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2025 ; 25
(1
): 1018
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Effect of a positive thinking skills training program on psychological adjustment
among psychiatric patients caregivers
#MMPMID41131531
Abd El-Hay NH
; Mahmoud AS
; Berma AE
BMC Psychiatry
2025[Oct]; 25
(1
): 1018
PMID41131531
show ga
BACKGROUND: Psychiatric disorders are becoming a major public health problem. The
prolonged caregiving responsibilities for 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 a 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 of one group (pre-,
post-test, and follow-up after 3 months) 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 between
pre-program and immediate post with mean difference?±?Std. Error (23.51?±?1.26)
compared to the mean difference?±?Std. Error in the pre-program and follow-up
phase was (22.22?±?1.20) While the mean difference?±?Std. Error between the
immediate post and follow-up phase was (1.29?±?0.45) (p?0.001) as determined by
Cohen's d test, there was a large effect of the training program on the immediate
post and follow-up after 3 months. 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 by the
Research Ethics Committee (REC), Faculty of Nursing/ Port Said University, Egypt
(code number: NUR 13/3/2022-11). The study also retrospectively registered under
the following number: PACTR202507513786427 on 1 July 2025.