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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

Effects of Psychosocial Interventions for Stroke Patients: A Systematic Review and Meta-analysis

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2020, v.25 no.5, pp.975-1005
https://doi.org/10.17315/kjhp.2020.25.5.007





Abstract

This study reviewed and analyzed the characteristics and overall effect size (ES) of psychosocial interventions for stroke patients. The systematic review included 61 articles published in domestic and international journals up to October 2019, and the meta-analysis analyzed data from 37 articles. The subgroup analysis was conducted to determine the study characteristics (i.e., intervention type, format, and setting, control group, outcome, study design, and level of risk of bias) influencing the intervention effect. The psychosocial interventions for stroke patients were mainly provided in the form of psychotherapy, psychosocial education, supportive therapy, or combined therapy in inpatient or outpatient settings. The interventions were provided in individual or group format focusing on depression, anxiety, quality of life, and self-efficacy. The result of the meta-analysis observed low ES (g = 0.40; 95% CI, 0.31-0.50), and that ES varied depending on the intervention types and settings. The psychotherapy was more effective than other types, and a larger ES was observed in interventions provided in an inpatient setting than outpatient or home settings. The estimated ESs were corrected using the trim-fill method because of possible publication bias, but it remained significant, suggesting that psychosocial interventions are effective in improving distress in stroke patients.

keywords
Stroke, distress, psychosocial intervention, meta analysis, 뇌졸중, 디스트레스, 심리사회적 개입, 메타분석

Reference

1.

김규온, 강희주, 김주완, 배경열, 김성완, 김준태, ... 김재민 (2018). 뇌졸중 후 불안의 유병률 및 예측인자. 노인정신의학, 22(2), 89-95.

2.

김수영, 박지은, 서현주, 이윤재, 손희정, 장보형, 서혜선, 신채민 (2011). NECA 체계적 문헌고찰 매뉴얼. 서울: 한국보건의료연구원.

3.

김준엽, 배희준, 박종무 (2019). 뇌졸중 역학보고서, 2018. 주간 건강과 질병, 12(43), 1845-1860.

4.

뇌졸중임상연구센터 (2013). 뇌졸중 진료지침[개정판]. 서울: 보건복지부지정 뇌졸중임상연구센터.

5.

방요순, 허명, 김희영 (2009). 뇌졸중 후 우울과 장애수용 및 사회적 지지와의 관계. 대한작업치료학회지, 17(2), 29-40.

6.

양영옥, 김민주, 박경연 (2018). 뇌졸중 환자의 삶의 질과 관련된 사회 심리적 요인에 대한 메타분석. Journal of Korean Academy of Community Health Nursing, 29(4), 510-519.

7.

이봉춘, 윤성혜, 최영옥, 천성문 (2009). 인지행동적 집단상담프로그램이 뇌졸중환자와 가족의 삶의 질에미치는 영향. 한국동서정신과학회지, 12(1), 45-59.

8.

Aboulafia-Brakha, T., & Ptak, R. (2016). Effects of group psychotherapy on anger management following acquired brain injury. Brain Injury, 30(9), 1121-1130. doi:10.1080/02699052.2016.1174784

9.

Alexopoulos, G. S., Wilkins, V. M., Marino, P., Kanellopoulos, D., Reding, M., Sirey, J. A., . . . Kiosses, D. N. (2012). Ecosystem focused therapy in poststroke depression: a preliminary study. International Journal of Geriatric Psychiatry, 27(10), 1053-1060.

10.

Ayerbe, L., Ayis, S. A., Crichton, S., Wolfe, C. D., &Rudd, A. G. (2014). Natural history, predictors and associated outcomes of anxiety up to 10years after stroke: the South London Stroke Register. Age and Ageing, 43(4), 542-547.

11.

Ayerbe, L., Ayis, S., Wolfe, C. D. A., & Rudd, A. G. (2013). Natural history, predictors and outcomes of depression after stroke: Systematic review and meta-analysis. British Journal of Psychiatry, 202(1), 14–21.

12.

