{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:44:50Z","timestamp":1778759090036,"version":"3.51.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>We present the case of a 42-year-old man with subacute stroke who developed remarkable fear of falling and eventually recovered with an approach based on cognitive behavioral therapy (CBT). The CBT-based approach was implemented after the patient developed significant fear of falling with exacerbated obsessive-compulsive symptoms appeared immediately after a fall. The patient\u2019s anxiety decreased over time, and his ability to perform these tasks and activities of daily living improved accordingly. After 6 weeks of intervention, his anxiety toward gait and stairs almost disappeared; additionally, he achieved modified independence for gait and supervision for stairs and was discharged home successfully. These findings in the present case suggest the effectiveness of an evaluation and interventional approach based on CBT for stroke patients with a severe fear of falling.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000425","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T04:04:39Z","timestamp":1594613079000},"page":"383-385","source":"Crossref","is-referenced-by-count":3,"title":["Cognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling: a case report"],"prefix":"10.1097","volume":"43","author":[{"given":"Shunya","family":"Ohyagi","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Tatemoto","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seigo","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Sugita","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Honaga","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Otaka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino"},{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"R1-20230918","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1161\/01.STR.27.3.415","article-title":"Complications after acute stroke.","volume":"27","author":"Davenport","year":"1996","journal-title":"Stroke"},{"key":"R2-20230918","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1016\/j.pmrj.2016.05.012","article-title":"Falls and fear of falling after stroke: a case-control study.","volume":"8","author":"Goh","year":"2016","journal-title":"PM R"},{"key":"R4-20230918","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1080\/13607863.2015.1020411","article-title":"Evaluation of a combined cognitive-behavioural and exercise intervention to manage fear of falling among elderly residents in nursing homes.","volume":"20","author":"Huang","year":"2016","journal-title":"Aging Ment Health"},{"key":"R5-20230918","doi-asserted-by":"crossref","first-page":"797","DOI":"10.5535\/arm.2012.36.6.797","article-title":"Fear of falling in subacute hemiplegic stroke patients: associating factors and correlations with quality of life.","volume":"36","author":"Kim","year":"2012","journal-title":"Ann Rehabil Med"},{"key":"R6-20230918","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1080\/09602011.2013.820135","article-title":"Treating anxiety after stroke using cognitive-behaviour therapy: two cases.","volume":"23","author":"Kneebone","year":"2013","journal-title":"Neuropsychol Rehabil"},{"key":"R7-20230918","first-page":"5","article-title":"Practice guideline for the treatment of patients with obsessive-compulsive disorder.","volume":"164","author":"Koran","year":"2007","journal-title":"Am J Psychiatry"},{"key":"R8-20230918","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1093\/ageing\/afy010","article-title":"Cognitive behavioural therapy for fear of falling and balance among older people: a systematic review and meta-analysis.","volume":"47","author":"Liu","year":"2018","journal-title":"Age Ageing"},{"key":"R9-20230918","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1161\/STROKEAHA.118.022406","article-title":"Decreasing fear of falling in chronic stroke survivors through cognitive behavior therapy and task-oriented training.","volume":"50","author":"Liu","year":"2019","journal-title":"Stroke"},{"key":"R10-20230918","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.psychres.2014.11.058","article-title":"Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder.","volume":"225","author":"McKay","year":"2015","journal-title":"Psychiatry Res"},{"key":"R11-20230918","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta20560","article-title":"Cognitive-behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial - 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