Kneebone I I, Dunmore E
Surrey Hampshire Borders NHS Trust, UK.
Br J Clin Psychol. 2000 Mar;39(1):53-65. doi: 10.1348/014466500163103.
To evaluate existing research literature on psychological interventions to manage post-stroke depression (PSD).
First, the particular nature of post-stroke depression (PSD) was established. Then, relevant published material was identified through computerized literature searches (to May 1999) and via the first author's clinical experience in the area. This material was critically reviewed against recommended standards for the empirical validation of treatment effectiveness.
Methodological limitations in existing research prevent a conclusion as any one psychological intervention has empirical support for its effectiveness. However, cognitive behaviour therapy in particular was identified as worthy of further investigation.
It is recommended that future research investigates treatments for PSD appropriate for those with cognitive impairment and communication difficulties, younger versus older stroke victims and those in institutional settings. Studies should also consider the necessity of specialist assessment strategies and allow for possible subtypes of PSD for which psychological treatments might be differentially effective.
评估关于管理中风后抑郁症（PSD）的心理干预措施的现有研究文献。
首先，明确中风后抑郁症（PSD）的特殊性质。然后，通过计算机文献检索（截至1999年5月）以及第一作者在该领域的临床经验，确定相关已发表资料。依据治疗效果实证验证的推荐标准，对这些资料进行严格审查。
现有研究中的方法学局限性使得无法得出任何一种心理干预措施具有有效性实证支持的结论。然而，认知行为疗法尤其被认为值得进一步研究。
建议未来的研究调查适合认知障碍和沟通困难患者、年轻与老年中风患者以及机构环境中的患者的PSD治疗方法。研究还应考虑专业评估策略的必要性，并考虑PSD可能存在的亚型，针对这些亚型心理治疗可能具有不同的效果。