Backhaus, S. L., Ibarra, S. L., Klyce, D., Trexler, L. E., & Malec, J. F. (2010). Brain injury coping skills group: a preventative intervention for patients with brain injury and their caregivers [corrected] [published erratum appears in ARCH PHYS MED REHABIL 2010 Nov;91(11):1793]. Archives of Physical Medicine & Rehabilitation, 91(6), 840-848. doi:10.1016/j.apmr.2010.03.015

13.

Backhaus, S., Neumann, D., Parrot, D., Hammond, F. M., Brownson, C., & Malec, J. (2016). Examination of an intervention to enhance relationship satisfaction after brain injury: A feasibility study. Brain Injury, 30(8), 975-985. doi:10.3109/02699052.2016.1147601

14.

Bakas, T., Clark, P. C., Kelly-Hayes, M., King, R. B., Lutz, B. J., & Miller, E. L. (2014). Evidence for stroke family caregiver and dyad interventions: a statement for healthcare professionals from the American Heart Association and American Stroke Association. Stroke, 45(9), 2836-2852.

15.

Barker-Collo, S. L. (2007). Depression and anxiety 3months post stroke: prevalence and correlates. Archives of Clinical Neuropsychology, 22(4), 519-531.

16.

Bartoli, F., Lillia, N., Lax, A., Crocamo, C., Mantero, V., Carrà, G., ... & Clerici, M. (2013). Depression after stroke and risk of mortality: a systematic review and meta-analysis. Stroke Research and Treatment, 2013, 862978.

17.

Baylan, S., Griffiths, S., Grant, N., Broomfield, N. M., Evans, J. J., & Gardani, M. (2020). Incidence and prevalence of post-stroke insomnia: A systematic review and meta-analysis. Sleep Medicine Reviews, 49, 101222.

18.

Bhardwaj, M., Arumugam, N., & Gambhir, S. (2018). Efficacy of cranial electrical stimulation and rational emotive behavior therapy in improving psychological illness among chronic stroke survivors: A pilot randomized controlled trial. Annals of Indian Academy of Neurology, 21(3), 188-192. doi:10.4103/aian.AIAN_448_17

19.

Blöchl, M., Meissner, S., & Nestler, S. (2019). Does depression after stroke negatively influence physical disability? A systematic review and meta-analysis of longitudinal studies. Journal of Affective Disorders, 247, 45-56.

20.

Borenstein, M., Hedges, L. V., Higgins, J. P., &Rothstein, H. R. (2011). Introduction to meta-analysis. Chichester, UK: John Wiley &Sons.

21.

Bowen, A., James, M., & Young, G. (2016). Royal College of Physicians 2016 National clinical guideline for stroke. London, UK: Royal College of Physicians.

22.

Bradbury, C. L., Christensen, B. K., Lau, M. A., Ruttan, L. A., Arundine, A. L., & Green, R. E. (2008). The efficacy of cognitive behavior therapy in the treatment of emotional distress after acquired brain injury. Archives of Physical Medicine & Rehabilitation, 89(12), S61-68.

23.

Brebach, R., Sharpe, L., Costa, D. S., Rhodes, P., &Butow, P. J. P. O. (2016). Psychological intervention targeting distress for cancer patients:a meta‐analytic study investigating uptake and adherence. Psycho-Oncology, 25(8), 882-890.

24.

Broomfield, N. M., Quinn, T. J., Abdul-Rahim, A. H., Walters, M. R., & Evans, J. J. (2014). Depression and anxiety symptoms post-stroke/TIA:prevalence and associations in cross-sectional data from a regional stroke registry. BMC Neurology, 14(1), 198.

25.

Chalmers, C., Leathem, J., Bennett, S., McNaughton, H., & Mahawish, K. (2019). The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors. Disability & Rehabilitation, 41(7), 753-762. doi:10.1080/09638288.2017.1408707

26.

Chang, K., Zhang, H., Xia, Y., & Chen, C. (2011). Testing the Effectiveness of Knowledge and Behavior Therapy in Patients of Hemiplegic Stroke. Topics in Stroke Rehabilitation, 18(5), 525-535. doi:10.1310/tsr1805-525

27.

