Comparing the Effectiveness of Mindfulness-based Stress Reduction Training and Powell’s Cognitive Rehabilitation on Improving the Quality of Life of Stroke Patients

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Comparing the Effectiveness of Mindfulness-based Stress Reduction Training and Powell’s Cognitive Rehabilitation on Improving the Quality of Life of Stroke Patients

authors:

Fatemeh Shojaei ¹ , Fatemeh Shahabizadeh ^{1 , *} , Seyed Mohammad Mousavi-Mirzaei ² , Mohammad Dehghani Firoozabadi ³ , Aliakbar Esmaeili ⁴

1 Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran

2 Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran

3 Department of Neurology, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran

4 Department of Psychiatry, School of Medicine, Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran

* Corresponding Author: Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran. Email: f_shahabizadeh@yahoo.com

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Modern Care Journal: Vol.21, issue 3; e142817

published online: January 5, 2024

article type: Research Article

received: November 7, 2023

revised: December 6, 2023

accepted: December 12, 2023

DOI: https://doi.org/10.5812/mcj-142817

how to cite: Shojaei F, Shahabizadeh F, Mousavi-Mirzaei S M, Dehghani Firoozabadi M, Esmaeili A. Comparing the Effectiveness of Mindfulness-based Stress Reduction Training and Powell’s Cognitive Rehabilitation on Improving the Quality of Life of Stroke Patients. Mod Care J. 2024;21(3):e142817. https://doi.org/10.5812/mcj-142817.

Abstract

Background:

Stroke is a type of neurological disorder that can be attributed to a central vascular cause. Stroke can affect the patient’s performance in daily activities and quality of life (QoL). Research indicates a decrease in the quality of life in stroke patients due to cognitive and emotional damage.

Objectives:

The present study compared the effect of two group approaches, mindfulness training based on stress reduction and Powell’s cognitive rehabilitation, on improving the quality of life of stroke patients.

Methods:

This semi-experimental study used a pretest-posttest design with a control group and a follow-up period. The sample consisted of 36 eligible stroke patients selected in a targeted and simple random manner. The patients were divided into two intervention groups and one control group. The tools used were a demographic information questionnaire and a Stroke-specific QoL (SS-QOL) scale. Data were analyzed with SPSS software (version. 26). Chi-square, repeated measures analysis of variance, and Bonferroni statistical tests were applied at a significance level of P<0.05.

Results:

The majority of the sample were men, with 60%, 63.6%, and 75% in the cognitive rehabilitation, mindfulness, and control groups, respectively. There was no significant difference in gender distribution between the studied groups (P > 0.05). The mindfulness intervention had a higher effect on quality of life on average. Still, statistically, none of the interventions were effective in improving quality of life (P > 0.05), and there was no significant difference between the effect of mindfulness-based methods and cognitive rehabilitation on improving quality of life (P > 0.05).

Conclusions:

Mindfulness training increases behavioral responses related to attention as the basis of all cognitive activities. Also, mindfulness exercises improve cognitive skills and, by affecting the cognitive system, increase the capacity and ability of the information processing system and improve the quality of life.