Psychological Management of Stroke

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.

• About the Authors vii Foreword by The Stroke Association ixPreface xiAcknowledgements xiiiSection 1 Background to Stroke and Stroke Services 1Chapter 1 Experiences and Effects of Stroke and Its Aftermath 3Chapter 2 Clinical Stroke Services 28Chapter 3 Neurological Basis of Stroke and Related Vascular Disorders 60Section 2 Cognitive Effects of Stroke 85Chapter 4 Neuropsychological Symptoms of Stroke 87Chapter 5 Screening for Cognitive Problems after Stroke 109Chapter 6 Neuropsychological Assessment after Stroke 130Chapter 7 Communication Problems after Stroke 160Chapter 8 Driving after Stroke 181Chapter 9 Decision Making and Mental Capacity 203Chapter 10 Neuropsychological Aspects of Rehabilitation 232Chapter 11 Cognitive Rehabilitation 248Chapter 12 Challenging Behaviour after Stroke 266Section 3 Emotional Effects of Stroke 281Chapter 13 Emotional Problems after Stroke 283Chapter 14 Screening and Evaluation of Emotional Problems After Stroke 299Chapter 15 Managing Emotional Problems after Stroke 329Chapter 16 Behavioural and Cognitive-Behavioural Therapy for Depression after Stroke 336Chapter 17 Stroke and Fear of Falling 349Chapter 18 Prevention of Psychological Distress after Stroke 362Chapter 19 Pain and Fatigue 378Section 4 Social Dimensions of Stroke 391Chapter 20 Carers of Stroke Survivors 393Chapter 21 Strokes in Young People: Families and Children, Carers, Employment and Long-Term Survival 425Chapter 22 Prevention of Stroke 455Chapter 23 Conclusions and Future Directions 486Appendix 1 491References 493Index 589

“This comprehensive and inspirational book ensures psychological care equals the importance of physical interventions to maximise quality of life poststroke.  It is relevant to occupational therapy stroke clinicians, researchers and students, as well as being a valuable asset to multidisciplinary stroke services at all stages of the patient journey.”  (British Journal of Occupational Therapy, 1 December 2012)“Overall I found this a timely text that would be an excellent resource for anyone working in stroke services.”  (The Psychologist, 1 January 2013)“I offer my congratulations to the authors and my thanks on behalf of psychologists, stroke survivors, and their families.”  (Psyccritiques, 5 September 2012)