TREATMENT OF AFFECTIVE DEFICITS IN STROKE REHABILITATION

中风后的情感障碍是无处不在的，也就是说，它们会影响到任何地方 来自40%-65%的中风患者。本病的诊断和治疗 卒中患者的障碍是面临的一个主要的未治疗的问题 医疗康复社区。传统的诊断方法 完全依赖口头的自我报告或非口头的 抑郁的表现既没有充分解决 失语症患者的沟通困难或其他一些认知障碍 干扰，即无韵律、最小化、具体思维，这些限制了 卒中患者的认知能力。此外， 各种治疗方法的有效性尚未得到证实 在这个群体中进行了系统的研究。这项拟议研究的目的 有两个方面：第一，验证一个全面的诊断电池 允许对以下情感障碍进行准确检查 第二，评估两种方法的有效性 治疗：使用抗抑郁药物和认知疗法 单独的或组合的。预计会有更高的准确度 诊断和更积极的治疗将显著改善 这一美国老年群体的生活质量。

Post stroke affective disturbances are pervasive, i.e. they affect anywhere from 40-65% of stroke patients. The diagnosis and treatment of these disturbances in stroke patients is a major untreated problem facing the medical rehabilitation community. Traditional approaches to diagnosis which have relied exclusively on verbal self-report or nonverbal expressions of depression have not adequately addressed either the communication difficulties of aphasics or some of the other cognitive disturbances, i.e., aprosodia, minimization, concrete thinking, which limit the cognitive capacities of stroke patients. Furthermore, the effectiveness of various approaches to treatment has not been systematically studied in this population. The aims of this proposed study are twofold: first, to validate a comprehensive diagnostic battery which permits an accurate examination of the affective disorders following stroke; and secondly, to evaluate the effectiveness of two approaches to treatment: anti-depressants and cognitive therapy, when administered singly or in combination. It is expected that greater accuracy in diagnosis and more aggressive treatment will significantly improve the quality of life of this subgroup of older Americans.