Electroconvulsive Therapy (ECT), Internalised Stigma, Mental Illnesses, Psychiatric Nursing, Psychoeducation
Conditions
Keywords
Mental Illness, Electroconvulsive Therapy, Internalised Stigma, Anxiety, Psychoeducation, Psychiatric Nursing
Brief summary
This randomized controlled clinical trial was conducted to evaluate the effect of a psychoeducational programme on internalised stigma and anxiety levels in patients undergoing electroconvulsive therapy (ECT). The study aimed to determine whether the psychoeducational intervention reduces internalised stigma related to mental illness and improves anxiety outcomes compared to routine nursing care. The primary questions addressed were: Does the psychoeducational programme reduce internalised stigma in patients receiving ECT? Does the intervention decrease state and trait anxiety levels compared to routine care? Researchers compared a psychoeducational intervention group with a control group receiving routine nursing care to assess the effects of the programme on psychological outcomes. Participants in the intervention group: Received a six-session psychoeducational programme delivered individually over six weeks Completed pre-test and post-test assessments using standardized measurement tools Participants in the control group received routine psychiatric nursing care and completed the same assessment measures at equivalent time points.
Interventions
BEHAVIORALPsychoeducational Programme
A structured psychoeducational programme consisting of six individual face-to-face sessions delivered over six weeks by the researcher. The programme aimed to reduce internalised stigma and anxiety in patients undergoing electroconvulsive therapy (ECT) and included education about illness, treatment process, coping strategies, and emotional support.
OTHERRoutine Psychiatric Nursing Care
Standard psychiatric nursing care provided during electroconvulsive therapy (ECT) treatment. No structured psychoeducational programme was applied.
Sponsors
Konya Necmettin Erbakan Üniversitesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Masking description
No additional parties were masked beyond participants.
Intervention model description
The type of research is a pre-test and post-test, control group randomised controlled experimental study.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years * Able to read and write in Turkish * At least primary school graduate * Diagnosed according to DSM-5 criteria with schizophrenia or other psychotic disorders, bipolar disorder, major depressive disorder, obsessive-compulsive disorder, or generalized anxiety disorder * Inpatients in a psychiatric clinic * Receiving or scheduled to receive electroconvulsive therapy (ECT) * No severe agitation or homicidal risk as determined by the treating psychiatrist * Voluntary consent to participate in the study
Exclusion criteria
* Diagnosis of organic mental disorders (e.g., dementia, Alzheimer's disease, delirium) * Intellectual disability * History of alcohol or substance dependence * Not completing at least 4 ECT sessions during the treatment process
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Internalised Stigma Scale for Mental Illness (ISMI) | Baseline and 6 weeks post-intervention | Change in internalized stigma levels in patients undergoing electroconvulsive therapy (ECT), measured using the Internalized Stigma of Mental Illness Scale (ISMI). Higher scores indicate higher levels of internalized stigma. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| State Anxiety Score (STAI-State) | Baseline and 6 weeks post-intervention | Change in state anxiety levels in patients undergoing electroconvulsive therapy (ECT), measured using the STAI-State subscale. Higher scores indicate higher levels of current anxiety. |
| Trait Anxiety Score (STAI-Trait) | Baseline and 6 weeks post-intervention | Change in trait anxiety levels in patients undergoing electroconvulsive therapy (ECT), measured using the STAI-Trait subscale. Higher scores indicate general anxiety tendency. |
Countries
Turkey (Türkiye)
Outcome results
None listed