title: An augmented cognitive behavioural therapy for treating post-stroke depression: description of a treatment protocol.
abstract: OBJECTIVE
  Currently, no evidence-based treatment is available for mood problems after stroke. We present a new psychological intervention designed to reduce depressive complaints after stroke.
  This intervention was based on cognitive behavioural therapy principles and was shown feasible in a pilot study. In order to meet the specific needs of stroke patients (concerning both sensori-motor, cognitive, and behavioural problems), we incorporated motivational interviewing, grief resolution, and psycho-education. We emphasised for each session to take into account the cognitive deficits of the patients (i.e. be concrete, accessible, structured, specific, and repeat information). Moreover, we augmented the psychologist-administered therapy with the contribution of an occupational or movement therapist aimed at facilitating patients' goal-setting and attainment. The intervention consisted of 12 one-hour sessions with a psychologist and three or four one-hour sessions with an occupational or movement therapist. Currently, the effectiveness of the intervention is evaluated in a randomised controlled trial.
  
  
  CONCLUSIONS
  The proposed psychological treatment protocol is innovative, as it applies cognitive behavioural therapy in a stroke-specific manner; moreover, it supports goal attainment by incorporating occupational or movement therapy sessions.
authors.affiliation: Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands joyce.kootker@radboudumc.nl.
authors.forename: Joyce A
authors.initials: JA
authors.lastname: Kootker
authors.affiliation: Adelante Rehabilitation Foundation Limburg, Hoensbroek, The Netherlands CAPHRI, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors.forename: Sascha M C
authors.initials: SM
authors.lastname: Rasquin
authors.affiliation: Rehabilitation Centre, St. Maartenskliniek, Nijmegen, The Netherlands.
authors.forename: Peter
authors.initials: P
authors.lastname: Smits
authors.affiliation: Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Geurts
authors.affiliation: School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht, The Netherlands Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, The Netherlands.
authors.forename: Caroline M
authors.initials: CM
authors.lastname: van Heugten
authors.affiliation: Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands Rehabilitation Medical Centre Groot Klimmendaal, Siza Support and Rehabilitation, Arnhem, The Netherlands.
authors.forename: Luciano
authors.initials: L
authors.lastname: Fasotti
mesh_terms: D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D062405:Motivational Interviewing; D009788:Occupational Therapy; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation
keywords: Stroke; anxiety; cognitive behavioural therapy; depression; treatment protocol