中风和短暂性脑缺血发作后情绪和认知的心理干预：伞式综述方案。

Psychological interventions for mood and cognition after stroke and transient ischaemic attack: A protocol for an umbrella review.

机构信息

Institute of Mental Health, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, England, UK.

School of Medicine, Mental Health and Clinical Neurosciences, University of Nottingham, Nottingham, England, UK.

出版信息

F1000Res. 2024 May 17;13:199. doi: 10.12688/f1000research.146343.2. eCollection 2024.

DOI:10.12688/f1000research.146343.2

PMID:38817735

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11137488/

Abstract

BACKGROUND

People who have had a stroke or a Transient Ischaemic Attack (TIA) can experience psychological and/or cognitive difficulties. The body of research for psychological and neuropsychological interventions after stroke is growing, however, published systematic reviews vary in scope and methodology, with different types and severity of strokes included, and at times, diverse conclusions drawn about the effectiveness of the interventions evaluated. In this umbrella review, we aim to systematically summarise the existing systematic reviews evaluating psychological interventions for mood and cognition post-stroke/TIA.

METHODS

We will conduct this umbrella review according to the JBI Manual for Evidence Synthesis. The following databases will be searched from inception: Cochrane Database of Systematic Reviews, Database of Reviews of Effects (DARE), MEDLINE, Embase, CINAHL, PsycINFO, and Epistemonikos. Systematic reviews with or without meta-analysis published until the search date will be included. Reviews including psychological interventions addressing mood and/or cognition outcomes for any stroke type or severity will be screened for eligibility. A narrative synthesis, including content analysis, will be used. Each stage of the review will be processed by two independent reviewers and a third reviewer will be considered to resolve disagreements. The methodological quality of the included reviews will be assessed using AMSTAR 2.

DISCUSSION

Existing systematic reviews provide varied evidence on the effectiveness of psychological interventions post-stroke/TIA. This umbrella review aims to summarise knowledge and evidence on different types of psychological and neuropsychological interventions targeting mood and cognition. Findings will highlight important knowledge gaps and help prioritise future research questions.

SYSTEMATIC REVIEW REGISTRATION

This protocol was prospectively registered with the International Prospective Register of Systematic Reviews (PROSPERO) on November 15, 2022; PROSPERO CRD42022375947.

摘要

背景

中风或短暂性脑缺血发作（TIA）患者可能会经历心理和/或认知方面的困难。针对中风后心理和神经心理干预的研究越来越多，但是已发表的系统评价在范围和方法上存在差异，包括不同类型和严重程度的中风，并且有时对所评估干预措施的有效性得出不同的结论。在本次伞式评价中，我们旨在系统地总结评估中风/TIA 后情绪和认知的心理干预的现有系统评价。

方法

我们将根据 JBI 证据综合手册进行本次伞式评价。将从成立之初开始搜索以下数据库： Cochrane 系统评价数据库、效果评价数据库（DARE）、MEDLINE、Embase、CINAHL、PsycINFO 和 Epistemonikos。将纳入有或没有荟萃分析的系统评价。将筛选出纳入任何中风类型或严重程度，针对情绪和/或认知结果的心理干预的综述。将使用叙述性综合（包括内容分析）。将由两名独立评审员处理审查的每个阶段，如果存在分歧，将由第三名评审员进行审议。将使用 AMSTAR 2 评估纳入综述的方法学质量。