TERAPI KOGNITIF PERILAKU UNTUK MEREDUKSI TINGKAT KECEMASAN PADA PASIEN PASCA STROKE

Abstract

Patient's post-stroke anxiety can be identified by observing their cognitive, physical, emotional, and behavioral characteristics. Basically, it is impossible to eliminate the anxiety permanently, but reduce it by conducting some therapies. One of the therapies is cognitive behavior therapy with via letting go relaxation technique, cognitive restructuring, and exposure with response prevention. The therapy aims at reducing the anxiety indicated by the decrease of anxiety level and negative thought frequency, the ability to create more positive, rational, and healthier thought, and more adaptive behavior. The single case study employed ABA design. The research subjects were two patients suffering from post-stroke anxiety determine by Subjective Units of Discomfort Scale (SUDs), Beck Anxiety Inventory (BAI), and recognized characteristic of post stroke anxiety. The study was conducted in some stages, namely pre therapy, therapy, post therapy, and follow up in seven sessions. Afterwards, three-week monitoring program was conducted to observe the subject's condition after therapy termination. The first subject was treated by 2 session via letting go relaxation therapy technique, 2 session cognitive restructuring, and 3 session exposure. Meanwhile, the second subject was treated by 3 session via letting go relaxation therapy technique, 2 session cognitive restructuring, 2 session exposure. The study used Subjective Units of Discomfort Scale (SUDs), Beck Anxiety Inventory (BAI), and the self monitoring as the research instrument. The findings showed that cognitive behavior therapy significantly reduced the patient's post stroke anxiety.