Survey of mental health care for people with poststroke aphasia: Mixed-methods analysis.

IF 1.9 4区 医学 Q3 PSYCHOLOGY, CLINICAL
Maria Dekhtyar, Katrina Ross, Camila Maura, Mackenzie Zisser, Andreana P Haley, Christopher G Beevers
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Abstract

Purpose/objective: People with poststroke aphasia (PWA) are at increased risk for developing symptoms of depression. However, access to mental health (MH) care is often limited for this population. The goal of this study was to survey clinicians about current practices and specifically to examine (1) whether they work with PWA, (2) how often they observe symptoms of mood disorders in PWA, (3) how often these symptoms are treated, (4) who provides treatment for PWA, (5) what treatment consists of, and (6a) what training clinicians receive and (6b) provide for their trainees.

Research method/design: A 19-question multiple-choice and free-response survey was shared widely with clinicians.

Results: One hundred sixteen participants responded to at least 80% of the survey. The respondents were grouped as: MH and non-MH providers. Among MH and non-MH providers, most observed mood symptoms in PWA at least half the time, though the majority reported PWA receiving behavioral interventions for depression only sometimes/rarely. Responses regarding who provides care and what types of care are provided were mixed. Only 24% of MH and 9% of non-MH providers reported receiving specific training to address mood disorders in PWA, and more supervisors reported teaching MH trainees to work with people with language disorders than teaching non-MH providers to provide mental health care.

Conclusion/implications: The path for receiving and providing MH treatment for PWA does not appear to be standardized, which may contribute to gaps in services. Considerations for collaborative training and treatment are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

目的/目标:卒中后失语症(PWA)患者出现抑郁症状的风险较高。然而,这一人群获得心理健康(MH)护理的机会往往有限。本研究的目的是调查临床医生目前的工作情况,特别是调查(1)他们是否为 PWA 工作;(2)他们观察到 PWA 出现情绪障碍症状的频率;(3)治疗这些症状的频率;(4)谁为 PWA 提供治疗;(5)治疗包括哪些内容;以及(6a)临床医生接受了哪些培训;(6b)为他们的受训者提供了哪些培训:研究方法/设计:向临床医生广泛发放一份包含 19 道选择题和自由回答题的调查问卷:结果:116 名参与者对至少 80% 的调查做出了回应。调查对象分为医疗服务提供者和非医疗服务提供者。在精神健康和非精神健康服务提供者中,大多数人至少有一半的时间观察到 PWA 的情绪症状,但大多数人表示 PWA 有时/很少接受抑郁症行为干预。关于由谁提供护理以及提供何种类型的护理,回答不一。只有 24% 的心理健康服务提供者和 9% 的非心理健康服务提供者表示接受过针对 PWA 情绪障碍的专门培训,与教导非心理健康服务提供者提供心理健康护理相比,更多的主管表示教导心理健康受训者与语言障碍患者打交道:接受和为 PWA 提供心理健康治疗的途径似乎并不规范,这可能会造成服务差距。本文讨论了合作培训和治疗的注意事项。(PsycInfo Database Record (c) 2025 APA, all rights reserved)。
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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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