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May 8, 2026European Stroke Journal0 citationsOpen Access

Abstract Number: Esoc2026ys249 Integrative Psychocorrectional Strategies for Managing Post-Ischemic Stroke Psycho-Emotional Disturbances

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NMN. Maxamatjanova

Key Points

  • The aim is to evaluate the effectiveness of an integrative psychocorrection program for managing emotional disorders after ischemic stroke.
  • Cohort of 30 ischemic stroke patients with moderate-to-severe depression and anxiety.
  • Randomly assigned to Control Group (standard care) or Experimental Group (integrative program over 8 weeks).
  • Pre- and post-test measurements using the BDI-II and other scales, with analysis via Student’s t-test.
  • Experimental Group had a statistically significant reduction in BDI-II depression scores (1.8-fold greater than controls, p<0.05).
  • State anxiety significantly decreased, with improved immediate coping strategies.
  • The Experimental Group showed a favorable shift towards a more Internal Locus of Control, reducing feelings of helplessness.

Abstract

Abstract Background and aims This study aimed to empirically evaluate the clinical effectiveness of an integrative psychocorrection program targeting psycho-emotional disorders (depression, anxiety, helplessness) following ischemic stroke. The program uniquely merged Cognitive Behavioral Therapy (CBT) techniques with Mindfulness-Based Stress Reduction (MBSR) principles to improve emotional regulation and perceived control. Methods The cohort included 30 stabilized ischemic stroke patients (mean age 58.5) presenting with moderate-to-severe depression and anxiety. Participants were randomly allocated to either the Control Group (standard rehabilitation, n=15) or the Experimental Group (standard rehabilitation plus the 8-week integrative program, n=15). Methodology involved pre- (T1) and post-test (T2) measurements using the BDI-II, Spielberger-Hanin Anxiety Inventory, and the Locus of Control Scale. The intervention featured twice-weekly 60-minute sessions focusing on cognitive restructuring and mindfulness. Statistical validation used Student’s t-test. Results Post-intervention results showed statistically significant benefits in the Experimental Group: Depression scores (BDI-II) reduced substantially, demonstrating an 1.8-fold greater reduction compared to controls (p0.05). State anxiety significantly decreased, linked to improved focus on immediate coping mechanisms. Most critically, the Experimental Group showed a marked shift towards a more Internal Locus of Control, successfully restoring their belief in an active role in recovery and mitigating passive helplessness. Conflict of interest nothing to disclose

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N. Maxamatjanova (2026) studied this question.

synapsesocial.com/papers/69fd7f25bfa21ec5bbf0791ahttps://doi.org/10.1093/esj/aakag023.1275
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