SHIRLEY THOMAS SHIRLEY.THOMAS@NOTTINGHAM.AC.UK
Associate Professor
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
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.
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), https://doi.org/10.1177/0269215512462227
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 | 1477-0873 |
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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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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