<p>Patients with stroke have steeper declines in the 10 years before stroke compared with stroke-free controls</p>
<p>Internet-delivered cognitive behavioral therapy was more efficacious than an active comparator in reducing the severity of SAD symptoms</p>
<p>Significant reductions also seen in itch intensity, perceived stress, sleep problems, and depression</p>
<p>Stepped care offering internet-delivered cognitive behavioral therapy with in-person CBT if necessary noninferior to in-person CBT only</p>