Cheng, H. Y., Chair, S. Y., & Chau, J. P. C. (2014). The effectiveness of psychosocial interventions for stroke family caregivers and stroke survivors:a systematic review and meta-analysis. Patient Education and Counseling, 95(1), 30-44.

28.

Choi, D. H., Jeong, B. O., Kang, H. J., Kim, S. W., Kim, J. M., Shin, I. S., ... & Yoon, J. S. (2013). Psychiatric comorbidity and quality of life in patients with post-stroke emotional incontinence. Psychiatry Investigation, 10(4), 382-387.

29.

Clark, M. S., Rubenach, S., & Winsor, A. (2003). A randomized controlled trial of an education and counselling intervention for families after stroke. Clinical Rehabilitation, 17(7), 703-712.

30.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ:Lawrence Earlbaum Associates.

31.

Damush, T. M., Ofner, S., Yu, Z., Plue, L., Nicholas, G., & Williams, L. S. (2011). Implementation of a stroke self-management program: A randomized controlled pilot study of veterans with stroke. Translational Behavioral Medicine, 1(4), 561-572. doi:10.1007/s13142-011-0070-y

32.

Dou, D. M., Huang, L. L., Dou, J., Wang, X. X., &Wang, P. X. (2018). Post-stroke depression as a predictor of caregivers burden of acute ischemic stroke patients in China. Psychology, Health &Medicine, 23(5), 541-547.

33.

Duncan, F., Wu, S., & Mead, G. E. (2012). Frequency and natural history of fatigue after stroke: a systematic review of longitudinal studies. Journal of Psychosomatic Research, 73(1), 18-27.

34.

Duval, S., & Tweedie, R. (2000). Trim and fill: a simple funnel‐plot–based method of testing and adjusting for publication bias in meta‐analysis. Biometrics, 56(2), 455-463.

35.

Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634.

36.

Faessler, L., Perrig-Chiello, P., Mueller, B., & Schuetz, P. (2016). Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review. Emergency Medicine Journal, 33(8), 581-587.

37.

Fang, Y., Mpofu, E., & Athanasou, J. (2017). Reducing depressive or anxiety symptoms in post-stroke patients: Pilot trial of a constructive integrative psychosocial intervention. International Journal of Health Sciences, 11(4), 53-58.

38.

Fleming, J., Kuipers, P., Foster, M., Smith, S., &Doig, E. (2009). Evaluation of an outpatient, peer group intervention for people with acquired brain injury based on the ICF 'Environment'dimension. Disability & Rehabilitation, 31(20), 1666-1675. doi:10.1080/09638280902738425

39.

Forster, A., Young, J., Chapman, K., Nixon, J., Patel, A., Holloway, I., ... & Murray, J. (2015). Cluster randomized controlled trial: clinical and cost-effectiveness of a system of longer-term stroke care. Stroke, 46(8), 2212-2219.

40.

Friedland, J. F., & McColl, M. (1992). Social support intervention after stroke: results of a randomized trial. Archives of Physical Medicine &Rehabilitation, 73(6), 573-581.

41.

Fryer, C. E., Luker, J. A., McDonnell, M. N., &Hillier, S. L. (2016). Self management programmes for quality of life in people with stroke. Cochrane Database of Systematic Reviews, (8):CD010442. doi:https://doi.org/10.1002/14651858.CD010442.pub2

42.

Gallacher, K. I., May, C. R., Langhorne, P., & Mair, F. S. (2018). A conceptual model of treatment burden and patient capacity in stroke. BMC Family Practice, 19(1), 9. doi:10.1186/s12875-017-0691-4

43.

Gao, J., Lin, M., Zhao, J., Bi, S., Ni, Z., & Shang, X. (2017). Different interventions for post-ischaemic stroke depression in different time periods: a single-blind randomized controlled trial with stratification by time after stroke. Clinical Rehabilitation, 31(1), 71-81. doi:10.1177/0269215515626232

44.

Gillen, R., Tennen, H., McKee, T. E., Gernert-Dott, P., & Affleck, G. (2001). Depressive symptoms and history of depression predict rehabilitation efficiency in stroke patients. Archives of Physical Medicine and Rehabilitation, 82(12), 1645-1649.

45.

