Trial reportClinical rehabilitation2013
Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia.
Trial report in Clinical rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 6 syntheses or guidelines pooled it, 152 citations in OpenAlex.
- Ranking psychological interventions for post-stroke depression: A systematic review and network meta-analysis.Psychological medicine · 2026Pooled it
- Pharmacological, non-invasive brain stimulation and psychological interventions, and their combination, for treating depression after stroke.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of economic analyses of psychological interventions and therapies in health-related settings.BMC health services research · 2022Pooled it
- Predictors of Poststroke Aphasia Recovery: A Systematic Review-Informed Individual Participant Data Meta-Analysis.Stroke · 2021Pooled it
- Pharmacological, psychological, and non-invasive brain stimulation interventions for treating depression after stroke.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- Trial
- Trial
- Preventing depression in aphasia: A cluster randomized control trial of the Aphasia Action Success Knowledge (ASK) program.International journal of stroke : official journal of the International Stroke Society · 2023Trial
- A pilot economic evaluation of a feasibility trial for SUpporting wellbeing through PEeR-Befriending (SUPERB) for post-stroke aphasia.Clinical rehabilitation · 2022Trial
- Trial
- Randomized trial of telephone versus in-person delivery of a brief psychosocial intervention in post-stroke depression.BMC research notes · 2017Trial
- Psychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia.Clinical rehabilitation · 2017Trial
- Trial
- "A Better Way of Just Being Free": Exploring How Stroke Survivors With Aphasia Experienced an Intervention Combining Communication Strategy Training With Acceptance and Commitment Therapy.American journal of speech-language pathology · 2026Article
- Poststroke anxiety and depression: epidemiology, mechanisms, and management strategies.Frontiers in psychiatry · 2026Review
- Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update.European stroke journal · 2026Review
- Advancing aphasia psychological care in Ireland: A participatory study with people with aphasia and clinicians.PloS one · 2026Article
- Feasibility and Preliminary Outcomes of Speech-Language Pathologist-Administered Behavioral Activation: A Psychosocial Intervention for People With Aphasia.American journal of speech-language pathology · 2025Article
- Improving How Healthcare Staff Support the Psychological Well-Being of People Living With Post-Stroke Aphasia: A Co-Created Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia.
designA randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated.
settingParticipants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups. SUBJECTS: Of 511 people with aphasia identified, 105 had low mood and were recruited.
interventionsBehavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation. MAIN MEASURES: Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales 'sad' item, and Visual Analogue Self-Esteem Scale.
resultsParticipants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue 'sad' (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group.
conclusionsBehavioural therapy seemed to improve the mood of people with aphasia.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.