“…This nding agrees with a study also performed in Iran by (21) who clari ed that after the implementation of a group psychological training program for family caregivers of patients with schizophrenia, a satisfactory level of the total positive thinking aspects scores increased from nearly to one third in the pretest to most of them in the post-test and recommended that, implementing educational training courses in future studies with a greater sample size by health service providers for improving continuity of care for caregivers of psychiatric patients.…”
Section: Discussionsupporting
confidence: 94%
“…These results are in an equivalent direction to the study achieved by (28) who illustrated that there was a change in the mean score of family adjustments was higher post-training interventions than pre-program. The results also are supported by a study performed by (21) which concluded that psychological training of family caregivers enhances their knowledge about mental illness and its curable nature, which reduces their negative emotions consequently and improves their emotional adjustments.…”
Section: Discussionsupporting
confidence: 60%
“…The positive thinking scale was developed by (13) in the Arabic language to assess individual positive thinking. It consists of 30 items and is divided into ve subscales each subscale includes six items as follows: The rst subscale is optimism and general satisfaction (1-6), the second subscale is emotional control and emotional intelligence (7)(8)(9)(10)(11)(12), the third subscale is acceptance of the others and take responsibility (13)(14)(15)(16)(17)(18), the fourth subscale is forgiveness and self-acceptance (19)(20)(21)(22)(23)(24), nally the ve subscale is a love of learning and taking risks (25)(26)(27)(28)(29)(30).…”
Section: Tools For Data Collectionmentioning
confidence: 99%
“…The psychological adjustment scale consisted of 40 items and was divided into four subscales, the rst subscale assesses personal adjustment (1)(2)(3)(4)(5)(6)(7)(8)(9), and the second subscale assesses social adjustment (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The third subscale assesses family adjustment (21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and the fourth subscale assesses emotional adjustment (31-40). This scale used a two-point type scale "yes" (1) and "no" (0).…”
Background: Psychiatric disorder is becoming a major public health problem. Prolonged caregiving responsibilities to psychiatric patients can deplete the family's energy, resulting in exhaustion and increased negative emotions, such as feelings of despair, guilt, depression, and helplessness, and a significant decrease in their psychological adjustment which requires adequate support and training.
Aim: The present study aims to explore the effect of the positive thinking skills training program on psychological adjustment among psychiatric patients’ caregivers.
Method: A quasi-experimental research design (Non-randomized controlled trial) was utilized in this study one group (pre, post-test, and follow-up) in the psychiatric outpatient clinic at Port Said Psychiatric Health Hospital and Addiction Treatment. A purposive sample of 66 psychiatric patients’ caregivers. Eight sessions of positive thinking skills training were carried out in the form of small groups for four months. Two tools used for data collection consisted of Tool I: The Positive Thinking Scale, Tool II: The Psychological Adjustment Scale, in addition to the Personal and Clinical Data Sheet of the studied psychiatric patients' caregivers.
Results:The current study revealed that there were highly statistically significant differences between the mean score of total psychological adjustment in the immediate post-program with mean ±SD (35.2±5.2) and at follow-up phase with mean ±SD (33.8±5.5) compared to a pre-program with mean ±SD (11.4±8.8)as (p<0.001).
Conclusion: The positive thinking skill training program had a positive significant effect in improving the total psychological adjustment score among studied psychiatric patients’ caregivers. The study recommended the application of the positive thinking skill training program by the health profession at Port Said Psychiatric Health Hospital and Addiction Treatment to ensure continuity of care for psychiatric patients' caregivers
Trial Registration Number (TRN)
The study was approved and registered by the Research Ethics Committee (REC), Faculty of Nursing/ Port Said University with trial registration number (NUR 13/3/2022 - 11).
“…This nding agrees with a study also performed in Iran by (21) who clari ed that after the implementation of a group psychological training program for family caregivers of patients with schizophrenia, a satisfactory level of the total positive thinking aspects scores increased from nearly to one third in the pretest to most of them in the post-test and recommended that, implementing educational training courses in future studies with a greater sample size by health service providers for improving continuity of care for caregivers of psychiatric patients.…”
Section: Discussionsupporting
confidence: 94%
“…These results are in an equivalent direction to the study achieved by (28) who illustrated that there was a change in the mean score of family adjustments was higher post-training interventions than pre-program. The results also are supported by a study performed by (21) which concluded that psychological training of family caregivers enhances their knowledge about mental illness and its curable nature, which reduces their negative emotions consequently and improves their emotional adjustments.…”
Section: Discussionsupporting
confidence: 60%
“…The positive thinking scale was developed by (13) in the Arabic language to assess individual positive thinking. It consists of 30 items and is divided into ve subscales each subscale includes six items as follows: The rst subscale is optimism and general satisfaction (1-6), the second subscale is emotional control and emotional intelligence (7)(8)(9)(10)(11)(12), the third subscale is acceptance of the others and take responsibility (13)(14)(15)(16)(17)(18), the fourth subscale is forgiveness and self-acceptance (19)(20)(21)(22)(23)(24), nally the ve subscale is a love of learning and taking risks (25)(26)(27)(28)(29)(30).…”
Section: Tools For Data Collectionmentioning
confidence: 99%
“…The psychological adjustment scale consisted of 40 items and was divided into four subscales, the rst subscale assesses personal adjustment (1)(2)(3)(4)(5)(6)(7)(8)(9), and the second subscale assesses social adjustment (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The third subscale assesses family adjustment (21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and the fourth subscale assesses emotional adjustment (31-40). This scale used a two-point type scale "yes" (1) and "no" (0).…”
Background: Psychiatric disorder is becoming a major public health problem. Prolonged caregiving responsibilities to psychiatric patients can deplete the family's energy, resulting in exhaustion and increased negative emotions, such as feelings of despair, guilt, depression, and helplessness, and a significant decrease in their psychological adjustment which requires adequate support and training.
