Interplay between Mood, Cognition, Fatigue
We research the interplay of post-stroke cognitive changes with other psychological changes after stroke, in particular depression, anxiety and fatigue. In addition to large project funding in our group from the Stroke Association’s Priority Programme Award into these long term changes with the OX-CHRONIC project, several clinical psychology trainee research projects have delved into unravelling these interactions, along with MSc student projects.
Further, within our group, Dr Kusec has investigated variations of Behavioural Activation Intervention for post-stroke depression (papers in preparation).
Publications
- Williams, O.A., & Demeyere, N. (2021). Association of Depression and Anxiety With Cognitive Impairment 6 Months After Stroke. Neurology.
- Roberts R, Vohora R, & Demeyere N. (2024) Understanding the role of illness perceptions in the relationship between cognitive and emotional difficulties after stroke. Neuropsychological Rehabilitation.
- Kusec A, & Demeyere N. (2024) Relationship of subjective and objective cognition with post-stroke mood differs between early and long-term stroke. The Clinical Neuropsychologist. 0(0):1–22.
- Kusec A, Milosevich E, Williams OA, Chiu EG, Watson P, Carrick C, … & Demeyere N. (2023) Long-term psychological outcomes following stroke: the OX-CHRONIC study. BMC Neurology. 30;23(1):426.
- Carrick C, Kusec A, & Demeyere N. (2024) Post-stroke fatigue severity is associated with executive dysfunction in chronic stroke. Neuropsychological Rehabilitation. 0(0):1–23.
- Wheeler M, Williams OA, Johns L, Chiu EG, Slavkova ED, & Demeyere N. (2023). Unravelling the complex interactions between self-awareness, cognitive change, and mood at 6-months post-stroke using the Y-shaped model. Neuropsychological rehabilitation, 33(4), 680-702.
Funding
OX-CHRONIC – Long term psychological consequences of stroke. Stroke Association Priority Programme Grant (2019-2023)
Developing a Psychological Carepathway for stroke
Managing cognitive and mood changes post stroke is the most frequently reported unmet need, and both were named as the top two research priorities by the James Lind Alliance Priority Setting Partnership. Following a co-production and expert consensus approach to determine the structure and content of such a psychology level 1 carepathway, we have co-developed ENRICH review materials, which are currently being investigated for acceptability and Feasibility in the ENRICH study.
Publications
- Demeyere N. Acute post-stroke screening for a cognitive care pathway. (2024). The Lancet Healthy Longevity. Jan 1;5(1):e4–5.
- Hobden G, Tabone F, Demeyere N. Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review. BMJ Open. 2025 Jan 1;15(1):e084681.
- Lightbody L, Askim T, Cadilhac D, Demeyere N, Hilari K, Neves R, et al. Navigating the road to recovery after stroke. British Journal of Neuroscience Nursing. 2024 Oct 1;20(Sup5):S251–4.
- Hobden G, Tang EYH, & Demeyere N. (2024) A modified Delphi survey to build expert consensus on the structure and content of an enhanced care pathway for cognitive changes after stroke in the UK. BMC Health Serv Res. 2024 Oct 1;24(1):1162.
- Hobden G, Tang EYH, Demeyere N. (2024). A qualitative study investigating the views of stroke survivors and their family members on discussing post-stroke cognitive trajectories. Neuropsychological Rehabilitation. 2024;0(0):1–18.
- Hobden G, Tang E, & Demeyere N. (2023). Cognitive assessment after stroke: A qualitative study of patients’ experiences. Bmj open, 13(6)
Funding
ENRICH (ENhanced Reviews of psychologIcal CHanges after stroke) – NIHR Advanced Fellowship – NIHR302224 – Improving the post-stroke cognitive care pathway (2022-2027)
Developing Cognitive Aids for Rehabilitation in Stroke
Physical and occupational therapy often can be more difficult to complete with stroke survivors who have cognitive impairments. In this PhD project, Faye Tabone is investigating how therapists can adapt their sessions to maximise rehabilitation.
CARES (Cognitive Aid for Rehabilitation in Stroke) Doctoral Stroke Association Fellowship (Faye Tabone, 2024-2027)
People
Kyle Kelleher