Godwin, K. M., Ostwald, S. K., Cron, S. G., &Wasserman, J. (2013). Long-term health related quality of life of survivors of stroke and their spousal caregivers. Journal of Neuroscience Nursing, 45(3), 147-154.

46.

Golding, K., Fife-Schaw, C., & Kneebone, I. (2018). A pilot randomized controlled trial of self-help relaxation to reduce post-stroke depression. Clinical Rehabilitation, 32(6), 747-751. doi:10.1177/0269215517741947

47.

Golding, K., Kneebone, I., & Fife-Schaw, C. (2016). Self-help relaxation for post-stroke anxiety: a randomised, controlled pilot study. Clinical Rehabilitation, 30(2), 174-180. doi:10.1177/0269215515575746

48.

Groeneveld, I. F., Arwert, H. J., Goossens, P. H., &Vlieland, T. P. V. (2018). The longer-term unmet needs after stroke questionnaire: cross-cultural adaptation, reliability, and concurrent validity in a Dutch population. Journal of Stroke and Cerebrovascular Diseases, 27(1), 267-275.

49.

Hackett, M. L., Anderson, C. S., House, A., & Halteh, C. (2008). Interventions for preventing depression after stroke. Cochrane Database of Systematic Reviews, (3):CD003689. doi:https://doi.org/10.1002/14651858.CD003689.pub2

50.

Harrington, R., Taylor, G., Hollinghurst, S., Reed, M., Kay, H., & Wood, V. A. (2010). A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation. Clinical Rehabilitation, 24(1), 3-15.

51.

Hartke, R. J., King, R. B., & Denby, F. (2007). The use of writing groups to facilitate adaptation after stroke. Topics in Stroke Rehabilitation, 14(1), 26-37.

52.

Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego, CA: Academic Press.

53.

Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., ... & Sterne, J. A. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343, d5928.

54.

Hill, K., House, A., Knapp, P., Wardhaugh, C., Bamford, J., & Vail, A. (2019). Prevention of mood disorder after stroke: a randomised controlled trial of problem solving therapy versus volunteer support. BMC Neurology, 19(1), 128. doi:10.1186/s12883-019-1349-8

55.

Hinojosa, R., Haun, J., Sberna Hinojosa, M., &Rittman, M. (2011). Social isolation poststroke:relationship between race/ethnicity, depression, and functional independence. Topics in Stroke Rehabilitation, 18(1), 79-86.

56.

Hjelle, E. G., Bragstad, L. K., Kirkevold, M., Zucknick, M., Bronken, B. A., Martinsen, R., . . . Sveen, U. (2019). Effect of a dialogue-based intervention on psychosocial wellbeing 6 months after stroke in Norway: a randomized controlled trial. Journal of Rehabilitation Medicine, 51(8), 557-565. doi:10.2340/16501977-2585

57.

Hoffmann, T., Ownsworth, T., Eames, S., & Shum, D. (2015). Evaluation of brief interventions for managing depression and anxiety symptoms during early discharge period after stroke: a pilot randomized controlled trial. Topics in Stroke Rehabilitation, 22(2), 116-126.

58.

Jaglal, S. B., Haroun, V. A., Salbach, N. M., Hawker, G., Voth, J., Lou, W., . . . Bereket, T. (2013). Increasing access to chronic disease self-management programs in rural and remote communities using telehealth. Telemedicine and e-Health, 19(6), 467-473. doi:10.1089/tmj.2012.0197

59.

Johansson, B., Bjuhr, H., & Rönnbäck, L. (2012). Mindfulness-based stress reduction (MBSR)improves long-term mental fatigue after stroke or traumatic brain injury. Brain Injury, 26(13/14), 1621-1628. doi:10.3109/02699052.2012.700082

60.

Jones, F., Gage, H., Drummond, A., Bhalla, A., Grant, R., Lennon, S., . . . Liston, M. (2016). Feasibility study of an integrated stroke self-management programme: a clusterrandomised controlled trial. BMJ Open, 6(1), e008900. doi:10.1136/bmjopen-2015-008900

61.

