Nonpharmacological Treatments for Post-Stroke Depression: An Integrative Review of the Literature

Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studie...

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Bibliographic Details
Published in:Research in gerontological nursing 2017-07, Vol.10 (4), p.182-195
Main Authors: Hadidi, Niloufar Niakosari, Huna Wagner, Roberta L, Lindquist, Ruth
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Caregivers
Cognitive Therapy - methods
Depressive Disorder - etiology
Depressive Disorder - rehabilitation
Disability Evaluation
Health education
Humans
Light therapy
Literature reviews
Medical screening
Mental depression
Music therapy
Nursing
Older people
Psychotherapy - methods
Quality of Life
Rehabilitation
Reiki
Stroke
Stroke - complications
Stroke - psychology
Stroke Rehabilitation
Survivors - psychology
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Summary:Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological treatments for PSD and present findings regarding the efficacy of investigated treatments. Twenty-one studies published from 1992-2016 were identified and synthesized. Results indicated that studies demonstrating improvement in depressive symptoms included ecosystem-focused therapy, life review therapy, problem solving therapy, meridian acupressure, repetitive transcranial magnetic stimulation, music therapy, exercise, light therapy, motivational interviewing, and robotic-assisted neurorehabilitation. [Res Gerontol Nurs. 2017; 10(4):182-195.].
ISSN:1940-4921
1938-2464
DOI:10.3928/19404921-20170524-02