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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References
Phipps MS, Cronin CA (2020) Management of acute ischemic stroke. Bmj 368:l6983
Yu HL, Cao DX, Liu J (2019) Effect of a novel designed intensive patient care program on cognitive impairment, anxiety, depression as well as relapse free survival in acute ischemic stroke patients: a randomized controlled study. Neurol Res 41(9):857–866
Zhang L, Zhang T, Sun Y (2019) A newly designed intensive caregiver education program reduces cognitive impairment, anxiety, and depression in patients with acute ischemic stroke. Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas 52(9):e8533
Baccaro A, Wang YP, Candido M, Conforto AB, Brunoni AR, Leite CDC, Busatto Filho G, Lotufo PA, Bensenor IM, Goulart AC (2019) Post-stroke depression and cognitive impairment: study design and preliminary findings in a Brazilian prospective stroke cohort (EMMA study). J Affect Disord 245:72–81
Mei Y, Lin B, Li Y, Ding C, Zhang Z (2018) Effects of modified 8-week reminiscence therapy on the older spouse caregivers of stroke survivors in Chinese communities: a randomized controlled trial. International journal of geriatric psychiatry 33(4):633–641
Mendyk AM, Duhamel A, Bejot Y, Leys D, Derex L, Dereeper O, Detante O, Garcia PY, Godefroy O, Montoro FM, Neau JP, Richard S, Rosolacci T, Sibon I, Sablot D, Timsit S, Zuber M, Cordonnier C, Bordet R, on the behalf of Strokavenir n (2018) Controlled education of patients after stroke (CEOPS)-nurse-led multimodal and long-term interventional program involving a patient’s caregiver to optimize secondary prevention of stroke: study protocol for a randomized controlled trial. Trials 19(1):137
Lok N, Bademli K, Selcuk-Tosun A (2019) The effect of reminiscence therapy on cognitive functions, depression, and quality of life in Alzheimer patients: randomized controlled trial. International journal of geriatric psychiatry 34(1):47–53
Gil I, Costa P, Parola V, Cardoso D, Almeida M, Apostolo J (2019) Efficacy of reminiscence in cognition, depressive symptoms and quality of life in institutionalized elderly: a systematic review. Revista da Escola de Enfermagem da U S P 53:e03458
Li M, Lyu JH, Zhang Y, Gao ML, Li R, Mao PX, Li WJ, Ma X (2019) Efficacy of group reminiscence therapy on cognition, depression, neuropsychiatric symptoms, and activities of daily living for patients with Alzheimer disease. Journal of geriatric psychiatry and neurology:891988719882099
Cumming TB, Churilov L, Linden T, Bernhardt J (2013) Montreal Cognitive Assessment and Mini-Mental State Examination are both valid cognitive tools in stroke. Acta Neurol Scand 128(2):122–129
Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370
Gainotti G, Cianchetti C, Taramelli M, Tiacci C (1972) The guided self-rating anxiety-depression scale for use in clinical psychopharmacology. Activitas nervosa superior 14(1):49–51
Zung WW, Gianturco JA (1971) Personality dimension and the self-rating depression scale. J Clin Psychol 27(2):247–248
Perna R, Harik L (2020) The role of rehabilitation psychology in stroke care described through case examples. NeuroRehabilitation. 46:195–204
Kjellstrom T, Norrving B, Shatchkute A (2007) Helsingborg Declaration 2006 on European stroke strategies. Cerebrovasc Dis 23(2-3):231–241
Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, Katz RC, Lamberty K, Reker D (2005) Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke 36(9):e100–e143
Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, de Leeuw FE (2018) Epidemiology, aetiology, and management of ischaemic stroke in young adults. Lancet Neurol 17(9):790–801
Baltaduoniene D, Kubilius R, Berskiene K, Vitkus L, Petruseviciene D (2019) Change of cognitive functions after stroke with rehabilitation systems. Transl Neurosci 10:118–124
Bo W, Lei M, Tao S, Jie LT, Qian L, Lin FQ, Ping WX (2019) Effects of combined intervention of physical exercise and cognitive training on cognitive function in stroke survivors with vascular cognitive impairment: a randomized controlled trial. Clin Rehabil 33(1):54–63
Kirkevold M, Kildal Bragstad L, Bronken BA, Kvigne K, Martinsen R, Gabrielsen Hjelle E, Kitzmuller G, Mangset M, Angel S, Aadal L, Eriksen S, Wyller TB, Sveen U (2018) Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychol 6(1):12
Morris R, Morris P (2012) Participants’ experiences of hospital-based peer support groups for stroke patients and carers. Disabil Rehabil 34(4):347–354
Rauch SA, Favorite T, Giardino N, Porcari C, Defever E, Liberzon I (2010) Relationship between anxiety, depression, and health satisfaction among veterans with PTSD. J Affect Disord 121(1-2):165–168
Putaala J (2016) Ischemic stroke in the young: current perspectives on incidence, risk factors, and cardiovascular prognosis. Eur Stroke J 1(1):28–40
Mitchell AB, Cole JW, McArdle PF, Cheng YC, Ryan KA, Sparks MJ, Mitchell BD, Kittner SJ (2015) Obesity increases risk of ischemic stroke in young adults. Stroke 46(6):1690–1692
Li F, Yang L, Yang R, Xu W, Chen FP, Li N, Zhang JB (2017) Ischemic stroke in young adults of Northern China: characteristics and risk factors for recurrence. Eur Neurol 77(3-4):115–122
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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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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