Jones, F., Mandy, A., & Partridge, C. (2009). Changing self-efficacy in individuals following a first time stroke: preliminary study of a novel self-management intervention. Clinical Rehabilitation, 23(6), 522-533. doi:10.1177/0269215508101749

62.

Jones, K. M., Bhattacharjee, R., Krishnamurthi, R., Blanton, S., Barker-Collo, S., Theadom, A., . . . Balalla, S. (2018). Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context: a randomized controlled pilot study. Clinical Rehabilitation, 32(8), 1086-1097. doi:10.1177/0269215518777565

63.

Kendall, E., Catalano, T., Kuipers, P., Posner, N., Buys, N., & Charker, J. (2007). Recovery following stroke: the role of self-management education. Social Science & Medicine, 64(3), 735-746.

64.

Kim, J. Y., Kang, K., Kang, J., Koo, J., Kim, D. H., Kim, B. J., ... & Kim, J. T. (2019). Executive summary of stroke statistics in Korea 2018: a report from the Epidemiology Research Council of the Korean Stroke Society. Journal of Stroke, 21(1), 42.

65.

Kim, S. Y., Park, J. E., Lee, Y. J., Seo, H. J., Sheen, S. S., Hahn, S., ... & Son, H. J. (2013). Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. Journal of Clinical Epidemiology, 66(4), 408-414.

66.

Klimas, J., Field, C. A., Cullen, W., O’Gorman, C. S., Glynn, L. G., Keenan, E., ... & Dunne, C. (2013). Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Review. Systematic reviews, 2(1), 3. doi:https://doi.org/10.1186/2046-4053-2-3

67.

Kneebone, I., Walker-Samuel, N., Swanston, J., &Otto, E. (2014). Relaxation training after stroke:potential to reduce anxiety. Disability &Rehabilitation, 36(9), 771-774. doi:10.3109/09638288.2013.808275

68.

Kootker, J. A., Rasquin, S. M. C., Lem, F. C., van Heugten, C. M., Fasotti, L., & Geurts, A. C. H. (2017). Augmented Cognitive Behavioral Therapy for Poststroke Depressive Symptoms: A Randomized Controlled Trial. Archives of Physical Medicine & Rehabilitation, 98(4), 687-694. doi:10.1016/j.apmr.2016.10.013

69.

Lennon, S., McKenna, S., & Jones, F. (2013). Self-management programmes for people post stroke: a systematic review. Clinical Rehabilitation, 27(10), 867-878.

70.

Lincoln, N. B., Flannaghan, T., Lincoln, N. B., &Flannaghan, T. (2003). Cognitive behavioral psychotherapy for depression following stroke: a randomized controlled trial. Stroke, 34(1), 111-115.

71.

Lincoln, N. B., Flannaghan, T., Sutcliffe, L., &Rother, L. (1997). Evaluation of cognitive behavioural treatment for depression after stroke:a pilot study. Clinical Rehabilitation, 11(2), 114-122.

72.

Liu, T. W., Ng, G. Y. F., Chung, R. C. K., & Ng, S. S. M. (2019). Decreasing Fear of Falling in Chronic Stroke Survivors Through Cognitive Behavior Therapy and Task-Oriented Training. Stroke, 50(1), 148-154. doi:10.1161/strokeaha. 118.022406

73.

Majumdar, S., & Morris, R. (2019). Brief group-based acceptance and commitment therapy for stroke survivors. British Journal of Clinical Psychology, 58(1), 70-90. doi:10.1111/bjc.12198

74.

Mant, J., Carter, J., Wade, D. T., Winner, S., Mant, J., Carter, J., . . . Winner, S. (2000). Family support for stroke: a randomised controlled trial. The Lancet, 356(9232), 808-813.

75.

Markle-Reid, M., Orridge, C., Weir, R., Browne, G., Gafni, A., Lewis, M., ... & Roberts, J. (2011). Interprofessional stroke rehabilitation for stroke survivors using home care. Canadian Journal of Neurological Sciences, 38(2), 317-334.

76.

Matcham, F., Rayner, L., Hutton, J., Monk, A., Steel, C., & Hotopf, M. (2014). Self-help interventions for symptoms of depression, anxiety and psychological distress in patients with physical illnesses: a systematic review and meta-analysis. Clinical Psychology Review, 34(2), 141-157.

