Effectiveness of Problem-Solving Therapy in Improving Patient Mental Health, Function, Quality of Life, and Mortality Post-Stroke: A Systematic Review

被引:0
作者
Le, Ha Thi [1 ,2 ]
Honma, Kenta [3 ]
Annaka, Hiroki [3 ]
Sun, Shunxiang [1 ]
Nomura, Tomonori [3 ]
机构
[1] Niigata Univ Hlth & Welf, Grad Sch, Niigata 9503198, Japan
[2] Haiduong Med Tech Univ, Rehabil Dept, Haiduong 03117, Vietnam
[3] Niigata Univ Hlth & Welf, Fac Rehabil, Dept Occupat Therapy, Niigata 9503198, Japan
关键词
problem-solving therapy; mental health; depression; anxiety; apathy; function; quality of life; mortality; stroke; systematic review; STROKE REHABILITATION; DEPRESSIVE SYMPTOMS; ANXIETY DISORDER; APATHY; PREVENTION; ESCITALOPRAM; CARE; INTERVENTIONS; INDEPENDENCE; SURVIVORS;
D O I
10.3390/bs14060446
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Problem-solving therapy (PST) is a potential psychological intervention aimed at preventing and treating psychological issues in stroke patients, although its efficacy is not clearly established. This systematic review assessed the effectiveness of PST in improving mental health, functioning, quality of life, and mortality in this population. Six databases were searched for literature indexed through March 2024, including the Cochrane Library, PubMed, Scopus, CINAHL, NeuroBITE, and OTseeker. This review (CRD42023483757) followed the PRISMA guidelines and the Cochrane Library Handbook, utilizing the RoB 2 tool and GRADE system to assess the quality of the evidence. It included eight randomized controlled trials (RCTs) involving 1249 patients with stroke. Among them, five RCTs showed that PST might improve depression. Additionally, individual RCTs demonstrated the efficacy of PST in addressing patient anxiety, apathy, and coping. With respect to mental health, PST might affect patient quality of life and mortality. However, the results of four RCTs demonstrated no effect of PST on patient functioning. The quality of evidence for the outcomes ranged from very low to high. PST may improve mental health, quality of life, and mortality in patients with stroke.
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页数:14
相关论文
共 84 条
[1]   Clinical Case Management versus Case Management with Problem-Solving Therapy in Low-Income, Disabled Elders with Major Depression: A Randomized Clinical Trial [J].
Alexopoulos, George S. ;
Raue, Patrick J. ;
McCulloch, Charles ;
Kanellopoulos, Dora ;
Seirup, Joanna K. ;
Sirey, Jo Anne ;
Banerjee, Samprit ;
Kiosses, Dimitris N. ;
Arean, Patricia A. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2016, 24 (01) :50-59
[2]   Posttraumatic Stress Symptoms After Stroke: The Effects of Anatomy and Coping Style [J].
Assayag, Einor Ben ;
Tene, Oren ;
Korczyn, Amos D. ;
Solomon, Zahava ;
Bornstein, Natan M. ;
Shenhar-Tsarfaty, Shani ;
Seyman, Estelle ;
Niry, Dana ;
Molad, Jeremy ;
Hallevi, Hen .
STROKE, 2022, 53 (06) :1924-1933
[3]   Problem-solving therapy for depression: A meta-analysis [J].
Bell, Alissa C. ;
D'Zurilla, Thomas J. .
CLINICAL PSYCHOLOGY REVIEW, 2009, 29 (04) :348-353
[4]  
Bowen A., 2016, NATL CLIN GUIDELINE
[5]   Apathy Secondary to Stroke: A Systematic Review and Meta-Analysis [J].
Caeiro, Lara ;
Ferro, Jose M. ;
Costa, Joao .
CEREBROVASCULAR DISEASES, 2013, 35 (01) :23-39
[6]   The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors [J].
Chalmers, Charlotte ;
Leathem, Janet ;
Bennett, Simon ;
McNaughton, Harry ;
Mahawish, Karim .
DISABILITY AND REHABILITATION, 2019, 41 (07) :753-762
[7]   Problem-solving therapy for adult depression: An updated meta-analysis [J].
Cuijpers, Pim ;
de Wit, Leonore ;
Kleiboer, Annet ;
Karyotaki, Eirini ;
Ebert, David D. .
EUROPEAN PSYCHIATRY, 2018, 48 :27-37
[8]  
D'Zurilla T.J., 2007, Problem-solving Therapy, V3rd
[9]  
D'Zurilla TJ., 1986, PROBLEM SOLVING THER
[10]   Quality of Life after Young Ischemic Stroke of Mild Severity Is Mainly Influenced by Psychological Factors [J].
de Bruijn, Marienke A. A. M. ;
Synhaeve, Nathalie E. ;
van Rijsbergen, Marielle W. A. ;
de Leeuw, Frank-Erik ;
Mark, Ruth E. ;
Jansen, Ben P. W. ;
de Kort, Paul L. M. .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2015, 24 (10) :2183-2188