Research Article  |   December 2014
Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke: An Evidence-Based Review
Author Affiliations
  • Mary W. Hildebrand, OTD, OTR/L, is Associate Professor, Occupational Therapy, MGH Institute of Health Professions, Boston, MA; mhildebrand@mghihp.edu
Article Information
Complementary/Alternative Approaches / Evidence-Based Practice / Mental Health / Neurologic Conditions / Stroke / Special Issue
Research Article   |   December 2014
Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke: An Evidence-Based Review
American Journal of Occupational Therapy, December 2014, Vol. 69, 6901180050p1-6901180050p9. doi:10.5014/ajot.2015.012054
American Journal of Occupational Therapy, December 2014, Vol. 69, 6901180050p1-6901180050p9. doi:10.5014/ajot.2015.012054
Abstract

This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health–related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from well-conducted research supports using problem-solving or motivational interviewing behavioral techniques to address depression. The evidence is inconclusive for using multicomponent exercise programs to combat depression after stroke and for the use of stroke education and care support and coordination interventions to address poststroke anxiety. One study provided support for an intensive multidisciplinary home program in improving depression, anxiety, and health-related quality of life. The implications of the findings for practice, research, and education are discussed.