77.

Meijer, A., Roseman, M., Delisle, V. C., Milette, K., Levis, B., Syamchandra, A., ... & Thombs, B. D. (2013). Effects of screening for psychological distress on patient outcomes in cancer: a systematic review. Journal of Psychosomatic Research, 75(1), 1-17.

78.

Minshall, C., Pascoe, M. C., Thompson, D. R., Castle, D. J., McCabe, M., Chau, J. P., ... & Ski, C. F.(2019). Psychosocial interventions for stroke survivors, carers and survivor-carer dyads: a systematic review and meta-analysis. Topics in Stroke Rehabilitation, 26(7), 554-564.

79.

Mitchell, P. H., Veith, R. C., Becker, K. J., Buzaitis, A., Cain, K. C., Fruin, M., . . . Teri, L. (2009). Brief psychosocial-behavioral intervention with antidepressant reduces poststroke depression significantly more than usual care with antidepressant: living well with stroke:randomized, controlled trial. Stroke, 40(9), 3073-3078. doi:10.1161/STROKEAHA.109.549808

80.

Morris, J. H., van Wijck, F., Joice, S., & Donaghy, M. (2013). Predicting health related quality of life 6 months after stroke: the role of anxiety and upper limb dysfunction. Disability and Rehabilitation, 35(4), 291-299.

81.

Muller, M., Toth-Cohen, S., & Mulcahey, M. J. (2014). Development and evaluation of a hospital-based peer support group for younger individuals with stroke. Occupational Therapy in Health Care, 28(3), 277-295. doi:10.3109/07380577.2014.919551

82.

Nguyen, S., Wong, D., McKay, A., Rajaratnam, S. M. W., Spitz, G., Williams, G., . . . Ponsford, J. L. (2019). Cognitive behavioural therapy for post-stroke fatigue and sleep disturbance: a pilot randomised controlled trial with blind assessment. Neuropsychological Rehabilitation, 29(5), 723-738. doi:10.1080/09602011.2017.1326945

83.

Olukolade, O., & Osinowo, H. O. (2017). Efficacy of Cognitive Rehabilitation Therapy on Poststroke Depression among Survivors of First Stroke Attack in Ibadan, Nigeria. Behavioural Neurology, 2017, 4058124. doi:10.1155/2017/4058124

84.

Ostwald, S. K., Godwin, K. M., Cron, S. G., Kelley, C. P., Hersch, G., & Davis, S. (2014). Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: a randomized trial. Disability &Rehabilitation, 36(1), 55-62. doi:10.3109/09638288.2013.777806

85.

Pappadis, M. R., Krishnan, S., Hay, C. C., Jones, B., Sander, A. M., Weller, S. C., & Reistetter, T. A. (2019). Lived experiences of chronic cognitive and mood symptoms among community-dwelling adults following stroke: a mixed-methods analysis. Aging & Mental Health, 23(9), 1227-1233.

86.

Park, H. K., Rah, U. W., Lee, I. L., Moon, H. W., &Cho, J. R. (2001). Social Issues of Young Adult Stroke Patients. Journal of the Korean Academy of Rehabilitation Medicine, 25(3), 418-425.

87.

Park, J. (2019). The effects of time-use intervention on the quality of life of outpatients with chronic stroke. Journal of Physical Therapy Science, 31(1), 36-38. doi:10.1589/jpts.31.36

88.

Peng, Y., Lu, Y., Wei, W., Yu, J., Wang, D., Xiao, Y., . . . Wang, Z. (2015). The Effect of a Brief Intervention for Patients with Ischemic Stroke: A Randomized Controlled Trial. Journal of Stroke & Cerebrovascular Diseases, 24(8), 1793-1802. doi:10.1016/j.jstrokecerebrovasdis.2015.04.009

89.

Raphael, D., Frey, R., & Gott, M. (2017). Psychosocial distress in haematological cancer survivors: an integrative review. European Journal of Cancer Care, 26(6), e12640.

90.

