Chang 2011.
Methods | Study design: parallel design Number of arms: 2 Treatment arm: rational emotive behaviour therapy (REBT) + regular care Control arm: prescribed medications (i.e. antithrombotic, vasodilators, neurotrophic drugs) and rehabilitation training programs for physical functioning |
Participants | Geographical location: China Setting: inpatient Stroke criteria: patients with hemiplegic stroke Method of stroke diagnosis: based on the diagnostic criteria set at the National Fourth Cerebrovascular Disease Conference. Each patient’s condition was confirmed with a CT or MRI scan Time since stroke: less than 2 weeks Inclusion criteria: 1) patients with hemiplegic stroke, 2) patients who were less than 2 weeks post‐stroke Exclusion criteria: 1) MMSE score of < 24, 2) severe aphasia, 3) those who failed to complete the treatment, including those who died or stopped the treatment by choice, 4) history of psychiatric illness Depression criteria: Chinese version of the HDRS. Mean depression score used rather than depression cut off Total number randomised in this trial: 77 Number randomised in treatment group: 39 Number randomised to control group: 38 Total number included in final analysis: 66 Number included in treatment group for final analysis: 34 Number included in control group for final analysis: 32 |
Interventions | Treatment: REBT + regular care. Counselling, which consisted of a knowledge component: education about health psychology and recovery from hemiplegic stroke; and a behavioural training component including belief changes forgiveness training and anger management Treatment duration: 1‐2 hours weekly for 1 month Administerd by: treatment group: by trained psychology graduate; regular care: administered by the hospital nurses Supervision: not reported Intervention fidelity: those who failed to complete the intervention were excluded from the study. 34/39 completed in the treatment arm. 32/38 completed in the control arm Control: prescribed medications (i.e. antithrombotic, vasodilators, neurotrophic drugs) and rehabilitation training programs for physical functioning Follow‐up: not reported |
Outcomes | Primary outcomes
Secondary outcomes
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Notes |