The Effect Of Logotherapy-Based Psychoeducatıon Applıed To Famıly Members Of Indıvıduals Dıagnosıs Of Schızophrenıa On Meanıng In Lıfe, Hope And Depressıon And Theır Psychoeducatıon Experıences
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Herth Hope Scale Scores
研究概览
简要总结
Objective: This study aimed to determine the effects of logotherapy-based psychoeducation applied to family members of individuals diagnosed with schizophrenia on meaning in life, hope, and depression, and to examine experiences related to the psychoeducation process.
Materials and Methods: Using a parallel convergent mixed methods design, the quantitative dimension of the study was designed as a randomized controlled trial, and the qualitative dimension was designed using a phenomenological method. The research was conducted between November 2023 and August 2025 with family members of individuals diagnosed with schizophrenia who were being followed up in the mental health and diseases outpatient clinics of a city hospital in Istanbul. A total of 40 family members were included in the study, 19 in the experimental group and 21 in the control group. Quantitative data were collected using the Demographic Information Form, Meaning in Life Scale, Herth Hope Scale, and Beck Depression Inventory, while qualitative data were collected using a Semi-Structured Interview Form. Pre-test measurements were performed on family members in both the experimental and control groups after randomization. Subsequently, individuals in the experimental group received an eight-session Logotherapy-Based Psychoeducation program individually online. Family members who completed the psychoeducation program underwent post-test measurements the following day, and qualitative data were collected through individual in-depth interviews. Family members in the control group received no intervention for eight weeks, after which post-test measurements were taken. Quantitative data were analyzed using the Wilcoxon signed-rank test, Mann Whitney U test, and t-test; qualitative data were analyzed using Colaizzi's phenomenological data analysis method.
详细描述
The resources that will strengthen the family members who play a key role in the treatment of schizophrenia should also be activated. One of these resources that enable people to cope with the difficult events they experience is finding meaning in life. The meaning of life is a basic source of motivation for an individual to live despite everything. In this respect, meaning is a source that helps them maintain their mental balance. Another concept that is considered important in terms of protecting and strengthening the mental health of family members is hope. Hope is defined as setting a goal and taking action to achieve it, and looking for different ways when faced with difficulties. Hope gives caregivers the belief that they can cope with stressful experiences. Therefore, it is important to develop hope in family members of individuals with mental disorders. Today, different therapy methods are applied to protect and improve mental health. Recent studies have shown that logotherapy is an effective method in strengthening positive psychological factors and coping with negative emotions. Logotherapy adopts "Therapy through Meaning" as its basic method. The effectiveness of logotherapy on meaning and hope has been demonstrated in many different samples. No study has been found that focuses on meaning and hope in family members of schizophrenia patients. This research, conducted using a parallel convergent mixed methods design, aims to determine the effects of logotherapy-based psychoeducation applied to family members of individuals diagnosed with schizophrenia on meaning in life, hope, and depression, and to examine experiences related to the psychoeducation process.
Research hypotheses for the quantitative dimension of the study:
- Hypothesis (H1a): Beck Depression Inventory scores of the experimental group after intervention are lower than their pre-intervention scores.
- Hypothesis (H1b): Herth Hope Scale scores of the experimental group after intervention are higher than their pre-intervention scores.
- Hypothesis (H1c): Meaning of Life Scale scores of the experimental group after intervention are higher than their pre-intervention scores.
- Hypothesis (H1d): Beck Depression Inventory scores of the experimental group after intervention are lower than those of the control group.
- Hypothesis (H1e): Herth Hope Scale scores of the experimental group after intervention are higher than those of the control group.
- Hypothesis (H1f): Meaning of Life Scale scores of the experimental group after intervention are higher than those of the control group.
Research question for the qualitative dimension of the study:
What are the experiences of family members who participated in the Logotherapy-Based Psychoeducation Program during the psychoeducation process?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participation Criteria
- •Voluntary participation in the study
- •Being between 18 and 65 years of age
- •Having a family member diagnosed with schizophrenia according to DSM-5 diagnostic criteria and receiving outpatient treatment
- •The individual diagnosed with schizophrenia must have been under follow-up for at least one year
排除标准
- •Receiving treatment for a mental disorder
- •Receiving psychotherapy
- •Exclusion Criteria
- •Failure to attend at least two psychoeducation sessions in total
- •Failure to complete or incomplete completion of data collection forms
研究组 & 干预措施
Relatives of patients who underwent the application
Individuals in this group will receive 8 sessions of psychoeducation focused on logotherapy.
干预措施: logotherapy focused psychoeducation (Other)
relatives of patients in routine practice
Individuals in this arm will not be subjected to any additional intervention other than routine practices.
结局指标
主要结局
Herth Hope Scale Scores
时间窗: first week and eighth week
The Herth Hope Scale (HUÖ) was developed by Dr. Herth in 1991 to determine the hope levels of individuals and was adapted to Turkish by Aslan and colleagues. The scale is a four-point Likert type and consists of 30 items. The scale consists of the sub-dimensions "Future", "Positive readiness and expectation" and "Relationships between oneself and those around oneself". The total hope score varies between 0-90, and the total score for each sub-scale varies between 0-30. High scores obtained from the scale indicate a high level of hope. In the reliability study of the Turkish form of the scale, the Cronbach alpha coefficient was determined as 0.84.
Results of semi-structured qualitative form
时间窗: tenth week
The semi-structured interview form to be used for the qualitative interview will be created by the researcher in line with expert opinion while preparing the psychoeducation program.
Finding meaning in life scale score
时间窗: first week and eighth week
The meaning of life scale was developed by Steger and colleagues to determine the meaning people find in life and the meaning they seek. The adaptation study for Turkey was conducted by Akın and Taş. The meaning of life scale consists of 10 items on a 7-point Likert type. The scale consists of two subscales, namely current meaning and sought meaning. The total score on the scale varies between 7 and 70. High scores obtained from the scale indicate that the individual has a high level of meaning in life. The internal consistency reliability coefficients of the scale are .82 for the current meaning subscale and .87 for the sought meaning subscale.
Beck Depression Inventory Scores
时间窗: first week and eighth week
Developed by Beck et al. (1961), the Turkish validity and reliability study was conducted by Hisli (1989) (Beck et al., 1961; Sahin, 1989). The scale, designed to measure physical, emotional, cognitive, and motivational components, is a four-point Likert-type scale. It consists of 21 questions and is rated from 0 to 3. The lowest possible score is 0, and the highest is 63. As the total score increases, the level of depression increases. In terms of severity, 0-9 indicates minimal, 10-16 mild, 17-29 moderate, and 30-63 severe depressive symptoms. Hisli found the Cronbach's alpha value of the scale to be 0.80. In this study, the Cronbach's alpha value was calculated as 0.86 for the pre-test and 0.86 for the post-test.
次要结局
未报告次要终点
研究者
aslı zeynep sipahi
lecturer
Uskudar University