| In the present project a rehabilitation protocol for post stroke depression and anxiety (PSDA) will be developed. This protocol will be tested on its effectiveness. The global aim of the present study is to provide a standardized, augmented cognitive behavioral treatment for depression and anxiety symptoms after stroke. This treatment is aimed at reducing depression and anxiety symptoms, increasing activities, attaining personal goals and preventing the relapse of symptoms. A multicentre randomized controlled trial will be performed. Two groups of stroke patients will be formed (total n=106). Patients will be randomly assigned to either the augmented CBT intervention, or a computerized cognitive training intervention. Outcome measures will be anxiety and depression symptoms (primary), quality of life, goal attainment scaling, participation in social activities and life satisfaction. Assessment of these parameters will take place before the start of the treatment, directly after treatment and at 6 and 12 months follow up. Currently the treatment protocol development is in its final stages. Furthermore, medical ethical approvement has been applied for. Next to that, participating centers will be recruited. The first preliminary results are expected at the end of 2012. |