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Background <p>Post-stroke patients often experience cognitive, psychological, and self-care impairments. Comparative evidence on mindfulness-based interventions and cognitive rehabilitation interventions remains limited. This study compared two psychological interventions (Mindfulness-Based Stress Reduction (MBSR) and Cognitive Rehabilitation Therapy (CRT)) on post-stroke recovery outcomes.</p> Method <p>In this quasi-experimental study, 61 ischemic stroke patients were allocated to MBSR, CRT, or control groups. Outcomes included self-care, psychological status, and cognitive function assessed at baseline, post-intervention, and follow-up. Data were analyzed using linear mixed-effects models.</p> Results <p>Both MBSR and CRT were associated with significant improvements in psychological and self-care outcomes compared with the control group (<i>p</i> &lt; 0.05). MBSR was associated with greater improvement in cognitive outcomes compared to CRT (<i>p</i> &lt; 0.05). Clinically meaningful improvements were observed in intervention groups based on MCID thresholds.</p> Conclusion <p>Both interventions were associated with improved psychological and self-care outcomes after stroke, while MBSR was associated with greater improvements in cognitive function. Further randomized controlled trials are required to confirm these findings.</p>

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Self-care recovery after ischemic stroke: a quasi-experimental comparison of two psychological interventions

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月3日

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  • Yueyuan Wang,
  • Yousef Alsufayan,
  • Roghaye Farhadi Hassankiadeh,
  • Mohadeseh Amirian Chayjan,
  • Mohammad Bin Hasan,
  • Fereshteh Osmani

摘要

Background

Post-stroke patients often experience cognitive, psychological, and self-care impairments. Comparative evidence on mindfulness-based interventions and cognitive rehabilitation interventions remains limited. This study compared two psychological interventions (Mindfulness-Based Stress Reduction (MBSR) and Cognitive Rehabilitation Therapy (CRT)) on post-stroke recovery outcomes.

Method

In this quasi-experimental study, 61 ischemic stroke patients were allocated to MBSR, CRT, or control groups. Outcomes included self-care, psychological status, and cognitive function assessed at baseline, post-intervention, and follow-up. Data were analyzed using linear mixed-effects models.

Results

Both MBSR and CRT were associated with significant improvements in psychological and self-care outcomes compared with the control group (p < 0.05). MBSR was associated with greater improvement in cognitive outcomes compared to CRT (p < 0.05). Clinically meaningful improvements were observed in intervention groups based on MCID thresholds.

Conclusion

Both interventions were associated with improved psychological and self-care outcomes after stroke, while MBSR was associated with greater improvements in cognitive function. Further randomized controlled trials are required to confirm these findings.