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Psychosocial interventions for stroke survivors, carers and survivor-carer dyads : A systematic review and meta-analysis
Minshall, Catherine Pascoe, Michaela C. Thompson, David R. Castle, David J. McCabe, Marita Chau, Janita P. C. Jenkins, Zoe Cameron, Jan Ski, Chantal F.
Minshall, Catherine
Pascoe, Michaela C.
Thompson, David R.
Castle, David J.
McCabe, Marita
Chau, Janita P. C.
Jenkins, Zoe
Cameron, Jan
Ski, Chantal F.
Abstract
Objective: To evaluate the effectiveness of psychosocial interventions on depressive symptoms, anxiety symptoms, quality of life, self-efficacy, coping, carer strain and carer satisfaction among stroke survivors, carers and survivor-carer dyads.
Data sources: MEDLINE, CINAHL, PsycINFO, SocINDEX, Cochrane Library, Web of Science and Scopus databases and the grey literature were searched up to September 2018.
Methods: A systematic review and meta-analysis of randomized controlled trials of psychosocial interventions for stroke survivors, carers and survivor-carer dyads, compared to usual care. Outcomes measured were depressive symptoms, anxiety symptoms, quality of life, coping, self-efficacy, carer strain, and carer satisfaction.
Results: Thirty-one randomized controlled trials (n = 5715) were included in the systematic review which found improvements in depressive symptoms, anxiety symptoms, quality of life and coping, though the number of trials assessing each outcome varied. A meta-analysis (11 trials; n = 1280) on depressive symptoms found that in seven trials psychosocial interventions reduced depressive symptoms in stroke survivors (SMD: −0.36, 95% CI −0.73 to 0.00; p = .05) and in six trials reduced depressive symptoms in carers (SMD: −0.20, 95% CI −.40 to 0.00; p = .05).
Conclusion: Psychosocial interventions reduced depressive symptoms in stroke survivors and their carers. There was limited evidence that such interventions reduced anxiety symptoms, or improved quality of life and coping for stroke survivors and carers and no evidence that they improved self-efficacy, carer strain or carer satisfaction.
Keywords
psychosocial, stroke, survivors, carers, systematic review, meta-analysis
Date
2019
Type
Journal article
Journal
Topics in Stroke Rehabilitation
Book
Volume
26
Issue
7
Page Range
554-564
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as green open access
License
File Access
Controlled
Open
Open