The effect of acceptance and commitment therapy on negative emotions and quality of life in stroke patients: a systematic review and meta-analysis - Summary - 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
To evaluate the efficacy of acceptance and commitment therapy (ACT)-based interventions (including ACT alone or ACT combined with conventional rehabilitation) in improving negative emotions and quality of life in stroke patients compared to conventional rehabilitation.
Key Findings:
ACT significantly alleviated depression (SMD = −1.37, 95% CI −1.86 to −0.87, p < 0.00001) and anxiety (SMD = −1.25, 95% CI: −1.76 to −0.74, p < 0.00001) compared to control interventions.
ACT enhanced quality of life (SMD = 1.36, 95% CI: 0.69 to 2.02, p < 0.0001).
Positive effects were observed on psychological flexibility, self-efficacy, sleep quality, and activities of daily living.
Interpretation:
ACT is effective in reducing depression and anxiety while improving quality of life among stroke survivors, addressing multiple psychological and functional domains.
Limitations:
Variability in ACT intervention protocols across studies.
Small sample sizes in some included studies.
Potential biases in study selection and data extraction.
Lack of standardized outcome measurements across studies.
Conclusion:
ACT demonstrates significant benefits for emotional well-being and quality of life in stroke patients, warranting further large-scale, high-quality RCTs with standardized protocols to confirm long-term efficacy.
