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Reducing depressive or anxiety symptoms in post-stroke patients: Pilot trial of a constructive integrative
Yihong Fang1,2, Elias Mpofu1,3, James Athanasou1
1Discipline of Rehabilitation Counselling, Faculty of Health Science, University of Sydney, Sydney, Australia.
Background:
About 30% of stroke survivors clinically have depressive symptoms at some point following stroke and anxiety prevalence is around 20-25%.
Objective:
The purpose of this brief report is to evaluate a pilot trial of a constructive integrative psychosocial intervention (CIPI) over standard care in post-stroke depression or anxiety.
Methods:
Patients were randomly assigned to either CIPI (n = 23) or standard care (n = 19). Patients were assessed using the Hospital Anxiety and Depression Scale at the 1st, 3rd, and 6th months to monitor changes of mood.
Results:
A Wilcoxon signed-rank test indicated that compared to admission baseline, patients with the intervention had significantly normal post-stroke depression symptom levels at the 1st, 3rd, and 6th months (P < 0.005).
Conclusion:
CIPI appears to be of incremental value in treating depression as well as anxiety in subacute care.

