A Follow-up Study of Psychological Problems After Stroke

Gurr, Birgit; Muelenz, Cornelius

doi:10.1310/tsr1805-461

Cited by 18 publications

(9 citation statements)

References 29 publications

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“…Family and work issues in younger and middle-aged stroke survivors should be addressed by follow-up services to prevent marginalization in family and work life. Offering psychosocial support may prevent common challenges, such as anxiety, depression, and social isolation (Gurr & Muelenz, 2011;Kouwenhoven et al, 2011), and it may prevent long-lasting psychosocial struggles, disability, and unemployment. It may also lead to reduced individual and community costs because more stroke survivors may be able to resume work and family responsibilities.…”

Section: Discussionmentioning

confidence: 99%

Young and Midlife Stroke Survivors’ Experiences With the Health Services and Long-Term Follow-Up Needs

Martinsen

Kirkevold

Sveen

2015

Journal of Neuroscience Nursing

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The aim of this qualitative study was to explore young and midlife stroke survivors' experiences with the health services and to identify long-term follow-up needs. Sixteen participants from two cohorts were interviewed in-depth. The interviews were analyzed applying a hermeneuticYphenomenological analysis. The participants struggled to gain access to follow-up health services. They felt that whether they were systematically followed up was more coincidental than planned. Young and midlife stroke survivors thus appear vulnerable to falling outside the follow-up system. Those participants who received some follow-up care perceived it as untailored to their specific needs. To be considered supportive, the follow-up programs must be in line with their long-term needs, take into account their particular challenges as young and midlife stroke survivors, and be planned in close collaboration with the individual patient. To secure systematic and follow-up health services tailored to the individual, knowledgeable and committed healthcare professionals should play a prominent role within the community health services.

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Section: Discussionmentioning

confidence: 99%

Young and Midlife Stroke Survivors’ Experiences With the Health Services and Long-Term Follow-Up Needs

Martinsen

Kirkevold

Sveen

2015

Journal of Neuroscience Nursing

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“…There has also been research on a psychological level [20] to analyze post-stroke depression [21, 22] and quality of life [2, 23]. To improve the effects on a cognitive level, rehabilitation studies have been conducted to reduce attention deficits [11], aphasia [24] and to work on cognition to improve functional activity [25, 26].…”

Section: Introductionmentioning

confidence: 99%

Effect of the Wii Sports Resort on the improvement in attention, processing speed and working memory in moderate stroke

Unibaso-Markaida

Iraurgi

Ortiz-Marqués

et al. 2019

J NeuroEngineering Rehabil

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Background Stroke is the most common neurological disease in the world. After the stroke, some people suffer a cognitive disability. Commercial videogames have been used after stroke for physical rehabilitation; however, their use in cognitive rehabilitation has hardly been studied. The objectives of this study were to analyze attention, processing speed, and working memory in patients with moderate stroke after an intervention with Wii Sports Resort and compared these results with a control group. Methods A pre-post design study was conducted with 30 moderate stroke patients aged 65 ± 15. The study lasted eight weeks. 15 participated in the intervention group and 15 belong to the control group. They were assessed in attention and processing speed (TMT-A and B) and working memory (Digit Span of WAIS-III). Parametric and effect size tests were used to analyze the improvement of those outcomes and compared both groups. Results At the baseline, there was no difference between TMT-A and B. A difference was found in the scalar score of TMT-B, as well as in Digit Backward Span and Total Digit Task. In TMT-A and B, the intervention group had better scores than the control group. The intervention group in the Digit Forward Span and the Total Digit obtained a moderate effect size and the control group also obtained a moderate effect size in Total Digit. In the Digit scalar scores, the control group achieved better results than the intervention group. Conclusions The results on attention, processing speed and working memory improved in both groups. However, according to the effect sizes, the intervention group achieved better results than the control group. In addition, the attention and processing speed improved more than the working memory after the intervention. Although more studies are needed in this area, the results are encouraging for cognitive rehabilitation after stroke.

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“…Comparable to depression after stroke, anxiety often goes undertreated. It reduces participation in activities of daily living (ADLs), results in poorer physical and social outcomes, increases caregiver burden, and increases health care costs (Bergersen et al, 2010;Gurr & Muelenz, 2011). When a person is diagnosed with anxiety, pharmaceutical therapy and psychotherapy are the first treatment options (Burton et al, 2011).…”

Section: Background Literature and Statement Of Problemmentioning

confidence: 99%

Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke: An Evidence-Based Review

Hildebrand

2014

The American Journal of Occupational Therapy

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This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health-related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from well-conducted research supports using problem-solving or motivational interviewing behavioral techniques to address depression. The evidence is inconclusive for using multicomponent exercise programs to combat depression after stroke and for the use of stroke education and care support and coordination interventions to address poststroke anxiety. One study provided support for an intensive multidisciplinary home program in improving depression, anxiety, and health-related quality of life. The implications of the findings for practice, research, and education are discussed.

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A Follow-up Study of Psychological Problems After Stroke

Cited by 18 publications

References 29 publications

Young and Midlife Stroke Survivors’ Experiences With the Health Services and Long-Term Follow-Up Needs

Young and Midlife Stroke Survivors’ Experiences With the Health Services and Long-Term Follow-Up Needs

Effect of the Wii Sports Resort on the improvement in attention, processing speed and working memory in moderate stroke

Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke: An Evidence-Based Review

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