TREATMENT OF AFFECTIVE DEFICITS IN STROKE REHABILITATION

中风后情感障碍是普遍的，即它们影响任何地方 40-65%的中风患者。 这些疾病的诊断和治疗 中风患者的精神障碍是一个主要的未得到治疗的问题， 医疗康复社区。 传统的诊断方法 完全依赖于口头的自我报告或非口头的 抑郁症的表达没有充分解决 失语症或其他认知障碍的沟通困难 干扰，即，韵律，最小化，具体的思维，这限制了 中风患者的认知能力。 而且 各种治疗方法的有效性还没有被 在这个群体中进行了系统的研究。 这项研究的目的是 是双重的：首先，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 中风;其次，评估两种方法的有效性， 治疗：抗抑郁药和认知疗法，当管理 单独地或组合地。 预计， 诊断和更积极的治疗将显着改善 这一美国老年人群体的生活质量。

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.