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[积极心理治疗方案对社区精神分裂症患者积极情绪、人际关系、心理韧性及心理健康恢复的影响]

[Effects of a Positive Psychotherapy Program on Positive Affect, Interpersonal Relations, Resilience, and Mental Health Recovery in Community-Dwelling People with Schizophrenia].

作者信息

Kim Jinhee, Na Hyunjoo

机构信息

Department of Nursing, Dong-A University, Busan, Korea.

出版信息

J Korean Acad Nurs. 2017 Oct;47(5):638-650. doi: 10.4040/jkan.2017.47.5.638.

DOI:10.4040/jkan.2017.47.5.638
PMID:29151561
Abstract

PURPOSE

Recently, the interest in positive psychotherapy is growing, which can help to encourage positive relationships and develop strengths of people. This study was conducted to investigate the effects of a positive psychotherapy program on positive affect, interpersonal relations, resilience, and mental health recovery in community-dwelling people with schizophrenia.

METHODS

The research was conducted using a randomized control group pretest-posttest design. A total of 57 adults with schizophrenia participated in this study. The study participants in experimental group received a positive psychotherapy program (n=28) and the participants in control group received only the usual treatment in community centers (n=29). The positive psychotherapy program was provided for 5 weeks (of 10 sessions, held twice/week, for 60 minutes). The study outcomes included positive affect, interpersonal relations, resilience, and mental health recovery. The collected data were analyzed using repeated measures ANOVA for examining study hypothesis.

RESULTS

Results showed that interpersonal relations (F=11.83, p=.001) and resilience (F=9.62, p=.003) significantly increased in the experimental group compared to the control group. Although experimental group showed a slight increase in positive affect, it was not significant.

CONCLUSION

The study findings confirm that the positive psychotherapy program is effective for improving interpersonal relations and resilience of community-dwelling people with schizophrenia. Based on the findings, we believe that the positive psychotherapy program would be acceptable and helpful to improve recovery of mental health in schizophrenia.

摘要

目的

最近,人们对积极心理治疗的兴趣日益浓厚,它有助于促进积极的人际关系并培养人的优势。本研究旨在调查积极心理治疗方案对社区精神分裂症患者的积极情绪、人际关系、心理韧性和心理健康恢复的影响。

方法

本研究采用随机对照组前后测设计。共有57名成年精神分裂症患者参与了本研究。实验组的研究参与者接受了积极心理治疗方案(n = 28),对照组的参与者仅在社区中心接受常规治疗(n = 29)。积极心理治疗方案为期5周(共10次疗程,每周两次,每次60分钟)。研究结果包括积极情绪、人际关系、心理韧性和心理健康恢复。使用重复测量方差分析对收集的数据进行分析,以检验研究假设。

结果

结果显示,与对照组相比,实验组的人际关系(F = 11.83,p = .001)和心理韧性(F = 9.62,p = .003)显著增加。虽然实验组的积极情绪略有增加,但不显著。

结论

研究结果证实,积极心理治疗方案对改善社区精神分裂症患者的人际关系和心理韧性有效。基于这些发现,我们认为积极心理治疗方案对于改善精神分裂症患者的心理健康恢复是可接受且有帮助的。

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