Talk Therapy After Stroke

Overview

Strokes are the first cause of acquired physical disability among adults. Some studies proved that depression is often an unrecognized complication from stroke, associated with a vital prognosis, functional and cognitive pejorative diagnosis. It led us to pose the hypothesis of the existence of a particular psychological state after stroke particularly favorable to a psychotherapeutic alliance. So, this longitudinal monocentric study aims to estimate the feasibility of a talk therapy and its impact on the anxio-depressive symptomatology after stroke.

Full Title of Study: “Talk Therapy After Stroke. PS-POST AVC”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: May 2012

Interventions

  • Behavioral: talk therapy
    • Psychotherapy

Arms, Groups and Cohorts

  • Experimental: Talk therapy
    • A cohort of 25 patients

Clinical Trial Outcome Measures

Primary Measures

  • acceptability
    • Time Frame: at 6 months
    • Participation rate in the study

Secondary Measures

  • Rates of anxiety and depression
    • Time Frame: at 3 and 6 months
    • Montgomery and Asberg Depression Rating Scale(depressive patients) and wide COVI (anxious patients)
  • Evaluation of quality of life
    • Time Frame: at 3 and 6 months
    • MM20-QOL scale
  • Evaluation of functional recovery
    • Time Frame: at 3 and 6 months
    • Barthel index and Rankin score NIHSS score
  • Assessment of apathy
    • Time Frame: at 3 and 6 months
    • apathy index
  • Categorization of patients
    • Time Frame: 6 months
    • according to their pattern of coping with specific scales and RWCQ (Revised Ways of Coping Questionnaire – stroke modified version) QSSP (Questionnaire de soutien social perçu)

Participating in This Clinical Trial

Inclusion Criteria

  • ischemic or aemoragic stroke minor 1 week, confirmed by cerebral imaging Exclusion Criteria:

  • severe aphasia (NIHSS criteria 9: sup or egal: 2) – Chronic psychiatric preexistant desease.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 85 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Centre Hospitalier Universitaire de Nice
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Hélène MAHAGNE, PH, Study Director, Centre Hospitalier Universitaire de Nice

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