Ringer, T., Moller, D., & Mutsaers, A. (2017). Distress in caregivers accompanying patients to an emergency department: a scoping review. The Journal of Emergency Medicine, 53(4), 493-508.

91.

Robinson, R. G., Jorge, R. E., Moser, D. J., Acion, L., Solodkin, A., Small, S. L., . . . Arndt, S. (2008). Escitalopram and problem-solving therapy for prevention of poststroke depression: a randomized controlled trial. JAMA: Journal of the American Medical Association, 299(20), 2391-2400. doi:10.1001/jama.299.20.2391

92.

Robinson‐Smith, G., Harmer, C., Sheeran, R., &Bellino Vallo, E. (2016). Couples' Coping After Stroke—A Pilot Intervention Study. Rehabilitation Nursing, 41(4), 218-229.

93.

Rochette, A., Korner-Bitensky, N., Bishop, D., Teasell, R., White, C. L., Bravo, G., . . . Bayley, M. (2013). The YOU CALL-WE CALL randomized clinical trial: Impact of a multimodal support intervention after a mild stroke. Circulation: Cardiovascular Quality and Outcomes, 6(6), 674-679. doi:10.1161/circou tcomes.113.000375

94.

Rodgers, H., Atkinson, C., Bond, S., Suddes, M., Dobson, R., & Curless, R. (1999). Randomized controlled trial of a comprehensive stroke education program for patients and caregivers. Stroke, 30(12), 2585-2591.

95.

Sabariego, C., Barrera, A. E., Neubert, S., Stier-Jarmer, M., Bostan, C., & Cieza, A. (2013). Evaluation of an ICF-based patient education programme for stroke patients: a randomized, single-blinded, controlled, multicentre trial of the effects on self-efficacy, life satisfaction and functioning. British Journal of Health Psychology, 18(4), 707-728. doi:10.1111/bjhp.12013

96.

Schmid, A. A., Damush, T., Tu, W., Bakas, T., Kroenke, K., Hendrie, H. C., & Williams, L. S. (2012). Depression improvement is related to social role functioning after stroke. Archives of Physical Medicine and Rehabilitation, 93(6), 978-982.

97.

Schwarzer, G. (2020). Meta: General Package for Meta-Analysis. R package version 4.11-0.

98.

Shimoda, K., & Robinson, R. G. (1998). Effect of anxiety disorder on impairment and recovery from stroke. The Journal of Neuropsychiatry and Clinical Neurosciences, 10(1), 34-40.

99.

Simeone, S., Savini, S., Cohen, M. Z., Alvaro, R., &Vellone, E. (2015). The experience of stroke survivors three months after being discharged home: A phenomenological investigation. European Journal of Cardiovascular Nursing, 14(2), 162-169. doi:10.1177/1474515114522886

100.

Sit, J. W., Chair, S. Y., Choi, K. C., Chan, C. W., Lee, D. T., Chan, A. W., . . . Taylor-Piliae, R. E. (2016). Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial. Clinical Interventions in Aging, 11, 1441-1450. doi:10.2147/cia.S109560

101.

Smith, G. C., Egbert, N., Dellman-Jenkins, M., Nanna, K., & Palmieri, P. A. (2012). Reducing depression in stroke survivors and their informal caregivers:a randomized clinical trial of a Web-based intervention. Rehabilitation Psychology, 57(3), 196-206.

102.

Stein, L. A., Goldmann, E., Zamzam, A., Luciano, J. M., Messé, S. R., Cucchiara, B. L., ... & Mullen, M. T. (2018). Association between anxiety, depression, and post-traumatic stress disorder and outcomes after ischemic stroke. Frontiers in Neurology, 9, 890.

103.

Sugavanam, T., Mead, G., Bulley, C., Donaghy, M., &van Wijck, F. (2013). The effects and experiences of goal setting in stroke rehabilitation–a systematic review. Disability and Rehabilitation, 35(3), 177-190.

104.

Syrowatka, A., Motulsky, A., Kurteva, S., Hanley, J. A., Dixon, W. G., Meguerditchian, A. N., &Tamblyn, R. (2017). Predictors of distress in female breast cancer survivors: a systematic review. Breast Cancer Research and Treatment, 165(2), 229-245.

