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Effect of a Positive Psychology Expressive Writing on Stigma, Hope, Coping Style, and Quality of Life in Hospitalized Female Patients with Schizophrenia: A Randomized, Controlled Trial.

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Title: Effect of a Positive Psychology Expressive Writing on Stigma, Hope, Coping Style, and Quality of Life in Hospitalized Female Patients with Schizophrenia: A Randomized, Controlled Trial.
Authors: Tang, Ming-Wen, Cheng, Yin, Zhang, Yan-Hong, Liu, Shou-Juan
Source: Perspectives in Psychiatric Care. 2/8/2023, p1-12. 12p. 1 Diagram, 4 Charts.
Subjects: Schizophrenia treatment, Positive psychology, Health education, Psychiatric nursing, Psychotherapy patients, Counseling, Social stigma, Quantitative research, Hope, Treatment effectiveness, Randomized controlled trials, Pre-tests & post-tests, Cronbach's alpha, Nurse-patient relationships, Psychological tests, T-test (Statistics), Comparative studies, Quality of life, Hospital care, Psychology of women, Psychosocial factors, Research funding, Descriptive statistics, Questionnaires, Communication, Chi-squared test, Blind experiment, Emotions, Written communication, Psychological adaptation, Statistical sampling, Psychophysiology, Data analysis software, Psychotherapy, Psychiatric hospitals, Longitudinal method, Trust, Evaluation
Geographic Terms: China
Abstract: Purpose. Schizophrenia accounts for more than 50% of psychiatric inpatients, and its special manifestations and recurring illnesses not only bring great harm to patients and their families but also pose great challenges to social security and management. Schizophrenia is associated with the most severe stigma of all mental illnesses. This stigma seriously affects the psychological functioning and quality of life of people with schizophrenia. Female patients' experiences with stigma tend to be more severe than those of male patients and their self-denial and discrimination may be more serious. As expressive writing is a relatively simple, brief intervention that may serve as a useful and cost-effective alternative intervention or adjunct to other treatments, it is important to assess its effectiveness for female patients with schizophrenia. In this study, we explored the effect of a positive psychology expressive writing intervention on stigma, hope, coping style, and quality of life in hospitalized female patients with schizophrenia. Methods. This randomized controlled trial investigated the psychophysiological benefits of a positive psychology expressive writing (PPEW) in 54 schizophrenia patients recruited from the psychiatry department of a tertiary psychiatric hospital in Nanjing, China. Patients were randomized into the experimental group (n = 27) and control group (n = 27). The experimental group participated in the positive psychology expressive writing for 2 weeks, while the control group received routine psychiatric care. As outcome measures, all patients completed the Personal Information Form, Perceived Devaluation-Discrimination (PDD), Simplified Coping Style Questionnaire (SCSQ), Herth Hope Index Scale (HHIS), and Quality of Life Scale for Schizophrenia (SQLS). Results. There were significant differences in PDD, SCSQ, HHIS, and SQLS pretest to posttest scores between the experimental and control groups shown by the per protocol (PP) and intent-to-treat (ITT) analysis (P < 0.05). PPEW decreased the level of stigma and improved hope, coping style, and quality of life among patients with schizophrenia. Conclusion. These findings highlight the benefits of including positive psychology expressive writing (PPEW) in daily psychological treatment of patients with schizophrenia to promote their rehabilitation and improve their quality of life. [ABSTRACT FROM AUTHOR]
Copyright of Perspectives in Psychiatric Care is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Purpose. Schizophrenia accounts for more than 50% of psychiatric inpatients, and its special manifestations and recurring illnesses not only bring great harm to patients and their families but also pose great challenges to social security and management. Schizophrenia is associated with the most severe stigma of all mental illnesses. This stigma seriously affects the psychological functioning and quality of life of people with schizophrenia. Female patients&#39; experiences with stigma tend to be more severe than those of male patients and their self-denial and discrimination may be more serious. As expressive writing is a relatively simple, brief intervention that may serve as a useful and cost-effective alternative intervention or adjunct to other treatments, it is important to assess its effectiveness for female patients with schizophrenia. In this study, we explored the effect of a positive psychology expressive writing intervention on stigma, hope, coping style, and quality of life in hospitalized female patients with schizophrenia. Methods. This randomized controlled trial investigated the psychophysiological benefits of a positive psychology expressive writing (PPEW) in 54 schizophrenia patients recruited from the psychiatry department of a tertiary psychiatric hospital in Nanjing, China. Patients were randomized into the experimental group (n = 27) and control group (n = 27). The experimental group participated in the positive psychology expressive writing for 2 weeks, while the control group received routine psychiatric care. As outcome measures, all patients completed the Personal Information Form, Perceived Devaluation-Discrimination (PDD), Simplified Coping Style Questionnaire (SCSQ), Herth Hope Index Scale (HHIS), and Quality of Life Scale for Schizophrenia (SQLS). Results. There were significant differences in PDD, SCSQ, HHIS, and SQLS pretest to posttest scores between the experimental and control groups shown by the per protocol (PP) and intent-to-treat (ITT) analysis (P &lt; 0.05). PPEW decreased the level of stigma and improved hope, coping style, and quality of life among patients with schizophrenia. Conclusion. These findings highlight the benefits of including positive psychology expressive writing (PPEW) in daily psychological treatment of patients with schizophrenia to promote their rehabilitation and improve their quality of life. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Perspectives in Psychiatric Care is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=161985257
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        Value: 10.1155/2023/1577352
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Schizophrenia treatment
        Type: general
      – SubjectFull: Positive psychology
        Type: general
      – SubjectFull: Health education
        Type: general
      – SubjectFull: Psychiatric nursing
        Type: general
      – SubjectFull: Psychotherapy patients
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Quantitative research
        Type: general
      – SubjectFull: Hope
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Cronbach's alpha
        Type: general
      – SubjectFull: Nurse-patient relationships
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      – SubjectFull: Psychological tests
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Comparative studies
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      – SubjectFull: Quality of life
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      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Blind experiment
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Written communication
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Psychophysiology
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Psychiatric hospitals
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      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Trust
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      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: China
        Type: general
    Titles:
      – TitleFull: Effect of a Positive Psychology Expressive Writing on Stigma, Hope, Coping Style, and Quality of Life in Hospitalized Female Patients with Schizophrenia: A Randomized, Controlled Trial.
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            – D: 08
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              Text: 2/8/2023
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              Y: 2023
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