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Centre for Policy on Ageing | |
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Ecosystem focused therapy in poststroke depression
— a preliminary study | | Author(s) | George S Alexopoulos, Victoria M Wilkins, Patricia Marino |
| Journal title | International Journal of Geriatric Psychiatry, vol 27, no 10, October 2012 |
| Pages | pp 1053-1060 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Stroke ; Physical disabilities ; Aftercare ; Depression ; Therapy ; Evaluation. |
| Annotation | Poststroke depression (PSD) occurs in the context of abrupt, often catastrophic disability. It finds the patient and their family unprepared and can have a devastating effect. The authors developed the Ecosystem Focused Therapy (EFT), a systematic intervention that targets the ensuing 'psychosocial storm'. It consists of five integrated components: action orientated perspectives on recovery; enhanced treatment adherence; problem solving structures; reengineered family goals; and coordination of care. This paper looked at a preliminary study of the efficacy of EFT in reducing depression and disability in 24 patients with PSD. Patients were randomly assigned to receive weekly sessions of EFT or Education on Stroke and Depression alongside their treatment for 12 weeks. The results suggest that EFT may be more effective than Education on Stroke and Depression in reducing depressive symptoms and signs, in leading to a higher remission rate, and in lessening disability in PSD. Reduction of disability in the early part of the trial mediated later improvement in depressive symptoms. The authors suggest that beyond its potential direct benefits in PSD, EFT may also provide an appropriate context for the timely administration of pharmacotherapy and of physical, speech and occupational therapy. (JL). |
| Accession Number | CPA-121009003 A |
| Classmark | CQA: BN: LN: ENR: LO: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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