Psychological Stress Management and Stress Reduction Strategies for Stroke Survivors: A Scoping Review

Article


Hinwood, Madeleine, Ilicic, Marina, Gyawali, Prajwal, Coupland, Kirsten, Kluge, Murielle G., Smith, Angela, Bowden, Sue, Nilsson, Michael and Walker, Frederick Rohan. 2023. "Psychological Stress Management and Stress Reduction Strategies for Stroke Survivors: A Scoping Review." Annals of Behavioral Medicine. 57 (2), p. 111–130. https://doi.org/10.1093/abm/kaac002
Article Title

Psychological Stress Management and Stress Reduction Strategies for Stroke Survivors: A Scoping Review

ERA Journal ID6087
Article CategoryArticle
AuthorsHinwood, Madeleine (Author), Ilicic, Marina (Author), Gyawali, Prajwal (Author), Coupland, Kirsten (Author), Kluge, Murielle G. (Author), Smith, Angela (Author), Bowden, Sue (Author), Nilsson, Michael (Author) and Walker, Frederick Rohan (Author)
Journal TitleAnnals of Behavioral Medicine
Journal Citation57 (2), p. 111–130
Number of Pages20
Year2023
PublisherOxford University Press
Place of PublicationUnited States
ISSN0883-6612
1532-4796
Digital Object Identifier (DOI)https://doi.org/10.1093/abm/kaac002
Web Address (URL)https://academic.oup.com/abm/article/57/2/111/6605937
Abstract

Background: Stroke can be a life-changing event, with survivors frequently experiencing some level of disability, reduced independence, and an abrupt lifestyle change. Not surprisingly, many stroke survivors report elevated levels of stress during the recovery process, which has been associated with worse outcomes.

Purpose: Given the multiple roles of stress in the etiology of stroke recovery outcomes, we aimed to scope the existing literature on stress management interventions that have been trialed in stroke survivors.

Methods: We performed a database search for intervention studies conducted in stroke survivors which reported the effects on stress, resilience, or coping outcome. Medline (OVID), Embase (OVID), CINAHL (EBSCO), Cochrane Library, and PsycInfo (OVID) were searched from database inception until March 11, 2019, and updated on September 1, 2020.

Results: Twenty-four studies met the inclusion criteria. There was significant variation in the range of trialed interventions, as well as the outcome measures used to assess stress. Overall, just over half (13/24) of the included studies reported a benefit in terms of stress reduction. Acceptability and feasibility were considered in 71% (17/24) and costs were considered in 17% (4/24) of studies. The management of stress was rarely linked to the prevention of symptoms of stress-related disorders. The overall evidence base of included studies is weak. However, an increase in the number of studies over time suggests a growing interest in this subject. Conclusions: Further research is required to identify optimum stress management interventions in stroke survivors, including whether the management of stress can ameliorate the negative impacts of stress on health.

