Archives
International Journal of Zoology and Applied Biosciences Research Article
Design of a psychotherapeutic nursing intervention protocol to address post-stroke depression, anxiety and resilience outcomes following stroke
Betty Koshy and Kritagna Sinh Vaghela
Year : 2026 | Volume: 11 | Issue: 3 | Pages: 317-321
Received on: 25/03/2026
Revised on: 17/04/2026
Accepted on: 19/05/2026
Published on: 31/05/2026
-
Betty Koshy and Kritagna Sinh Vaghela( 2026).
Design of a psychotherapeutic nursing intervention protocol to address post-stroke depression, anxiety and resilience outcomes following stroke
. International Journal of Zoology and Applied Biosciences, 11( 3), 317-321.
-
click to view the cite format
Abstract
Psychiatric complications following a stroke such as post-stroke depression (PSD), anxiety, emotional incontinence, anger issues, and fatigue significantly hinder recovery, functioning, and overall quality of life. Despite the high prevalence of these issues, there is currently a lack of psychological treatments specifically tailored to address the unique needs of stroke survivors experiencing depression and anxiety. This study aims to implement and assess a psychotherapeutic nursing intervention package designed to enhance emotional resilience and improve long-term patient-centered outcomes. This prospective, 4-week, non-randomized, placebo-controlled trial will involve screening stroke survivors for depression and anxiety. Seventy participants aged 18-70 years, meeting the inclusion and exclusion criteria with mild to moderate PSD, will be recruited and non-randomly assigned to either an experimental or control group. The experimental group will receive two sessions per week of Cognitive Behavioral Therapy (CBT) combined with Problem-Solving Therapy (PST) over four weeks. At the end of each week, participants will also receive a need-based psychoeducation session. The primary outcome will be measured in week five using the 17-item Hamilton Depression Rating Scale (HAMD-17), focusing on a ?50% reduction in HAMD-17 or Hamilton Anxiety Rating Scale (HAM-A) scores, along with increased resilience measured by the Connor-Davidson Resilience Scale. Logistic regression analysis will be used to assess data. This protocol outlines a non-randomized trial to explore the effectiveness and feasibility of a psychotherapeutic nursing intervention for stroke survivors. If successful, it could inform a scalable, cost-effective care model involving trained mental health paraprofessionals.
Keywords
Stroke Survivors, Post-Stroke Depression, Anxiety, CBT, Therapy.
-
Full Article PDF (
3)
- View HTML Article
Copy Rights
© The Author(s) 2025. This article is published by International Journal of Zoology and Applied Biosciences under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
