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Peer-reviewedCC BY-NC-NDBMC psychology

Self-care recovery after ischemic stroke: a quasi-experimental comparison of two psychological interventions.

6 affiliations
  1. 1School of Education, Faculty of Arts, Design & Architecture, University of New South Wales (UNSW), Sydney, 2052, Australia.
  2. 2Department of Public Health, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, 31982, Saudi Arabia.
  3. 3Social Determinants of Health Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
  4. 4Biomedicine Research Center, Trauma Institute, Guilan University of medical sciences, Rasht, Iran.
  5. 5British Psychological Society (Chartered Membership Full) "CPsychol", Leicester, United Kingdom.
  6. 6Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. [email protected].

Abstract

Background

Post-stroke patients often experience cognitive, psychological, and self-care impairments. Comparative evidence on mindfulness-based interventions and cognitive rehabilitation interventions remains limited. This study compared two psychological interventions (Mindfulness-Based Stress Reduction (MBSR) and Cognitive Rehabilitation Therapy (CRT)) on post-stroke recovery outcomes.Method

In this quasi-experimental study, 61 ischemic stroke patients were allocated to MBSR, CRT, or control groups. Outcomes included self-care, psychological status, and cognitive function assessed at baseline, post-intervention, and follow-up. Data were analyzed using linear mixed-effects models.Results

Both MBSR and CRT were associated with significant improvements in psychological and self-care outcomes compared with the control group (p < 0.05). MBSR was associated with greater improvement in cognitive outcomes compared to CRT (p < 0.05). Clinically meaningful improvements were observed in intervention groups based on MCID thresholds.Conclusion

Both interventions were associated with improved psychological and self-care outcomes after stroke, while MBSR was associated with greater improvements in cognitive function. Further randomized controlled trials are required to confirm these findings.

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BibTeX
@article{wang2026selfcare,
  title = {{Self-care recovery after ischemic stroke: a quasi-experimental comparison of two psychological interventions.}},
  author = {Yueyuan Wang and Yousef Alsufayan and Roghaye Farhadi Hassankiadeh and Mohadeseh Amirian Chayjan and Mohammad Bin Hasan and Fereshteh Osmani},
  journal = {BMC psychology},
  year = {2026},
  month = aug,
  doi = {10.1186/s40359-026-05278-8},
  url = {https://europepmc.org/article/MED/42958354},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Self-care recovery after ischemic stroke: a quasi-experimental comparison of two psychological interventions.
AU  - Yueyuan Wang
AU  - Yousef Alsufayan
AU  - Roghaye Farhadi Hassankiadeh
AU  - Mohadeseh Amirian Chayjan
AU  - Mohammad Bin Hasan
AU  - Fereshteh Osmani
PY  - 2026
DA  - 2026/08/03
JO  - BMC psychology
DO  - 10.1186/s40359-026-05278-8
UR  - https://europepmc.org/article/MED/42958354
AB  - Background  Post-stroke patients often experience cognitive, psychological, and self-care impairments. Comparative evidence on mindfulness-based interventions and cognitive rehabilitation interventions remains limited. This study compared two psychological interventions (Mindfulness-Based Stress Reduction (MBSR) and Cognitive Rehabilitation Therapy (CRT)) on post-stroke recovery outcomes.Method  In this quasi-experimental study, 61 ischemic stroke patients were allocated to MBSR, CRT, or control groups. Outcomes included self-care, psychological status, and cognitive function assessed at baseline, post-intervention, and follow-up. Data were analyzed using linear mixed-effects models.Results  Both MBSR and CRT were associated with significant improvements in psychological and self-care outcomes compared with the control group (p < 0.05). MBSR was associated with greater improvement in cognitive outcomes compared to CRT (p < 0.05). Clinically meaningful improvements were observed in intervention groups based on MCID thresholds.Conclusion  Both interventions were associated with improved psychological and self-care outcomes after stroke, while MBSR was associated with greater improvements in cognitive function. Further randomized controlled trials are required to confirm these findings.
SN  - 2050-7283
ER  -