Evidence map›Paper›PMID 40097963›Full record

ArticleBMC psychiatry2025

The effect of motivational interviewing on patients with early post-stroke depression: a quasi-experimental study.

Yingjie Fu, Yi Zhang, Qianying Deng, Yuenv Wang, Siyi Su, Zheng Wang, Luyi Xu, Beibei Lin, Yun Li, Jufang Li

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yingjie Fu *School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yi Zhang *School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Qianying Deng *School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yuenv Wang *School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Siyi SuSchool of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zheng WangSchool of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Luyi XuSchool of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Beibei LinThe First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. Linbeibei6598@163.com.
Yun LiThe First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. yun2wind@163.com.
Jufang LiSchool of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China. lijufang911@126.com.

Funding

Scientific Research Fund of Zhejiang Provincial Education Department Y202352923Wenzhou Municipal Science and Technology Bureau Y20210674
6 · The paper itself

Abstract

backgroundPost-stroke depression (PSD) constitutes an important complication of stroke, affecting approximately one-third of stroke patients. PSD decreases rehabilitation motivation, delays function recovery, and increases the family and social burden of stroke patients. Motivational interviewing (MI) may be an effective and practical intervention strategy, but its effectiveness in improving PSD remains uncertain.

methodsA parallel two-group quasi-experimental study was conducted. Patients with early PSD were recruited from the neurology department of a hospital in southeast China and were allocated to the control group and intervention group by wards. Patients in the intervention group received one session of face-to-face motivational interviewing and three sessions of telephone motivational interviewing, while patients in the control group received routine nursing and follow-up of the neurology department. Outcomes including depression, sleep quality, and quality of life were evaluated at baseline (T0), after intervention immediately (T1) and three months after intervention (T2). Descriptive statistics, t-test, Mann-Whitney U test, Wilcoxon signed rank sum test and generalized estimating equation were used to analyze data.

resultsThere were no significant differences in patients' sociodemographic and clinical information between the intervention and control groups at baseline. The scores for depression were statistically different between the two groups (Z=-5.757, p < 0.001) at T1 and T2 (t=-7.964, p < 0.001). The scores for sleep quality were statistically different between the two groups at T1 (Z=-2.840, p = 0.005). The result of the generalized estimating equation modeling analyses indicated that interaction effects were statistically significant in depression and sleep quality scores. The intervention group showed a significantly higher rate of decrease in the depression score from T0 to T1 (95% CI: -11.227 to -7.748, p < 0.001) and T0 to T2 (95% CI: -11.683, -6.170, p < 0.001), compared with the control group; the intervention group had a greater reduction in the sleep score from T0 to T1 (95% CI: -2.502 to -0.962, p < 0.001), compared with the control group.

conclusionsMI could effectively improve depression and sleep quality in patients with early PSD. However, MI failed to improve quality of life in patients with early PSD. These findings provide a foundation for future large-scale randomized controlled trials to further evaluate the efficacy of MI in patients with early PSD.

trial registrationRetrospectively Registered, Chinese Clinical Trial Registry ( http://www.chictr.org.cn || ChiCTR2200064386|| Registration Date: 2022/10/06).

Indexed as

DepressionMotivational InterviewingStrokeAdultAgedChinaFemaleHumansMaleMiddle AgedQuality of LifeSleep QualityTreatment OutcomeDepressionMotivational interviewingQuality of lifeSleep qualityStroke

Identifiers

PMID40097963
PMCPMC11917151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.