Multidisciplinary Management of Post-Stroke Depression: A Survey of Therapists' Observations.
Background: Post-stroke depression is common yet frequently underdiagnosed, substantially hindering rehabilitation engagement and functional recovery. Understanding its impact from the clinician's perspective is critical to optimizing care. Objective: This study aimed to explore how post-stroke depr...
| Publicado en: | NeuroRehabilitation Vol. 58; no. 3; pp. 463 - 474 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193319988&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193319988 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: May2026 vid: 58 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 193319988 191675287 193319988 193319988 10.1177/10538135261420363 193319988 ppf: 463 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multidisciplinary Management of Post-Stroke Depression: A Survey of Therapists' Observations. aug: au: Pisaniello, Diletta Maria Johnson, Ingela Kerstin Anello, Sara Battain, Pier Carlo affil: Lecturer, Università degli Studi di Milano, CdS in Terapia Occupazionale, Fondazione Don Gnocchi IRCCS S. Maria Nascente, Milan, Italy sug: subj: Stroke Complications Depression Etiology Depression Rehabilitation Stroke Rehabilitation Depression Psychosocial Factors Rehabilitation Psychosocial Factors Multidisciplinary Care Team Patient Autonomy Evaluation Occupational Therapist Attitudes Evaluation Physical Therapist Attitudes Evaluation Speech-Language Pathologist Attitudes Evaluation Human Stroke Patients Psychiatric Patients Occupational Therapists Psychosocial Factors Physical Therapists Psychosocial Factors Speech-Language Pathologists Psychosocial Factors Nonexperimental Studies Multicenter Studies Thematic Analysis Motivation Collaboration Goal-Setting Patient Participation Stress, Occupational Therapeutic Alliance Time Interprofessional Relations Support, Psychosocial Quality of Life Speech Therapy Physical Therapy Occupational Therapy Italy Questionnaires Adult Middle Age Descriptive Statistics Rehabilitation Patients Data Analysis Software Activities of Daily Living Interpersonal Relations Physical Mobility Communication Motor Skills Cognition Communication Skills Social Skills Hopelessness Anxiety Self-Efficacy Personal Satisfaction Frustration Job Satisfaction Creativeness Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Post-stroke depression is common yet frequently underdiagnosed, substantially hindering rehabilitation engagement and functional recovery. Understanding its impact from the clinician's perspective is critical to optimizing care. Objective: This study aimed to explore how post-stroke depression affects patient autonomy and rehabilitation processes from the viewpoint of occupational, physical, and speech therapists. Methods: An observational mixed-methods study was conducted via an online survey of 111 neurorehabilitation therapists. Quantitative data were analyzed descriptively; qualitative responses from open-ended questions underwent thematic analysis. Results: Therapists reported that post-stroke depression profoundly influences rehabilitation through: (1) reduced patient motivation and collaboration; (2) the consequent need for adapted therapeutic strategies (e.g., modified goal-setting and relational approaches); (3) significant professional challenges in patient engagement; and (4) an increased emotional burden on therapists. Consequently, interventions are routinely modified, requiring more time, interdisciplinary coordination, and psychological support. Conclusions: This study underscores that post-stroke depression necessitates a fundamentally adapted, team-based rehabilitation approach tailored to motivational deficits. The findings highlight the importance of early screening, therapist training in motivational and relational skills, and structured support for clinicians to improve both patient outcomes and therapist well-being. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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