None listed
Conditions
Brief summary
The primary purpose of this study is to examine the feasibility and efficacy of Emotional Freedom Technique (EFT) as potential intervention for decreasing depression among stroke survivors. hypotheses are Hypothesis 1: The level of depression in experimental group will decrease with consecutive sessions of EFT as compared to control group Hypothesis 2: The level of quality of life in experimental group will increase with consecutive sessions of EFT as compared to control group Hypothesis 3: The level of SUDs in experimental group will decrease with consecutive sessions of EFT as compared to control group Hypothesis 4: Emotional Freedom Technique has Sustainable and the long term effect of reducing depression and improvement of Quality of life in stroke survivors conducting follow up session at specific time interval as compared to control group
Interventions
Intervention name is Emotional Freedom Technique (EFT) The Emotional Freedom Technique (EFT) is a Psychological modality, also known as tapping, involves participants tapping on specific points on their body with their fingertips. These points are based on traditional Chinese medicine meridian points. Here are the basic tapping locations: Karate Chop Point (KC): This is on the fleshy part on the side of your hand, between the base of the pinky finger and the wrist. You tap this point with the opposite hand's fingertips. Top of the Head (TH): This is the crown of your head. Use all fingers of one or both hands to tap gently. Eyebrow (EB): Located at the beginning of your eyebrow, near the bridge of your nose. Tap with two fingers. Side of the Eye (SE): On the bone at the outer edge of your eye. Again, use two fingers to tap. Under the Eye (UE): On the bone under your eye, in line with your pupil. Tap with two fingers. Under the Nose (UN): Above your upper lip, just under your nose. Tap with one or two fingers. Chin Point (CP): Midway between the point of your chin and the bottom of your lower lip. Use one or two fingers to tap. Collarbone Point (CB): Just below the hard ridge of your collarbone. Tap with all your fingers or use a fist. Under the Arm (UA): On the side of your body, about four inches below the armpit. Use one or two fingers. While tapping on these points, participants usually repeat statements related to their emotional issue or distress. The process is designed to address and release negative emotions, reduce stress, and promote emotional well-being. The process of Emotional freedom technique Identify the Issue: Individuals using EFT first identify a specific issue, whether it be a negative emotion, a traumatic memory, or a limiting belief. The Setup: During this phase, the person acknowledges the problem and accepts themselves despite it, using a setup statement while tapping on the karate chop point on the hand. Tapping Sequence: The individual then taps on specific meridian points while focusing on the identified issue. This sequence is repeated until the emotional intensity decreases. Reassessment: After completing the tapping sequence, individuals reassess their emotional state. The goal is to achieve a sense of calm and acceptance regarding the issue. Applications of Emotional Freedom Technique: EFT is used to address a wide range of emotional and psychological issues, including anxiety ,depression, phobias, traumatic memories, stress, sleeping disorder and limiting beliefs. the duration of the intervention will be one hour consultation and the mode of administration will be in group therapy only. and monitor the adherence to the intervention through clinical attendance checklist and audit of medical records . Primary investigator is Psychologist will deliver the intervention, she has 25 years of experience. it will be based on face to face and group therapy. the intervention will be deliver twice a week and duration will be 8 weeks then break and after 4 weeks re-evaluate technique effectiveness of intervention with the double blind technique. Total duration will be 12 weeks (3 months). location will be Islamabad and Rawalpindi hospitals and neuro-rehabilitation hospital and home based patients. participants will maintain their current traditional rehabilitation therapies, at discretion of physician and rehab specialist
Sponsors
Study design
Eligibility
Inclusion criteria
inclusion criteria will be the patient diagnosed with ischemic stroke with good reception and are able to talk (Mini Mental State Examination (MMSE) will use for screening and age from 30 to 60 years, and experience low mood, lack of pleasure, depression(Beck depression inventory will use for evaluation) Mini Mental State Examination (MMSE) score will be greater than 17. High score on Beck Depression inventory. Family member or caregiver willing and able to participate in patient's treatment
Exclusion criteria
Exclusive criteria: with other neurological condition (dementia, autoimmune disease etc) and more than 70 years and included unstable co-morbid condition, severe cognitive, and/or communication difficulties that would interfere with participation. MMSE score less than 17. severe aphasia. a history of epileptic seizures or a first degree relative with epilepsy. Presence of illnesses other than stroke (e.g., untreated thyroid or adrenal disease, pancreatic cancer, and lymphoma) current involvement in other psychological therapy (Taking drugs known to cause depression (e.g., reserpine, alpha-methyl-dopa, steroids)