Improving Quality of Life for Veterans with Stroke and Psychological Distress

卒中自我管理治疗可以改善残疾、康复信心和生活质量 生活。然而，患有中风和心理困扰(焦虑和抑郁)的退伍军人 移动性不佳，很少参与有意义的社交活动，质量较差 生活。卒中患者心理困扰的有效管理与以下因素有关 积极的身体功能、社会角色功能和生活质量。当前的自我管理 对中风退伍军人的治疗不足以解决共病的心理痛苦。 我们建议开发、提炼和试行综合卒中自我评估的改善结果 管理(我是完整的)待遇。首先，我们将结合自我管理来防止 使用视频电话会议的中风(VSTOP-II)与增强心理痛苦应对 (EPIC)认知-行为疗法，以发展单一的、以群体为基础的行为中风自我 针对降低中风风险和心理困扰的管理治疗。 其次，我们将对治疗进行中试和细化。最后，我们将测试可行性和 《我是完整》的初步效果。我们相信这项建议将提供一个有希望的 综合治疗方法将帮助退伍军人生活中的共病心理困扰 一种功能齐全、充实的生活方式。

Stroke self-management treatment can improve disability, confidence in recovery, and quality of life. However, Veterans with comorbid stroke and psychological distress (anxiety and depression) have suboptimal mobility, little engagement in meaningful social interactions and poor quality of life. Effective management of psychological distress in patients with stroke is associated with positive physical functioning, social role functioning and quality of life. Current self-management treatments for Veterans with stroke inadequately address comorbid psychological distress. We propose to develop, refine, and pilot the Improving outcomes with comprehensive stroke self- management (I’m Whole) treatment. First, we will combine the Self-management TO Prevent Stroke using Video teleconferencing (VSTOP-II) and Enhancing Psychological Distress Coping (EPiC) cognitive-behavioral treatment to develop a single, group-based, behavioral stroke self- management treatment that addresses stroke risk reduction and psychological distress. Secondly, we will pilot test and refine the treatment. Lastly, we will test the feasibility and preliminary effectiveness of I’m Whole. We believe this proposal will provide a promising integrated treatment approach that will aid Veterans with comorbid psychological distress in living a functioning and fulfilling lifestyle.