Pilot testing a positive psychology-based intervention for couples coping with stroke

项目摘要 中风幸存者和配偶照顾者面临着重大挑战，但干预措施，以支持夫妇后， 中风在很大程度上缺乏。中风后抑郁症状发生在30-50%的幸存者和伴侣中 照顾者，并对功能和生活质量产生重大影响。此外，情绪和心理社会 幸福感在夫妻中是相互的，这意味着如果一方抑郁，另一方更有可能 郁闷.维持伴侣双方的福祉对于继续参与康复和 重新融入社区，但现有的干预措施是针对个人而不是夫妇。 这项研究将通过测试一种创新的二元（基于夫妇）干预来解决这一差距， 基于积极心理学的方法，专注于关系中的优势，以促进 这对夫妇的韧性。使用随机等待列表控制设计，该试点研究旨在确定是否 为期8周的积极心理干预（PPI）可以改善情绪和主观幸福感， 通过对24对中风夫妇的既定结局指标进行评估。干预包括自我- 管理的PPI活动，如表达感激之情和实践善良的行为，参与者 无论是个人还是夫妻将探讨生产者价格指数的两个潜在途径： 夫妻处理日常生活需求时的互动质量，以及（B） 在夫妻间“传染”如果发现有效，幸福感更高的夫妇可能在情感上更好 通过减少压力和抑郁症状， 参与有意义的活动和生活质量。

Project Summary Stroke survivors and spousal caregivers face significant challenges, yet interventions to support couples after stroke are largely lacking. Depressive symptoms post-stroke occur in 30-50% of survivors and partner caregivers, and have significant consequences on function and quality of life. Further, mood and psychosocial well-being are reciprocal in couples, meaning if one partner is depressed, the other is more likely to be depressed. Sustaining well-being in both partners is important for continued engagement in rehabilitation and re-integration into the community, yet existing interventions are aimed at the individual rather than the couple. This study will address this gap by testing an innovative dyadic (couples-based) intervention using a new approach based on positive psychology that focuses on the strengths in the relationship in order to foster resilience in the couple. Using a randomized waitlist control design, this pilot study aims to determine whether an 8-week dyadic positive psychology-based intervention (PPI) can improve mood and subjective well-being as assessed by established outcome measures in 24 couples coping with stroke. The intervention consists of self- administered PPI activities, such as expressing gratitude and practicing acts of kindness, which participants complete individually and as a couple. Two potential pathways will be explored for the PPI: (a) enhanced quality of interactions as couples deal with daily life demands and (b) improvements in mood that are “contagious” among couples. If found effective, couples with greater well-being may be better emotionally equipped to cope with the sequelae of stroke by reducing stress and depressive symptoms, and increasing participation in meaningful activities and quality of life.