105.

Szczepańska-Gieracha, J., Kowalska, J., Pawik, M., & Rymaszewska, J. (2014). Evaluation of a short-term group psychotherapy used as part of the rehabilitation process in nursing home patients. Disability & Rehabilitation, 36(12), 1027-1032. doi:10.3109/09638288.2013.825331

106.

Thomas, S. A., Drummond, A. E., Lincoln, N. B., Palmer, R. L., das Nair, R., Latimer, N. R., . . . Topcu, G. (2019). Behavioural activation therapy for post-stroke depression: the BEADS feasibility RCT. Health Technology Assessment, 23(47), 1-176. doi:10.3310/hta23470

107.

Tielemans, N. S., Visser-Meily, J. M., Schepers, V. P., van de Passier, P. E., Port, I. G., Vloothuis, J. D., . . . van Heugten, C. M. (2015). Effectiveness of the Restore4Stroke self-management intervention "Plan ahead!": A randomized controlled trial in stroke patients and partners. Journal of Rehabilitation Medicine, 47(10), 901-909. doi:10.2340/16501977-2020

108.

Vickery, C. D., Gontkovsky, S. T., Wallace, J. J., &Caroselli, J. S. (2006). Group psychotherapy focusing on self-concept change following acquired brain injury: a pilot investigation. Rehabilitation Psychology, 51(1), 30-35.

109.

Visser, M. M., Heijenbrok-Kal, M. H., Van't Spijker, A., Lannoo, E., Busschbach, J. J., & Ribbers, G. M. (2016). Problem-Solving Therapy During Outpatient Stroke Rehabilitation Improves Coping and Health-Related Quality of Life: Randomized Controlled Trial. Stroke, 47(1), 135-142. doi:10.1161/strokeaha.115.010961

110.

Ward, S. K., Turner, A., Hambridge, J. A., Halpin, S. A., Valentine, M. E., Sweetapple, A. L., . . . Hackett, M. L. (2016). Group cognitive behavioural therapy for stroke survivors with depression and their carers. Topics in Stroke Rehabilitation, 23(5), 358-365. doi:10.1080/10749357.2016.1143706

111.

Watkins, C. L., Auton, M. F., Deans, C. F., Dickinson, H. A., Jack, C. I., Lightbody, C. E., . . . Leathley, M. J. (2007). Motivational interviewing early after acute stroke: a randomized, controlled trial. Stroke, 38(3), 1004-1009.

112.

White, C. L., Barrientos, R., & Dunn, K. (2014). Dimensions of uncertainty after stroke:perspectives of the stroke survivor and family caregiver. Journal of Neuroscience Nursing, 46(4), 233-240. doi:10.1097/jnn.0000000000000066

113.

Wichowicz, H. M., Puchalska, L., Rybak-Korneluk, A. M., Gąsecki, D., & Wiśniewska, A. (2017). Application of Solution-Focused Brief Therapy (SFBT) in individuals after stroke. Brain Injury, 31(11), 1507-1512. doi:10.1080/02699052.2017.1341997

114.

Williams, L. S., Kroenke, K., Bakas, T., Plue, L. D., Brizendine, E., Tu, W., & Hendrie, H. (2007). Care management of poststroke depression: a randomized, controlled trial. Stroke, 38(3), 998-1003.

115.

Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., ... & Lang, C. E. (2016). Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98-e169.

116.

Wong, F. K. Y., & Yeung, S. M. (2015). Effects of a 4‐week transitional care programme for discharged stroke survivors in H ong K ong: a randomised controlled trial. Health & Social Care in the Community, 23(6), 619-631.

117.

World Health Organization. (2006). Neurological disorders: public health challenges. World Health Organization.

118.

Wu, D. Y., Guo, M., Gao, Y. S., Kang, Y. H., Guo, J. C., Jiang, X. L., . . . Liu, T. (2012). Clinical effects of comprehensive therapy of early psychological intervention and rehabilitation training on neurological rehabilitation of patients with acute stroke. Asian Pacific Journal of Tropical Medicine, 5(11), 914-916. doi:10.1016/s1995-7645(12)60171-0.

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