Bereavement, Mental Health, Resilience, Psychological
Conditions
Brief summary
A randomized controlled trial was conducted to evaluate the effectiveness of group-based positive psychotherapy on psychological resilience, depression, well-being, sleep quality, dehydroepiandrosterone in only-child-lost people. A total of 80 only-child-lost people who met the inclusion and exclusion criteria were expected to recruit. There were six weeks in the intervention, including positive introduction, positive reaction, gratitude, meaningful, three good things, and using personal strength. The measurements were conducted at the baseline, immediately after the intervention, 3-month after the intervention.
Interventions
BEHAVIORALPositive Psychotherapy
A 6-week group-based positive psychotherapy was conducted in this group. The themes of each week include positive introduction, three good things and positive reactions, gratitude, positive memory, identifying personal strengths and utilizing strengths.
OTHERUsual Care
Usual Care means treating as usual, including a regular home visit.
Sponsors
Central South University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Masking description
The intervention provider, investigator, and outcomes assessor have not been informed of the group allocation, but the participants may be aware of the group allocation because of the nature of the research design.
Eligibility
Sex/Gender
ALL
Age
49 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. having only one child or legally adopting; 2. No surviving children; 3. basic language expression and comprehension skills; 4. the score of Connor-Davidson Resilience Scale is lower than 82
Exclusion criteria
1. in the acute bereavement period (\<6 months); 2. unable to participate in activities due to severe physical illness; 3. having diagnosis of sever mental illness; 4. receiving other psychological therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of psychological resilience | Baseline, immediately after the intervention, 3-month after the intervention | It is assessed by Connor-Davidson Resilience Scale. A higher score suggests a higher level of psychological resilience. The range is 0-100. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of depressive symptoms | Baseline, immediately after the intervention, 3-month after the intervention | It is measured by Zung Self-rating Depression Scale with a higher score suggesting a more severe of depressive symptoms |
| Change of index of well-being | Baseline, immediately after the intervention, 3-month after the intervention | It is measured by Campbell's Index of Well-being. A high score indicates a high level of well-being. |
| Change of Dehydroepiandrosterone (DHEA) in saliva | Baseline, immediately after the intervention, 3-month after the intervention | Saliva is collected using a saliva collector and assayed using the Elisa assay. After the specimens were collected, they were tested with the Elisa kit of Salimetrics® according to its instructions. |
| Change of Sleep Quality | Baseline, immediately after the intervention, 3-month after the intervention | It is measured by Pittsburgh Sleep Quality Index. If the total score is over 7, the sleep quality is normal, and if the score is over 7, it suggests a low sleep quality |
| Change of Social Avoidance and Social Distress | Baseline, immediately after the intervention, 3-month after the intervention | It is measured by Social Avoidance and Distress Scale. A high score indicates a high level of social avoidance and social distress. |
Outcome results
None listed