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

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

• Kim J
• Na H

• KMID: 2394258
• DOI: http://doi.org/10.4040/jkan.2017.47.5.638

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.

Keyword

Schizophrenia; Psychotherapy; Affect; Interpersonal relations; Psychological resilience

MeSH Terms

Adult
Humans
Interpersonal Relations*
Mental Health*
Psychotherapy*
Resilience, Psychological
Schizophrenia*

Figure

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  Figure 1. Model of the broaden-and-build theory of positive emotions Reprinted with permission of Guilford Press, Fredrickson and Cohn (2008, Figure 48.1) [17].

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  Figure 2. Conceptual framework of the study.

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  Figure 3. Flow diagram of the study participants.

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