Abstract Details

Title Long-term Cognitive and Psychosocial Recovery After Stroke: Disparities and Rehabilitation Strategies

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P9 - Poster Session 9 (5:00 PM-6:00 PM)

Poster/Presentation
Number 5-003

Objective This narrative review studies evidence on long-term cognitive and psychosocial outcomes post-stroke, with a focus on disparities and rehabilitation needs in diverse populations.

Background Post-stroke cognitive impairment and psychosocial challenges, including depression and social isolation, affect up to 30% and 40% of survivors, respectively, yet narrative reviews exploring these outcomes across diverse populations are limited. Racial/ethnic minorities and socioeconomically disadvantaged groups face worse outcomes, but the interplay of social determinants and long-term recovery remains poorly analysed.

Design/Methods A comprehensive review of literature (2015–2025) from PubMed, PsycINFO, and Google Scholar was performed, targeting studies on cognitive (e.g., MoCA scores) and psychosocial outcomes (e.g., PHQ-9 for depression, SIS-16 for social integration) in stroke survivors. Emphasis was placed on studies including underrepresented groups and social determinants of health (e.g., access to care, education).

Results Cognitive deficits persist in 20–30% of survivors beyond 5 years, with depression rates highest in Black and Hispanic populations (40–50% vs. 30% in White populations). Socioeconomic barriers, such as limited rehabilitation access, exacerbate outcomes. Interventions like cognitive behavioral therapy show promise but lack tailoring for cultural or economic contexts.

Conclusions This review underscores the need for culturally sensitive rehabilitation programs and longitudinal studies to address disparities in post-stroke recovery. It calls for integrated care models prioritizing psychosocial and cognitive health.

Authors/Disclosures
Hafiz Sohail Ashraf, MD PRESENTER	Dr. Ashraf has nothing to disclose.
Huzaifa S. Nawaz, MBBS	Dr. Nawaz has nothing to disclose.
Rida Shakeel, MBBS	Dr. Shakeel has nothing to disclose.
Sohaib Aftab Ahmad Chaudhry, MBBS	Dr. Chaudhry has nothing to disclose.
Muhammad Abdullah, MD	Dr. Abdullah has nothing to disclose.

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