Feasibility and effectiveness of an integrated cognitive behavioral treatment to address psychological distress in a stroke self-management program

Date

2018

Authors

Evans-Hudnall, Gina
Johnson, Adrienne
Kimmel, Barbara
Brandt, Charles
Mbue, Ngozi
Anderson, Jane

Journal Title

Journal ISSN

Volume Title

Publisher

Sage

Abstract

This is a case-study of a Hispanic man who had an ischemic stroke and was participating in a stroke self-management (SSM) program. He was identified as having comorbid symptoms of anxiety and depression that were not addressed by the SSM program and was subsequently enrolled in the Enhance Psychological Coping after Stroke (EPiC) program. EPiC is a telephone-based cognitive-behavioral treatment integrating mental and stroke-related behavioral health principles that is delivered concurrent to the SSM program. Over the course of six sessions, the participant learned psychological symptom and behavioral monitoring, thought stopping, cognitive restructuring, deep breathing, calming thoughts, social support, and problem-solving skills aimed at overcoming barriers to engagement in behaviors taught in the SSM program. Client-centered psychological distress and behavioral health treatment goals were integrated into each session. The client demonstrated reduced anxiety symptoms and improved stroke SSM behaviors at 6, 12, and 18 weeks after the initiation of treatment. He also improved in disability, social role limitations, quality of life, and stroke self-efficacy at 18 weeks following the initiation of treatment. This case study demonstrates that incorporating an integrated cognitive behavioral treatment to an SSM program can be beneficial for decreasing psychological symptom barriers to SSM, which may reduce the risk of stroke recurrence.

Description

Abstract originally published in Clinical Case Studies, 17(6), 425–442. English. Published Online 2018. https://doi.org/10.1177/1534650118795285

Keywords

Enhance Psychological Coping after Stroke (EPiC) program, Ischemic stroke, Telephone-based cognitive-behavioral treatment

Citation

This is an abstract that is available at: https://doi.org/10.1177/1534650118795285. Recommended citation: Evans-Hudnall, G., Johnson, A., Kimmel, B., Brandt, C., Mbue, N., Lawson, E., & Anderson, J. (2018). Feasibility and effectiveness of an integrated cognitive behavioral treatment to address psychological distress in a stroke self-management program. Clinical Case Studies, 17(6), 425–442. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.

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