Aim: The present study aims to explore the effect of the positive thinking skills training program on psychological adjustment among psychiatric patients’ caregivers.
Method: A quasi-experimental research design (Non-randomized controlled trial) was utilized in this study one group (pre, post-test, and follow-up) in the psychiatric outpatient clinic at Port Said Psychiatric Health Hospital and Addiction Treatment. A purposive sample of 66 psychiatric patients’ caregivers. Eight sessions of positive thinking skills training were carried out in the form of small groups for four months. Two tools used for data collection consisted of Tool I: The Positive Thinking Scale, Tool II: The Psychological Adjustment Scale, in addition to the Personal and Clinical Data Sheet of the studied psychiatric patients' caregivers.
Results:The current study revealed that there were highly statistically significant differences between the mean score of total psychological adjustment in the immediate post-program with mean ±SD (35.2±5.2) and at follow-up phase with mean ±SD (33.8±5.5) compared to a pre-program with mean ±SD (11.4±8.8)as (p<0.001).
Conclusion: The positive thinking skill training program had a positive significant effect in improving the total psychological adjustment score among studied psychiatric patients’ caregivers. The study recommended the application of the positive thinking skill training program by the health profession at Port Said Psychiatric Health Hospital and Addiction Treatment to ensure continuity of care for psychiatric patients' caregivers
Trial Registration Number (TRN)
The study was approved and registered by the Research Ethics Committee (REC), Faculty of Nursing/ Port Said University with trial registration number (NUR 13/3/2022 - 11).
There is a need to understand stigma and strategies which can effectively decrease the rate of stigma in the Iranian population. The objective of this review was to summarize the available literature on stigma-related research toward people with mental health conditions (MHCs) in Iran. A systematic search across various databases identified relevant studies published in English and Persian. Inclusion criteria focused on original observational and interventional studies examining mental health stigma in Iran. Data extraction and quality assessment were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Consensus among authors ensured accuracy and consistency in the review process. Thirty-eight articles met criteria for data extraction. The studies covered various Iranian cities and involved individuals with MHCs, the public, families, health care professionals, and students. Sample sizes ranged from 12 to 800 subjects, with most articles published between 2015 and 2022. Quantitative and qualitative methodologies were used, with data collection methods including focus groups and interviews. Although the rate of public stigma was acceptable in the general population, internalized and perceived stigma had high levels among Iranians with MHCs and their caregivers. Moreover, the high rates of professional stigmatization are reflected in health care providers. Media has a significant role in stigmatizing attitudes and also can be a vital tool for reducing stigma. The available evidence shows that mental health stigma in Iran is a public health priority that needs serious interventions. There is an urgent need to increase the knowledge of society about MHCs to reduce stigma.
Clinical Impact StatementMental health stigma is a global problem, and Iran is no exception. This systematic review aims to investigate the challenges and solutions to stigma reduction toward mental disorders in Iran. The review found that there are significant barriers to reducing stigma toward mental health in Iran, and interventions are needed to address this issue. The review highlights the importance of addressing stigma in clinical practice and the efficacy of interventions. The impact of antistigma interventions on helpseeking warrants further research.
Psychiatrists require frequent contact with and treatment of patients with mental illnesses. Due to the influence of associative stigma, psychiatrists may also be targets of stigma. Occupational stigma warrants special consideration because it significantly affects psychiatrists' career advancement, well-being, and their patients’ health. Given that there is no complete summary of this issue, this study reviewed the existing literature on psychiatrists' occupational stigma to clearly synthesize its concepts, measurement tools, and intervention strategies. Herein, we emphasize that psychiatrists’ occupational stigma is a multifaceted concept that simultaneously encompasses physically, socially, and morally tainted aspects. Currently, standardized methods to specifically measure psychiatrists’ occupational stigma are lacking. Interventions for psychiatrists’ occupational stigma may consider the use of protest, contact, education, comprehensive and systematic methods, as well as the use of psychotherapeutic approaches. This review provides a theoretical basis for the development of relevant measurement tools and intervention practices. Overall, this review seeks to raise public awareness of psychiatrists' occupational stigma, thereby promoting psychiatric professionalism and reducing its stigma.
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