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Reminiscence therapy–based care program relieves post-stroke cognitive impairment, anxiety, and depression in acute ischemic stroke patients: a randomized, controlled study

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Abstract

Background

Cognitive and mental impairments are common health problems in acute ischemic stroke (AIS) patients. In this study, we aimed to assess the benefit of a reminiscence therapy–based care (RTBC) program on cognitive impairment restoration, anxiety, and depression reduction in AIS patients.

Methods

Totally 130 AIS patients were recruited in this randomized, controlled study and randomly assigned to the RTBC group or control group in 1:1 ratio for 12-month intervention. Mini-Mental State Examination (MMSE), Montreal cognitive assessment (MoCA), Hospital Anxiety and Depression Scale for anxiety/depression (HADS-A/HADS-D), and Zung self-rating anxiety/depression scale (SAS/SDS) were assessed at month 0 (M0), M3, M6, M9, and M12. Meanwhile, patients’ satisfaction was also evaluated at M3, M6, M9, and M12.

Results

RTBC increased MMSE score and MoCA score and reduced cognitive impairment patients’ percentage assessed by MoCA score at M12 compared with control. RTBC reduced HADS-A score at M12, but not anxiety patients’ percentage or severity by HADS-A at M12; besides, RTBC significantly lowered the SAS score at M9 and M12, and anxiety patients’ percentage and severity by SAS at M12 compared with control. RTBC reduced HADS-D score at M9 and M12 (while statistically non-significant), but not depression patients’ percentage or severity by HADS-D at M12; it decreased SDS score at M9 and M12, but not depression patients’ percentage or severity by SDS at M12 compared with control. Additionally, RTBC obsessed higher patients’ satisfaction at M3, M6, and M12 compared with control.

Conclusion

RTBC could help reduce cognitive impairment, anxiety, and depression in post-stroke management for AIS patients.

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Authors and Affiliations

  1. Department of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150001, China

    Chunmei Cheng, Wenjun Fan & Chunhua Liu

  2. Department of Rehabilitation Medicine, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150001, China

    Yin Liu & Xin Liu

Authors
  1. Chunmei Cheng
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  2. Wenjun Fan
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  3. Chunhua Liu
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  4. Yin Liu
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  5. Xin Liu
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Corresponding author

Correspondence to Xin Liu.

Ethics declarations

This study was approved by the Institutional Review Boards of our hospital and complied with the standards set by the International Conference on Harmonization and Good Clinical Practice. The written informed consents were collected from all patients or their family members.

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The authors declare that they have no competing interests.

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Cheng, C., Fan, W., Liu, C. et al. Reminiscence therapy–based care program relieves post-stroke cognitive impairment, anxiety, and depression in acute ischemic stroke patients: a randomized, controlled study. Ir J Med Sci 190, 345–355 (2021). https://doi.org/10.1007/s11845-020-02273-9

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  • DOI: https://doi.org/10.1007/s11845-020-02273-9

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