Background
Depression and anxiety are common after stroke. There is inconclusive evidence of
the benefit of psychotherapy for poststroke depression and anxiety. Here, we used
a brief intervention, Neuro-Linguistic Programming (NLP) brief therapy plus health
education, to evaluate the changes in patients with ischemic stroke.
Methods
One hundred eighty patients were randomly allocated to receive 4 sessions of NLP plus
health education (n = 90) or usual care (n = 90). A set of questionnaires was used
preintervention and postintervention as well as at the 6-month follow-up. The primary
outcomes were the prevalence of depression and anxiety, and the awareness of stroke
knowledge.
Results
More patients in the intervention group achieved remission of depressive (odds ratio
[OR], 2.81; 95% confidence interval [CI], 1.41-5.59) and anxious symptoms (OR, 2.19;
95% CI, 1.15-4.18) after intervention. At the 6-month follow-up, we found no differences
between groups in both the prevalence of depression and anxiety. After intervention,
the intervention group had better awareness rates on most of the stroke knowledge
items (P < .05). It also had better quality of life and physical function both after intervention
and at the follow-up (P < .05).
Conclusions
NLP plus health education could reduce depression and anxiety immediately after intervention,
but not at the 6-month follow-up. The intervention could also improve the awareness
of stroke knowledge and benefit patients on quality of life and physical function.
Key Words
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Article info
Publication history
Published online: June 24, 2015
Accepted:
April 3,
2015
Received in revised form:
September 30,
2014
Received:
July 20,
2014
Footnotes
This work was supported by the Joint School on Education, Sociology, Technology and Medical Research Paper Award in China, Medical Planning Project No. YX11007 (URL: http://www.compe.cn/lxjyskyxyjlwj/102165.html). The authors thank Mister Weiqi Tang's and Mister Zuyi Du's effort for this Award in Hongkong. Funding was provided by Yuanxuan college foundation in Hong Kong. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.009
Copyright
© 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.
