Improving Quality of Life for Veterans with Stroke and Psychological Distress

中风自我管理治疗可以改善残疾，恢复信心， 生活然而，患有共病中风和心理困扰（焦虑和抑郁）的退伍军人 流动性不佳，很少参与有意义的社会互动， 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。当前自我管理 对中风退伍军人的治疗不能充分解决共病的心理困扰。 我们建议开发，完善和试点改善结果与综合中风自我- 管理（我是完整的）治疗。首先，我们将联合收割机自我管理，以防止 使用视频电话会议（VSTOP-II）和增强心理痛苦应对的卒中 （EPiC）认知行为治疗，以开发一个单一的，基于群体的，行为中风自我， 管理治疗，解决中风风险降低和心理困扰。 二是先行先试，细化救治。最后，我们将测试其可行性， 《我是完整的》的初步效果我们相信，这一建议将提供一个有希望的 综合治疗方法，将帮助退伍军人与共病的心理困扰，在生活中 一种正常而充实的生活方式

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.