ABSTRACT NUMBER: ESOC2026YS249 INTEGRATIVE PSYCHOCORRECTIONAL STRATEGIES FOR MANAGING POST-ISCHEMIC STROKE PSYCHO-EMOTIONAL DISTURBANCES

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 (p<0.05). 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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