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Published on: June 6, 2025
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Solution-focused brief therapy combined with mindfulness-based cognitive therapy for post-stroke depression: a
Juan Xiong1,2, Yan Lin3, Zhen Zhu Mao3
1Department of Emergency, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Topics in Stroke Rehabilitation
|August 5, 2025
Summary
Integrating Solution-Focused Brief Therapy (SFBT) and Mindfulness-Based Cognitive Therapy (MBCT) significantly improved outcomes for post-stroke depression patients. The combined approach reduced distress and enhanced functional recovery and quality of life.
Area of Science:
- Neuroscience
- Psychiatry
- Rehabilitation Medicine
Background:
- Post-stroke depression (PSD) is a common complication affecting patient recovery and quality of life.
- Existing treatments for PSD may have limitations in addressing the complex psychological and functional needs of patients.
- Integrating behavioral therapies could offer a more comprehensive approach to managing PSD.
Purpose of the Study:
- To assess the efficacy of a combined Solution-Focused Brief Therapy (SFBT) and Mindfulness-Based Cognitive Therapy (MBCT) intervention for patients with post-stroke depression (PSD).
- To evaluate the impact of this integrated therapy on psychological distress, mindfulness, quality of life, and functional outcomes.
- To determine the clinical value of SFBT-MBCT as an adjunct to standard post-stroke care.
Main Methods:
- A controlled study involving 60 patients diagnosed with PSD from a tertiary hospital.
- Participants were randomized into an intervention group (n=27) receiving SFBT-MBCT and a control group (n=29).
- Outcomes including depression (HAMD-17), anxiety (HAMA), mindfulness (FFMQ), quality of life (SS-QOL), and functional independence (BI) were measured and analyzed using mixed linear models.
Main Results:
- The SFBT-MBCT intervention group showed statistically significant improvements across all measured outcomes compared to the control group.
- Key findings include significant reductions in depression severity (HAMD-17) and anxiety symptoms (HAMA).
- Enhanced mindfulness (FFMQ), improved quality of life (SS-QOL), and greater functional independence (BI) were observed in the intervention group.
Conclusions:
- The combined SFBT-MBCT intervention is effective in alleviating psychological distress in PSD patients.
- This integrated therapy significantly enhances mindfulness, quality of life, and functional outcomes post-stroke.
- SFBT-MBCT demonstrates considerable clinical value as an adjunctive treatment for routine post-stroke care.
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