Neuropsychiatric outcomes of stroke

Hackett, Maree L.; Köhler, Sebastian; O’Brien, John T.; Mead, Gillian

doi:10.1016/s1474-4422(14)70016-x

Cited by 295 publications

(172 citation statements)

References 108 publications

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“…The importance of art groups for establishment of social skills and relationships that provide distraction from the effects of illness has been illustrated in other qualitative studies examining art interventions in neurological conditions (6,18, and 21) and older people (22). Such benefits have important implications for stroke recovery, given that many stroke survivors develop post-stroke depression (28). Whilst the theoretical basis of art in health remains underdeveloped, there is consensus that effects on mental health are in part attributable to social engagement with artists and other participants (6,18,20,22) a finding supported by our data.…”

Section: Moodsupporting

confidence: 74%

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur

Morris

Toma

Kelly

et al. 2015

Disability and Rehabilitation

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1Social context, art making processes and creative output: A qualitative study exploring how psychosocial benefits of art participation occur during stroke rehabilitation ABSTRACT PurposeTo explore stroke survivors' and artists' beliefs about participatory visual arts programme participation during in-patient rehabilitation to identify benefits and potential mechanisms of action. MethodQualitative design using semi-structured in-depth interviews with stroke survivors (n=11) and artists (n=3).Analysis: Data was audio-recorded and transcribed. Framework approach was used to identify themes and develop conceptual schemes. ResultsThe non-medical, social context of art facilitated social interaction, provided enjoyment and distraction from stroke and re-established social identity thereby improving mood. The processes of art-making generated confidence and self-efficacy, setting and achievement of creative, communication and physical recovery goals that provided control over survivors' situation and hope for recovery. Creative output involved completion of artwork and display for viewing. This enhanced self-esteem and improved mood, providing survivors with new identities through positive appraisal of the work by others. Self-efficacy, hope and control appeared to mediate benefits. ConclusionThis study provides a model of intervention components, mechanisms of action and outcome mediators to explain how art participation may work. Findings suggest that art may influence important psychosocial outcomes that other rehabilitation approaches do not typically address. The study paves the way for a future effectiveness trial. BACKGROUND

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Section: Moodsupporting

confidence: 74%

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur

Morris

Toma

Kelly

et al. 2015

Disability and Rehabilitation

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“…Reduced participation is a risk factor for lower QOL post-stroke and in PD [11][12][13], and is associated with increased incidence of depression [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Choral singing therapy following stroke or Parkinson’s disease: an exploration of participants’ experiences

Fogg‐Rogers

Buetow

Talmage

et al. 2015

Disability and Rehabilitation

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“…1 Poststroke depression (PSD) is considered the most frequent clinical expression of these disorders and is often diagnosed at least 3 months after stroke. 2 The identification of patients at risk for developing this disorder remains an important issue for clinicians because its early diagnosis is essential to improve therapeutic strategies.…”

mentioning

confidence: 99%

Affective Prosody and Depression After Stroke

Villain

Cosin

Glize

et al. 2016

Stroke

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Background and Purpose-Poststroke depression (PSD) is a frequent complication of stroke with detrimental consequences in terms of quality of life and functional outcomes. In individuals with major depression, several studies have demonstrated an alteration of affective prosody. The aim of this study is to identify prosodic markers that may be predictive of PSD. Methods-Patient voices were recorded at baseline and 3 months after stroke. We extracted prosodic parameters, including fundamental frequency, percentage of voice breaks, and shimmer. Depression and anxiety symptoms were assessed 3 months later. Results-Among the 49 patients included in the study, 22.5% developed PSD 3 months after stroke. A significant decrease was observed concerning the fundamental frequency among patients who developed PSD. Discriminant analysis demonstrated that initial voice breaks coupled with shimmer are strongly predictive of subsequent PSD. Conclusions-Early alterations of affective prosody are associated with a higher risk of PSD 3 months after a stroke. This new physiological approach overcomes traditional barriers associated with clinical instruments and contributes to the prediction of this disorder.

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Neuropsychiatric outcomes of stroke

Cited by 295 publications

References 108 publications

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur

Choral singing therapy following stroke or Parkinson’s disease: an exploration of participants’ experiences

Affective Prosody and Depression After Stroke

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