Stroke Clinical Trial
Official title:
The Sunlight Improves Depression in Stroke Patients
Verified date | August 2019 |
Source | Taipei Veterans General Hospital, Taiwan |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
Chronic diseases has been the leading causes of death in 2015 to 2017 based on the National database. In particular, cerebrovascular disease was the third in 2015, the fourth in 2016 and 2017. In the Statistical Office of the Ministry of Health and Welfare (2016, 2017,2018). Previous studies have suggested that nearly 30% of the stroke victims present with signs of depression within the first 5 years of illness. Since post-stroke depression significantly affects the patient both physically and psychologically, the emotional disturbances impede the progress and effectiveness of rehabilitation. Regarding the non-pharmacological treatment of melancholia, the phototherapy has been used to treat psychological, behavioral or emotional disorders with satisfactory outcomes.Furthermore, many studies has suggested that artificial light should mimic natural sunlight to reach optimal effect. The benefit of sunlight in human wellbeing has been well documented, therefore we intend to utilize sunlight therapy for stroke patients in order to improve their physical and mental health.
Status | Completed |
Enrollment | 46 |
Est. completion date | April 23, 2018 |
Est. primary completion date | April 23, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 24 Years to 85 Years |
Eligibility |
Inclusion Criteria: - Participants also had to meet at least two of the Diagnostic and Statistical Manual(DSM)-IV diagnosis criteria for minor depression, dejection, or dysthymia, and had to be conscious and capable of expressing themselves. Participants had to be aged 20 or above, able to converse in or be literate in Mandarin or Taiwanese, and agree, after being asked to provide consent, to participate in this study. Exclusion Criteria: - Patients with a NIHSS score higher than 16 (severe stroke); patients with stroke caused by cancer metastasis; stroke patients with cancer comorbidity; and patients who were on dialysis, pregnant, mentally-challenged, or suffering from severe cognitive disabilities. |
Country | Name | City | State |
---|---|---|---|
Taiwan | Su-Jen Wang | Taipei |
Lead Sponsor | Collaborator |
---|---|
Taipei Veterans General Hospital, Taiwan |
Taiwan,
West A, Jennum P, Simonsen SA, Sander B, Pavlova M, Iversen HK. Impact of naturalistic lighting on hospitalized stroke patients in a rehabilitation unit: Design and measurement. Chronobiol Int. 2017;34(6):687-697. doi: 10.1080/07420528.2017.1314300. Epub — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | cognitive status (mini-mental state examination,MMSE). | change cognitive status. A total of 11 evaluation projects. Can be divided into four parts including orientation, language, attention and memory. The content includes an assessment of the orientation, message acceptance, attention and arithmetic skills, short-term memory, language (reading, writing, naming, understanding, etc.) of the current time and place. The highest score is 30 points, 0-23 is abnormal, and 24 points is normal. |
8-12weeks | |
Primary | depression status (Taiwanese depression scale, TDS) | change depression status. Assess the feeling of body and mood within 7 days. Those who are above 19 will be considered as those with severe depression. 15-18 is divided into depression points to the critical point. 9-14 is divided into emotional ups and downs. | 8-12weeks | |
Primary | physical activity function (Barthel Index) | improved physical activity function. The total score of the scale is between 0 to 100 points. The higher the score, the better the activity Can be re-evaluated at different times, compare the difference in scores to determine whether daily life function is progressing or regressing | 8-12weeks | |
Secondary | National Institute of Health Stroke Scale (NIHSS) | change stroke severity. The total score of the scale is between 0 to 38 points stroke severity was categorized as minor (NIHSS = 0 to 6), moderate (NIHSS = 7 to 15), and severe (NIHSS = 16 to 38) | 8-12weeks |
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