Journal of International Psychiatry

[Abstract] Objective: To observe the influence of cognitive behavioral intervention based on cross theoretical model (TTM) on neurological function, negative emotions and quality of life of patients with post-stroke depression (PSD). Methods: 106 cases of patients with PSD treated in our hospital were selected as the study objects, and were divided into study group and control group randomly, 53 cases in each group. The control group were given routine intervention, and the study group were given TTM cognitive behavioral intervention. Neurological function, cognitive function, negative emotion and quality of life were observed in the two groups. Results: After intervention, NIHSS score was significantly lower than that before intervention(P < 0.05), and that in the study group was significantly lower than that in the control group (P < 0.05). MMSE score was significantly higher than that before treatment in the two groups (P < 0.05), and that in the study group was significantly higher than that in the control group (P < 0.05). After intervention, SAS and SDS scores were significantly lower than those before intervention in the two groups (P < 0.05), and those in the study group were significantly lower than those in the control group (P < 0.05). After intervention, life status, physical function, social function, psychological function and overall quality of life of the two groups were significantly higher than those before intervention (P < 0.05), and those in the study group were significantly higher than those of the control group (P < 0.05). Conclusion: Cognitive behavioral intervention based on TTM can effectively improve neurological function and negative emotions of patients with PSD, and improve quality of life.

[Keywords] Cross theoretical model; Cognitive behavior; Stroke; Depression; Negative emotion; Neurological function