Cognitive Behavior Therapy (CBT) Pada Pasien Pasca Stroke dengan Depresi Literatur Review

  • Santi Rinjani Universitas Bhakti Kencana
  • Suryani Suryani Fakultas Keperawatan Universitas Padadjaran Bandung
  • Aat Sriati Fakultas Keperawatan Universitas Padadjaran Bandung
  • Andri Nugraha STIKes Karsa Husada Garut
Keywords: cognitive behavioral therapy, depression, stroke post-stroke


Stroke is one of the most serious diseases because of the death and mortality rate. The World Health Organization (WHO) revealed that stroke is the second leading cause of death in the world, killing 6.2 million people. Half of all have problems returning to their pre-stroke state in their daily routine. Especially the psychosocial problems of stroke survivors have a negative impact on their quality of life, causing depression. The level of anxiety and depression can be reduced by means of the patient being given therapy, namely Cognitive Behavior Therapy. This literature search aims to analyze the results of research that focuses on the effect of Cognitive Behavioral Therapy on helplessness, depression in stroke patients. Method This study was conducted by reviewing the literature through electronic media on Sience Direct and Google Scholar and using the keywords "cognitive behavioral therapy in stroke patients and depression", after obtaining 6 articles that met the criteria with a maximum publication year of the last 10 years. The results showed that cognitive behavioral therapy is a type of short-term behavioral treatment that focuses on the patient considering the relationship between beliefs, thoughts, and feelings and following behavioral patterns and behaviors. During cognitive behavioral therapy, depression levels decreased and quality of life improved, psychosocial symptoms decreased, and self-efficacy expectations increased. There are three phases of cognitive behavioral therapy, namely the phase of behavior modification, cognitive restructuring, and reducing adverse effects. The conclusions of this study indicate that Cognitive Behavioral Therapy significantly reduces psychosocial problems, improves patients' quality of life and reduces depression.


Beck, J. (2011). Cognitive behavior therapy: basics and beyond: Guilford press. New York7.
Burton, C. A. C., Murray, J., Holmes, J., Astin, F., Greenwood, D., & Knapp, P. (2013). Frequency of anxiety after stroke: a systematic review and meta-analysis of observational studies. International Journal of Stroke, 8(7), 545-559.
Fitriani, A. (2018). Cognitive Behavior Religious Therapy untuk Menurunkan Tingkat Episode Depresi pada Pasien Depresi dengan Gejala Psikotik. Proyeksi: Jurnal Psikologi, 12(1), 77-87.
Jayati, I. S., & Hadjam, M. N. R. (2015). Tata laksana ‘behavioral activation’untuk menurunkan tingkat depresi pada pasien stroke. Gadjah Mada Journal of Professional Psychology (GamaJPP), 1(2), 77-88.
Kootker, J. A., Fasotti, L., Rasquin, S. M., van Heugten, C. M., & Geurts, A. C. (2012). The effectiveness of an augmented cognitive behavioural intervention for post-stroke depression with or without anxiety (PSDA): the Restore4Stroke-PSDA trial. BMC neurology, 12(1), 1-9.
Nguyen, S., Wong, D., McKay, A., Rajaratnam, S. M., Spitz, G., Williams, G., . . . Ponsford, J. L. (2019). Cognitive behavioural therapy for post-stroke fatigue and sleep disturbance: a pilot randomised controlled trial with blind assessment. Neuropsychological rehabilitation, 29(5), 723-738.
Rizki N, U. A., Pratama AG. (2013). Pengaruh Cognitive Theraphy (CBT) untuk menurunkan simptom depresi pada pasin pasca stroke. UNPAD : Fakultas Psikologi.
Susana, T., Parmadi, E. H., & Adi, P. S. (2015). Program Bantu Diri Terapi Kognitif Perilaku: Harapan bagi Penderita Depresi. Jurnal Psikologi, 42(1), 78-98.
Wang, S.-B., Wang, Y.-Y., Zhang, Q.-E., Wu, S.-L., Ng, C. H., Ungvari, G. S., . . . Xiang, Y.-T. (2018). Cognitive behavioral therapy for post-stroke depression: A meta-analysis. Journal of Affective Disorders, 235, 589-596. doi:
Wiener, J., Mehta, S., Iruthayarajah, J., Janssen, S., & Teasell, R. (2017). The Effectiveness of Cognitive Behavioural Therapy for The Management of Post-Stroke Depressive Symptoms. Archives of Physical Medicine and Rehabilitation, 98(10), e137.
How to Cite
Rinjani, S., Suryani, S., Sriati, A., & Nugraha, A. (2021). Cognitive Behavior Therapy (CBT) Pada Pasien Pasca Stroke dengan Depresi Literatur Review. Journal Medika Cendikia, 8(2), 30-38.