基于PERMA模型的积极心理干预对中风复发恐惧的影响：一项随机对照试验。

The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial.

作者信息

Luo Yanfang, Su Zhenzhen, Zhu Lingyun, Huang Yujuan, Liu Zhimin, Dechen Wangmo, Xu Bo, Gao Xinyu, Chen Yuping, Qiu Yuyu, Hao Jianru

机构信息

Department of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, China.

Wuxi School of Medicine, Jiangnan University, Wuxi, China.

出版信息

Front Psychol. 2025 Feb 26;16:1498078. doi: 10.3389/fpsyg.2025.1498078. eCollection 2025.

DOI:10.3389/fpsyg.2025.1498078

PMID:40078437

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11897238/

Abstract

INTRODUCTION

This study aimed to examine the effects of a positive psychological intervention, grounded in the PERMA model, on fear levels, psychological capital, overall well-being, and quality of life among stroke patients.

METHODS

A single-blind, two-arm randomized controlled trial with a repeated measures design was conducted at the Affiliated Hospital of Jiangnan University from January to December 2023. A total of 125 patients experiencing fear of stroke recurrence were randomly assigned to either the intervention group ( = 63), which received a positive psychological intervention based on the PERMA model, or the control group ( = 62), which received standard care. We assessed fear levels, psychological capital, well-being, and quality of life at baseline (T0), on the day of discharge (T1), 2 weeks post-discharge (T2), and 4 weeks post-discharge (T3). The scores of the two groups were compared post-intervention using the Generalized Estimation Equation (GEE) model to analyze the effects of time, group membership, and their interaction.

RESULTS

The intervention group showed statistically significant improvements compared to the control group, including reduced fear levels (T2:  = -2.094,  = 0.038; T3:  = -2.207,  = 0.029), increased psychological capital (T2:  = 2.053,  = 0.042; T3:  = 2.820,  = 0.006), enhanced well-being (T2:  = 2.037,  = 0.044; T3:  = 2.761,  = 0.007), and better quality of life (T2:  = 2.083,  = 0.039; T3:  = 2.453,  = 0.016) at both T2 and T3. Additionally, significant time-related changes were observed in fear levels, psychological capital, well-being, and quality of life (χ2 = 45.275,  < 0.001; χ2 = 37.848,  < 0.001; χ2 = 48.255,  < 0.001; χ2 = 34.231,  < 0.001, respectively). Notably, the interaction effects were statistically significant for well-being ( < 0.05).

DISCUSSION

The PERMA-based intervention had a short-term positive effect, reducing fear levels while enhancing psychological capital, well-being, and quality of life among stroke patients.

CLINICAL TRIAL REGISTRATION

https://www.chictr.org.cn/showproj.html?proj=230313.

摘要

引言

本研究旨在探讨基于PERMA模型的积极心理干预对中风患者恐惧水平、心理资本、总体幸福感和生活质量的影响。

方法

2023年1月至12月在江南大学附属医院进行了一项采用重复测量设计的单盲双臂随机对照试验。共有125名害怕中风复发的患者被随机分为干预组（n = 63）和对照组（n = 62），干预组接受基于PERMA模型的积极心理干预，对照组接受标准护理。我们在基线（T0）、出院当天（T1）、出院后2周（T2）和出院后4周（T3）评估恐惧水平、心理资本、幸福感和生活质量。干预后使用广义估计方程（GEE）模型比较两组得分，以分析时间、组别及其交互作用的影响。

结果

与对照组相比，干预组有统计学意义的改善，包括在T2（β = -2.094，P = 0.038）和T3（β = -2.207，P = 0.029）时恐惧水平降低，在T2（β = 2.053，P = 0.042）和T3（β = 2.820，P = 0.006）时心理资本增加，在T2（β = 2.037，P = 0.044）和T3（β = 2.761，P = 0.007）时幸福感增强，在T2（β = 2.083，P = 0.039）和T3（β = 2.453，P = 0.016）时生活质量提高。此外，在恐惧水平、心理资本、幸福感和生活质量方面观察到与时间相关的显著变化（χ2分别为45.275，P < 0.001；χ2为37.848，P < 0.001；χ2为48.255，P < 0.001；χ2为34.231，P < 0.001）。值得注意的是，幸福感的交互作用具有统计学意义（P < 0.05）。