Psychosocial interventions for stroke survivors, carers and survivor-carer dyads: systematic review and meta-analysis

Catherine Minshall, Michaela C. Pascoe, David, R. Thompson , David J. Castle, Marita McCabe, Janita Chau, Zoe Jenkins, Jan P. C. Cameron, Chantal Ski

Research output: Contribution to journalArticle

6 Citations (Scopus)
57 Downloads (Pure)

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 psychosocialinterventions 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.


Original languageEnglish
Pages (from-to)554-564
Number of pages11
JournalTopics in stroke rehabilitation
Volume26
Issue number7
Early online date30 Jun 2019
DOIs
Publication statusPublished - 02 Oct 2019

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