Key result
Social support and health education reduce depressive symptoms compared to usual care in chronic stroke.
RCT (n=62)
Randomly divided
Post-stroke depression (PSD) constitutes an important complication of stroke, leading to great disability. After stroke, the prevalence rate of depression is about 30%. Depression also affects rehabilitation motivation, delays function recovery, and increases family and social burden. The objective of this study was to explore the effect of social support on depression in chronic stroke patients and the relationship between demographic and disease characteristics. Total samples were randomly divided into an intervention group (n = 31) and a control group (n = 31). Sixteen social support interventions were performed over 8 weeks. Social support programs were implemented 2 times a week. Depressive symptoms were assessed at the second week, 4th week, 8th week, and 4 weeks after the end of the study using the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D10). There was a significant correlation between depression and the economic status of the patients with chronic stroke, satisfaction in leisure, the presence or absence of caregivers, the duration of stroke, and with or without pain. A significant difference was found between two groups after social support for 8 weeks. Our findings suggest that remission of PSD needs at least 8 weeks of social support.
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Lin et al. (2019) conducted an RCT in Chronic stroke and post-stroke depression (n=62). Social support and health education vs. Control group was evaluated on Depressive symptoms assessed using the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D10). An 8-week social support and health education program resulted in a significant difference in depressive symptoms compared to a control group in chronic stroke patients.
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