traumatic Brain Injury: A Randomized Controlled Trial

Fann

Bombardier

Vannoy

et al. 2015

Journal of Neurotrauma

125

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Major depressive disorder (MDD) is prevalent after traumatic brain injury (TBI); however, there is a lack of evidence regarding effective treatment approaches. We conducted a choice-stratified randomized controlled trial in 100 adults with MDD within 10 years of complicated mild to severe TBI to test the effectiveness of brief cognitive behavioral therapy administered over the telephone (CBT-T) (n = 40) or in-person (CBT-IP) (n = 18), compared with usual care (UC) (n = 42). Participants were recruited from clinical and community settings throughout the United States. The main outcomes were change in depression severity on the clinician-rated 17 item Hamilton Depression Rating Scale (HAMD-17) and the patientreported Symptom Checklist-20 (SCL-20) over 16 weeks. There was no significant difference between the combined CBT and UC groups over 16 weeks on the HAMD-17 (treatment effect = 1.2, 95% CI: -1.5-4.0; p = 0.37) and a nonsignificant trend favoring CBT on the SCL-20 (treatment effect = 0.28, 95% CI: -0.03-0.59; p = 0.074). In follow-up comparisons, the CBT-T group had significantly more improvement on the SCL-20 than the UC group (treatment effect = 0.36, 95% CI: 0.01-0.70; p = 0.043) and completers of eight or more CBT sessions had significantly improved SCL-20 scores compared with the UC group (treatment effect = 0.43, 95% CI: 0.10-0.76; p = 0.011). CBT participants reported significantly more symptom improvement ( p = 0.010) and greater satisfaction with depression care ( p < 0.001), than did the UC group. In-person and telephone-administered CBT are acceptable and feasible in persons with TBI. Although further research is warranted, telephone CBT holds particular promise for enhancing access and adherence to effective depression treatment.

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“…In the case of frequently missing or weak effects, existing ther apy studies particularly show the efficacy of cognitive behavioral therapy-oriented interventions [62][63][64][65]. Psychodynamically-ori ented procedures can however be primarily indicated and useful with respect to personality or conversion disorders, and in the treatment of existential issues [66,67].…”

Section: Psychotherapeutic Procedures In Neurologymentioning

confidence: 99%

Psychotherapy in Neurorehabilitation

Schmidt

Piliavska

Maier-Ring

et al. 2017

Neurology International Open

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The range of treatments available for neurorehabilitation must include appropriate psychotherapeutic approaches, if only because of the frequent occurrence of psychological co-morbidities, not always diagnosed and appropriately treated. The current situation is characterized by a large variety of available treatments, dearth of treatment studies and proven evidence. This state of affairs emphasizes the diversity and complexity of neurological disease. The presence of collateral psychological problems in particular requires individually tailored treatments. Damage to the CNS requires that particular attention be paid to the closely interwoven functions of the body and mind. What follows is the need for multimodal psychotherapy, grounded in neurology. Taking into account the various treatment approaches and regimens, therapy needs to be directly integrated in a meaningful, coherent way into other measures of neurological rehabilitation. Against this background, the paper gives an overview of clinical needs and therapeutic procedures as well as regarding the requirements and perspectives in the further development of psychotherapy in neurorehabilitation.

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Effect of Psychological Interventions on Depressive Symptoms in Long-Term Rehabilitation After an Acquired Brain Injury: A Systematic Review and Meta-Analysis

Cited by 58 publications

References 45 publications

Psychological factors after stroke: Are they stable over time?

Psychological factors after stroke: Are they stable over time?

Telephone and In-Person Cognitive Behavioral Therapy for Major Depression after Traumatic Brain Injury: A Randomized Controlled Trial

Psychotherapy in Neurorehabilitation

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