The effect of acceptance and commitment therapy on negative emotions and quality of life in stroke patients: a systematic review and meta-analysis - Scorecard - MDSpire
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The effect of acceptance and commitment therapy on negative emotions and quality of life in stroke patients: a systematic review and meta-analysis
Clinical Scorecard: Impact of Acceptance and Commitment Therapy on Emotional Well-Being and Life Quality in Stroke Survivors: A Systematic Review and Meta-Analysis
At a Glance
Category
Detail
Condition
Post-stroke depression and anxiety
Key Mechanisms
Psychological flexibility and reduction of experiential avoidance
Target Population
Stroke survivors aged ≥18 years
Care Setting
Clinical stroke rehabilitation
Key Highlights
ACT significantly alleviated depression (SMD = −1.37, p < 0.00001)
ACT significantly alleviated anxiety (SMD = −1.25, p < 0.00001)
ACT significantly enhanced quality of life (SMD = 1.36, p < 0.0001)
Positive effects on psychological flexibility, self-efficacy, sleep quality, and activities of daily living
Nineteen RCTs involving 1704 patients were included in the analysis
Guideline-Based Recommendations
Diagnosis
Assess for depression and anxiety in stroke survivors as part of routine care
Management
Implement ACT-based interventions to improve emotional well-being and quality of life
Monitoring & Follow-up
Regularly evaluate psychological outcomes and quality of life in stroke rehabilitation
Risks
Consider potential limitations of conventional therapies like CBT and PPT in stroke populations
Patient & Prescribing Data
Stroke survivors experiencing depression and anxiety
ACT can effectively address emotional disturbances and enhance quality of life
Clinical Best Practices
Utilize ACT as a complementary therapy alongside conventional rehabilitation
Focus on enhancing psychological flexibility in stroke rehabilitation programs
Conduct large-scale, high-quality RCTs to confirm long-term efficacy of ACT
Over two days, specialists across neurology, neurosurgery and related subspecialties came together to discuss advances in stroke care, epilepsy, movement disorders, neurodegenerative disease, neuro-oncology, brain and spine surgery, interventional pain management and emerging technologies.
