Nesne Dergisi
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Cilt 10, Sayı 26  Kış 2022  (ISSN: 2147-6489, E-ISSN: )
Başak Durdu Akgün, Gülay Dirik

NO Makale Adı
1651337088 Examination Of Cognitive Behavioral Therapy Interventions For Psychological Distress Of People With Stroke: Systematic Review

Abstract
After stroke, people may experience various psychological difficulties. Many psychological interventions have been developed for these problems. The most frequently applied interventions include Cognitive Behavioral Therapy (CBT) techniques and methods. The aim of this study is to review the literature on CBT interventions for post-stroke psychological distress. Both English and Turkish articles from national and international databases are searched by filtering specified keywords without time criteria. As a result, 11 intervention studies in accordance with the inclusion criteria examined in terms of intervention content, sampling, method, control group type, findings. In most of studies, it can be seen that; few persons are included in the sample, most of them already had a control group, both behavioral and cognitive techniques of CBT are applied in 6 to 16 sessions and the effects of interventions on anxiety, depressive symptoms, fatigue and insomnia were observed. In most of the studies observed that there were significant improvements in depression, anxiety, insomnia and fatigue levels compared to the initial measurements on stroke patients who received CBT-based intervention. However, three studies which are focusing on depressive symptoms showed that the intervention was not effective. Some studies have also indicated that observed improvement cannot be maintained for a long time as a result of follow-up measurements. In the future, CBT-based interventions are likely to be an alternative and effective treatment in the treatment of post-stroke psychological problems by adding them to standard treatments.
Keywords
Stroke, psychological distress, cognitive behavioral therapy