P0376 - Comprehensive approach to psychotherapy in families of post-stroke patients

Abstract

Cerebral stroke is the most prevalent CNS affection. The number of patients suffering from it has substantially grown for the recent years, and there is an evident trend towards strokes “getting younger.”

Taking into account the aforesaid, it seems impossible to adhere to any single method or approach (dynamic, cognitive and behavioral as well as rational, etc.). The goal of the comprehensive psychotherapy approach distinguished by a combination of individual and familial activities is to solve the problems related to complete recovery of the functions that the patients and members of their families lost.

As many as 100 families of post-stroke patients took part in the study. The control group consisted of 50 families that did not participate in the psychotherapeutic process.

Several techniques were used during the psychological research including the Family Environment Scale (FES), Color Test of Attitudes (A.M. Etkind), Personal Questionnaire (Gissensky), E. Heim's coping behavior study techniques. The same tests were applied after the psychotherapy to assess the psychotherapy efficiency. The "motional activity test" (TDA), "self-service test" (TS) and "rehabilitation level test" (TUR) were used to evaluate clinical and social results of the rehabilitation both in the group of patients with family consultations and in the control group.

Conclusion:

application of the comprehensive approach to psychotherapy distinguished by a combination of individual and familial activities at the early regenerative stage for post-stroke patients allows reducing the rehabilitation period and extending opportunities for patients' adequate functioning in the social environment in general and in family, in particular.