KeywordsStroke, Stress, Resilience, Stress intervention, Stress management, Depression
ANZSRC Field of Research 2020320905. Neurology and neuromuscular diseases
420109. Rehabilitation
520503. Personality and individual differences
Byline AffiliationsUniversity of Newcastle
Hunter Medical Research Institute, Australia
School of Health and Wellbeing
Department of Health, New South Wales
Moon River Turkey, Australia
Institution of OriginUniversity of Southern Queensland
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Zalewska, Katarzyna, Pietrogrande, Giovanni, Ong, Lin Kooi, Abdolhoseini, Mahmoud, Kluge, Murielle, Johnson, Sarah J., Walker, Frederick R. and Nilsson, Michael. 2018. "Sustained administration of corticosterone at stress-like levels after stroke suppressed glial reactivity at sites of thalamic secondary neurodegeneration." Brain, Behavior, and Immunity. 69, pp. 210-222. https://doi.org/10.1016/j.bbi.2017.11.014
Physical activity for cognitive and mental health in youth: A systematic review of mechanisms
Lubans, David, Richards, Justin, Hillman, Charles, Faulkner, Guy, Beauchamp, Mark, Nilsson, Michael, Kelly, Paul, Smith, Jordan, Raine, Lauren and Biddle, Stuart. 2016. "Physical activity for cognitive and mental health in youth: A systematic review of mechanisms." Pediatrics. 138 (3), pp. 1-15. https://doi.org/10.1542/peds.2016-1642
Chronic stress induced disruption of the peri-infarct neurovascular unit following experimentally induced photothrombotic stroke
Zhao, Zidan, Ong, Lin Kooi, Johnson, Sarah, Nilsson, Michael and Walker, Frederick R.. 2017. "Chronic stress induced disruption of the peri-infarct neurovascular unit following experimentally induced photothrombotic stroke." Journal of Cerebral Blood Flow and Metabolism. 37 (12), pp. 3709-3724. https://doi.org/10.1177/0271678X17696100
Impaired microglia process dynamics post-stroke are specific to sites of secondary neurodegeneration
Kluge, Murielle G., Kracht, Laura, Mahmoud Abdolhoseini, Ong, Lin Kooi, Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Impaired microglia process dynamics post-stroke are specific to sites of secondary neurodegeneration." Glia. 65 (12), pp. 1885-1899. https://doi.org/10.1002/glia.23201
Oral administration of corticosterone at stress-like levels drives microglial but not vascular disturbances post-stroke
Zalewska, Katarzyna, Ong, Lin Kooi, Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Oral administration of corticosterone at stress-like levels drives microglial but not vascular disturbances post-stroke." Neuroscience. 352, pp. 30-38. https://doi.org/10.1016/j.neuroscience.2017.03.005
Oral corticosterone administration alone is sufficient to simulate the actions of chronic stress on glial cells but not on vasculature
Zalewska, K., Ong, L. K., Pietrogrande, G., Johnson, S. J., Nilsson, M. and Walker, F. R.. 2017. "Oral corticosterone administration alone is sufficient to simulate the actions of chronic stress on glial cells but not on vasculature." 13th European Meeting on Glial Cells in Health and Disease (2017). Scotland 08 - 11 Jul 2017 United States.
Chronic stress exposure following photothrombotic stroke is associated with increased levels of Amyloid beta accumulation and altered oligomerisation at sites of thalamic secondary neurodegeneration in mice
Ong, Lin Kooi, Zhao, Zidan, Kluge, Murielle, Walker, Frederick R. and Nilsson, Michael. 2017. "Chronic stress exposure following photothrombotic stroke is associated with increased levels of Amyloid beta accumulation and altered oligomerisation at sites of thalamic secondary neurodegeneration in mice." Journal of Cerebral Blood Flow and Metabolism. 37 (4), pp. 1338-1348. https://doi.org/10.1177/0271678X16654920
Authors’ response re: ‘‘Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend of foe?” by Ong et al. Brain Behavior and Immunity, 2016
Ong, Lin Kooi, Nilsson, Michael and Walker, Frederick R.. 2017. "Authors’ response re: ‘‘Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend of foe?” by Ong et al. Brain Behavior and Immunity, 2016." Brain, Behavior, and Immunity. 60, pp. 384-384. https://doi.org/10.1016/j.bbi.2016.11.029
Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend or foe?
Ong, Lin Kooi, Zhao, Zidan, Kluge, Murielle, TeBay, Clifford, Zalewska, Katarzyna, Dickson, Phillip W., Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend or foe?" Brain, Behavior, and Immunity. 60, pp. 117-125. https://doi.org/10.1016/j.bbi.2016.10.001
Association of abnormal erythrocyte morphology with oxidative stress and inflammation in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Bwititi, Phillip T. and Nwose, Ezekiel Uba. 2015. "Association of abnormal erythrocyte morphology with oxidative stress and inflammation in metabolic syndrome." Blood Cells, Molecules and Diseases. 54 (4), pp. 360-363. https://doi.org/10.1016/j.bcmd.2015.01.005
The association of dyslipidemia with erythrocyte aggregation
Gyawali, Prajwal, Richards, Ross S, Bwititi, Phillip T. and Nwose, Ezekiel Uba. 2015. "The association of dyslipidemia with erythrocyte aggregation ." Clinical Lipidology. 10 (2), pp. 129-135. https://doi.org/10.2217/CLP.15.3
Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Tinley, Paul and Nwose, Ezekiel Uba. 2014. "Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome ." Microvascular Research. 95, pp. 31-36. https://doi.org/10.1016/j.mvr.2014.06.013
Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients
Regmi, Prashant, Malla, Bimala, Gyawali, Prajwal, Sigdel, Manoj, Shrestha, Rojeet, Shah, Dibya Singh and Khanal, Madhav Prasad. 2014. "Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients." Clinical Biochemistry. 47 (1-2), pp. 77-81. https://doi.org/10.1016/j.clinbiochem.2013.09.012
Erythrocyte aggregation and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Hughes, Diane L. and Tinley, Paul. 2014. "Erythrocyte aggregation and metabolic syndrome." Clinical Hemorheology and Microcirculation. 57 (1), pp. 73-83. https://doi.org/10.3233/CH-131792
Whole-blood viscosity and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S, Nwose, Ezekiel Uba and Bwititi, Phillip T. 2012. "Whole-blood viscosity and metabolic syndrome ." Clinical Lipidology. 7 (6), pp. 709-719. https://doi.org/10.2217/CLP.12.65
Erythrocyte morphology in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S. and Nwose, Ezekiel Uba. 2012. "Erythrocyte morphology in metabolic syndrome ." Expert Review of Hematology. 5 (5), pp. 523-531. https://doi.org/10.1586/EHM.12.47
Increased microglial activation in the rat brain following neonatal exposure to a bacterial mimetic
Sominsky, L., Walker, A. K., Ong, L. K., Tynan, R. J., Walker, F. R. and Hodgson, D. M.. 2012. "Increased microglial activation in the rat brain following neonatal exposure to a bacterial mimetic." Behavioural Brain Research. 226 (1), pp. 351-356. https://doi.org/10.1016/j.bbr.2011.08.038
Epigenetic Inheritance of Anxiety-Like Behaviour in Rats - Role of Early Life Exposure to a Bacterial Mimetic
Sominsky, L., Walker, A. K., Ong, L., Tynan, R. J., Walker, F. R. and Hodgson, D. M.. 2011. "Epigenetic Inheritance of Anxiety-Like Behaviour in Rats - Role of Early Life Exposure to a Bacterial Mimetic." Journal of Developmental Origins of Health and Disease. 2, pp. S109-S109.
The Effect of Social Defeat on Tyrosine Hydroxylase Phosphorylation in the Rat Brain and Adrenal Gland
Ong, Lin Kooi, Bobrovskaya, Larisa, Walker, Frederick R., Day, Trevor A., Dickson, Phillip W. and Dunkley, Peter R.. 2011. "The Effect of Social Defeat on Tyrosine Hydroxylase Phosphorylation in the Rat Brain and Adrenal Gland." Neurochemical Research. 36 (1), pp. 27-33. https://doi.org/10.1007/s11064-010-0255-7
The effect of social conflict on tyrosine hydroxylase phosphorylation in catecholamine-producing cells from sprague-dawley rats
Ong, L., Bobrovskaya, L., Walker, F., Day, Trevor, Dickson, P. and Dunkley, P.. 2009. "The effect of social conflict on tyrosine hydroxylase phosphorylation in catecholamine-producing cells from sprague-dawley rats." 22nd Biennial Meeting of the International Society for Neurochemistry & Asian Pacific Society for Neurochemistry (2009). South Korea 23 - 29 Aug 2009 United Kingdom.