title: Post-stroke depression: the case for augmented, individually tailored cognitive behavioural therapy.
abstract: In this review, we begin by considering why post-stroke depression (PSD) is so prevalent. We then examine the current evidence base to support cognitive behavioural therapy (CBT) as a treatment approach for the condition. While there is limited evidence currently, we demonstrate that much remains to be established with regard to PSD and the efficacy of CBT. We argue there is every reason to believe CBT should be an effective treatment, but that clinicians must augment and individually tailor this approach to ensure effectiveness. We set out our rationale for a novel augmented, individually tailored CBT protocol, and describe five key components that we believe once incorporated, and tested using randomized controlled methods, should enhance treatment outcome of PSD.
authors.affiliation: Department of Clinical Health Psychology, Western Infirmary General, Glasgow and Department of Psychological Medicine, University of Glasgow, Scotland, UK. Niall.Broomfield@ggc.scot.nhs.uk
authors.forename: Niall M
authors.initials: NM
authors.lastname: Broomfield
authors.forename: Ken
authors.initials: K
authors.lastname: Laidlaw
authors.forename: Emma
authors.initials: E
authors.lastname: Hickabottom
authors.forename: Marion F
authors.initials: MF
authors.lastname: Murray
authors.forename: Rachel
authors.initials: R
authors.lastname: Pendrey
authors.forename: Janice E
authors.initials: JE
authors.lastname: Whittick
authors.forename: David C
authors.initials: DC
authors.lastname: Gillespie
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000209:etiology / Q000628:therapy*; D006801:Humans; D020521:Stroke / Q000523:psychology*