Psychological Management of Stroke presents a review and synthesis of the current theory and data relating to the assessment, treatment, and psychological aspects of stroke.
Provides comprehensive reviews of evidence based practice relating to stroke
Written by clinical psychologists working in stroke services
Covers a broad range of psychological aspects, including fitness to drive, decision making, prevention of stroke, and involvement of carers and families
Reviews and synthesizes new data across a wide range of areas relevant to stroke and the assessment, treatment, and care of stroke survivors and their families
Represents a novel approach to the application of psychological theory and principles in the stroke field
This timely book offers a comprehensive, authoritative, evidence-based and practical guide to the psychological management of stroke. Chapters deal thoroughly with topics such as neuropsychological symptoms, screening for cognitive problems and cognitive rehabilitation, managing emotional problems, fear of falling, carers and prevention. The text offers a balance between research finding and reviews of evidence on the one hand and practical clinical suggestions with examples on the other.
I expect that this book will be highly valued by those offering psychological services and support to stroke patients and their families, as well as those providing medical care in acute and rehabilitation settings. I would strongly recommend it.
—Marie Johnston, Emeritus Professor of Health Psychology, University of Aberdeen, Scotland
About the Authors vii
Foreword by The Stroke Association ix
Section 1 Background to Stroke and Stroke Services 1
Chapter 1 Experiences and Effects of Stroke and Its Aftermath 3
Chapter 2 Clinical Stroke Services 28
Chapter 3 Neurological Basis of Stroke and Related Vascular Disorders 60
Section 2 Cognitive Effects of Stroke 85
Chapter 4 Neuropsychological Symptoms of Stroke 87
Chapter 5 Screening for Cognitive Problems after Stroke 109
Chapter 6 Neuropsychological Assessment after Stroke 130
Chapter 7 Communication Problems after Stroke 160
Chapter 8 Driving after Stroke 181
Chapter 9 Decision Making and Mental Capacity 203
Chapter 10 Neuropsychological Aspects of Rehabilitation 232
Chapter 11 Cognitive Rehabilitation 248
Chapter 12 Challenging Behaviour after Stroke 266
Section 3 Emotional Effects of Stroke 281
Chapter 13 Emotional Problems after Stroke 283
Chapter 14 Screening and Evaluation of Emotional Problems After Stroke 299
Chapter 15 Managing Emotional Problems after Stroke 329
Chapter 16 Behavioural and Cognitive-Behavioural Therapy for Depression after Stroke 336
Chapter 17 Stroke and Fear of Falling 349
Chapter 18 Prevention of Psychological Distress after Stroke 362
Chapter 19 Pain and Fatigue 378
Section 4 Social Dimensions of Stroke 391
Chapter 20 Carers of Stroke Survivors 393
Chapter 21 Strokes in Young People: Families and Children, Carers, Employment and Long-Term Survival 425
Chapter 22 Prevention of Stroke 455
Chapter 23 Conclusions and Future Directions 486
Appendix 1 491
About the Authors:
Nadina Lincoln is Professor of Clinical Psychology at the University of Nottingham and Honorary Consultant Clinical Neuropsychologist at Nottingham University Hospitals NHS Trust. She has conducted an extensive programme of research to evaluate clinical stroke services.
Ian Kneebone is a Consultant Clinical Psychologist and a Visiting Reader at the University of Surrey. He has published on screening measures to detect psychological problems after stroke and on psychological interventions to manage them.
Jamie Macniven is a Consultant Clinical Neuropsychologist for Nottingham University Hospitals NHS Trust and Course Director of the MSc programme in clinical neuropsychology at the University of Nottingham.
Reg Morris is Programme Director of the South Wales Doctorate Programme in Clinical Psychology, Honorary Professor at the Cardiff University and Consultant Clinical Psychologist in Wiltshire NHS Trust and has published widely about facets of stroke care.