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-  2019 

Caregivers’ effects of augmented cognitive

DOI: 10.1177/0269215519833013

Keywords: Stroke,caregivers,depression,randomized controlled trial,secondary analyses

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Abstract:

To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers’ well-being. Secondary analyses of the results of a randomized controlled trial. Fifty caregivers of stroke patients receiving outpatient rehabilitation. Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy (n?=?23) or computerized cognitive training (n?=?27) to alleviate depressive symptoms in patients. Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale). Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD)?=?1.78, 95% confidence interval (CI)?=?0.43–3.13, P?=?0.01) and less worrying about patients’ well-being (MD?=?1.9, 95% CI?=?0.56–3.24, P?<?0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension. The results suggest that augmented cognitive-behavioural therapy aimed at improving patients’ emotional, behavioural and social functioning positively affects some aspects of caregivers’ well-being

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