A pilot randomized controlled trial of self-help relaxation to reduce post-stroke depression

作者：Golding Katherine^*; Fife-Schaw Chris; Kneebone Ian

来源：Clinical Rehabilitation, 2018, 32(6): 747-751.

DOI：10.1177/0269215517741947

• Stroke
• depression
• self-help relaxation

Objective: To consider the potential of self-help relaxation training to treat depression after stroke.
Design: Randomized controlled trial with cross-over at three months.
Setting: Community.
Participants: In total, 21 people with stroke, aged 49-82years.
Intervention: Autogenic relaxation CD.
Main measure: Hospital Anxiety and Depression Scale-Depression (HADS-D) subscale.
Results: No difference in depression change scores was identified between the treatment and control groups; however, on two follow-ups, significant positive differences relative to screening were found for the treatment group (at 2months Z=-2.55, P=.011 and 12months Z=-2.44, P=.015). A partial (2)=.07 was identified.
Conclusion: Self-help relaxation holds promise as a self-help treatment for depression after stroke. Findings from this trial, considered with others of relaxation for depression, suggest that a study including a total of 80 participants would likely be sufficient to establish efficacy of the treatment, relative to controls, in those with stroke.

• 出版日期2018-6