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Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia

Thomas, Shirley A.; Walker, Marion F.; Macniven, Jamie A.; Haworth, Helen; Lincoln, Nadina

Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia Thumbnail


Authors

Marion F. Walker

Jamie A. Macniven

Helen Haworth

Nadina Lincoln



Abstract

Objective:
The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia.

Design:
A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated.

Setting:
Participants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups.

Subjects:
Of 511 people with aphasia identified, 105 had low mood and were recruited.

Interventions:
Behavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation.

Main measures:
Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales ‘sad’ item, and Visual Analogue Self-Esteem Scale.

Results:
Participants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue ‘sad’ (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group.

Conclusions:
Behavioural therapy seemed to improve the mood of people with aphasia.

Journal Article Type Article
Publication Date May 1, 2013
Deposit Date Apr 2, 2014
Publicly Available Date Apr 2, 2014
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 0269-2155
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 27
Issue 5
DOI https://doi.org/10.1177/0269215512462227
Public URL https://nottingham-repository.worktribe.com/output/1002231
Publisher URL http://cre.sagepub.com/content/27/5/398.full

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