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. 2020 May 11;2020(5):CD003689. doi: 10.1002/14651858.CD003689.pub4

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
  • Anger management measured using the State Trait Anger Expression Inventory (STAXI)

  • Anxiety measured using the Chinese version of the HDRS

  • Depression measured using the Chinese version of the HDRS


Secondary outcomes
  • Activities of daily living measured using the Chinese version of the BI

  • Quality of life measured using the Chinese version of the Stroke Specific Quality of Life scale

Notes