EFFECTIVENESS OF RATIONAL PSYCHOTHERAPY IN COMPLEX TREATMENT OF PATIENTS IN EARLY REPARATIVE PERIOD OF THE BRAIN ISCHEMIC HEMISPHERIC STROKE

Authors

  • Y. N. Neryanova

DOI:

https://doi.org/10.14739/2310-1237.2014.3.36941

Keywords:

Stroke, Rehabilitation, Depressive Disorder, Psychotherapy

Abstract

Aim. The results of the research of 62 patients in early reparative period of the brain ischemic hemispheric stroke against the background of therapy are written in the article.

Methods and results. It was detected that administration of the rational psychotherapy in the complex treatment of patients in early recovery period of the brain ischemic hemispheric stroke provides decrease of the depression level on Beck inventory (Δ%-33,3, p<0,01) and reactive anxiety level onSpilberger-Hanin scale (Δ%-21,9, p<0,01).

Conclusion.It was shown that reduction of depressive-anxious disturbances during administering of rational psychotherapy in the complex treatment of patients in early recovery period of the brain ischemic hemispheric stroke is accompanied by essential decrease of neurological deficiency on NIH scale in combination with more evident increasing of functional independence degree according to Barthel index and quality of life onEQ-5D (EuroQoL) questionnaire.

References

Capaldi, V., &Wynn, I (2010). Emerging strategies in the treatment of post-stroke depression and psychiatric distress in patients. Psychol Res BehavManag, 3, 109–118.doi: 10.2147/PRBM.S10035.

Willey, J., Disla, N., Moon, Y., Paik, M., Sacco, R., Boden-Albala, B., Wright, C. (2010). EarlyDepressedMoodAfterStrokePredicts Long-Term Disability: TheNorthernManhattanStrokeStudy (NOMASS).Stroke,41, 1896–1900.doi: 10.1161/STROKEAHA.110.583997.

Hackett, M. L., Yapa, C., ParagV., et al. (2005). Frequency depression after stroke: a systematical review of observational studies. Stroke, 36, 1330–1340.doi: 10.1161/01.STR.0000165928.19135.35.

Gaete, J.M., &Bogousslavsky, J. (2008). Post-stroke depression. Exp Rev Neurother, 8, 75–92.

Gilhus, N. E., Barnes, M. R.,Brainin,M.(2011). European Handbook of Neurological Management: Volume 1, 2nd Edition.Blackwell Publishing Ltd.

Hackett, M. L., Anderson, C. S., House,A. O., &Halteh, C. (2009). Interventions for Preventing Depression After Stroke. Stroke, 40, 485-486.doi: 10.1161/STROKEAHA.109.547042.

Kanner, A.M.(2005).Depression in neurological disorders.Lundbec Inst.

Mukherjee, D.,&Patil, C.G. (2011). Epidemiology and the global burden of stroke. World Neurosurg.,76(6), 85–90.doi: 10.1016/j.wneu.2011.07.023

Williams, L.S., ShomaGhose, S., &Swindle, R.W. (2004). Depression and other mental health diagnoses increase mortality risk after ischemic stroke. AmJPsychiatry., 161, 1090–1095. doi: 10.1176/appi.ajp.161.6.1090.

How to Cite

1.
Neryanova YN. EFFECTIVENESS OF RATIONAL PSYCHOTHERAPY IN COMPLEX TREATMENT OF PATIENTS IN EARLY REPARATIVE PERIOD OF THE BRAIN ISCHEMIC HEMISPHERIC STROKE. Pathologia [Internet]. 2014Dec.23 [cited 2024Dec.25];(3). Available from: http://pat.zsmu.edu.ua/article/view/36941

Issue

Section

Original research