post stroke depression and anxiety. emotional complaints after stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects have suffered from symptomatic stroke (ischaemic, subarachnoid or intracerebral haemorrhagic lesion), first or recurrent, verified by CT and/or MRI scan. - Subjects experience depression and/or anxiety symptoms, according to scores >=7 on the depression subscale of the Hospital Anxiety and Depression Scale (HADS). - Subjects are >3 months post stroke. - Subjects are at least 18 years of age or older. - Subjects have sufficient communication and cognitive skills to engage in treatment (MMSE and NIHSS-item). - Written informed consent. - Subjects have sufficient knowledge of the Dutch language to speak and understand in Dutch. ;Significant Others - Significant others are able to read and write in Dutch. - Significant others are >18 years of age.
Exclusion criteria
Exclusion criteria: Subjects* pre-existing impairment or history that might influence cognitive or functional outcome (pre-existent dependence in activities of daily living as defined by an estimated pre-morbid Barthel Index of 18). - subjects staying in inpatient settings. - subjects* co-morbidity that might affect outcome like cancer or psychiatric illnesses for which treatment is given at the moment of inclusion in the study, pre-existent cognitive decline as defined by a s score of 3.6 or higher on the IQCODE. - Major Depression diagnosis in subjects that requires medication therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter will be the HADS | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters will be cost effectiveness, participation, quality of life, goal attainment, and rehabilitation/treatment participation. | — |
Countries
Netherlands