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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

Authors

Shirley A. Thomas

Jamie A. Macniven

Helen Haworth

Nadina Lincoln Nadina.Lincoln@nottingham.ac.uk



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
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 0269-2155
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 27
Issue 5
APA6 Citation Thomas, S. A., Walker, M. F., Macniven, J. A., Haworth, H., & Lincoln, N. (2013). Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clinical Rehabilitation, 27(5), doi:10.1177/0269215512462227
DOI https://doi.org/10.1177/0269215512462227
Publisher URL http://cre.sagepub.com/content/27/5/398.full
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0
Additional Information

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0





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