Effectiveness of a program to facilitate recovery for people with long-term mental illness in Japan

Nurs Health Sci. 2014 Sep;16(3):277-83. doi: 10.1111/nhs.12090. Epub 2013 Sep 16.

Abstract

Recovery is defined as the process of developing new meaning and purpose in life as one grows beyond the catastrophic effects of mental illness. This study aimed to develop a program to facilitate recovery and examine its effectiveness in a randomized controlled trial. The program was developed with three components that enhance benefit finding, personal meaning, and a sense of happiness. Sixty-three participants with long-term mental illness were randomly allocated to the intervention group (n = 32) or the control group (n = 31). The intervention group attended eight 2-h group sessions, with one held every week. Recovery was assessed at baseline, post-intervention, and at a three-month follow-up. In the per-protocol analysis, after excluding those who dropped out, the intervention group showed significant improvement in recovery compared with the control group (P < 0.05). In the intention-to-treat analysis, a repeated measures analysis of variance did not show any significant intervention effect (time × group) (P > 0.05). The program had the potential to facilitate recovery.

Keywords: benefit finding; mental disorders; positive psychology; psychiatric nursing; randomized controlled trial; recovery.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Analysis of Variance
  • Attitude to Health* / ethnology
  • Factor Analysis, Statistical
  • Female
  • Happiness*
  • Humans
  • Japan
  • Long-Term Care
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology*
  • Mental Disorders / rehabilitation
  • Mental Health Services / statistics & numerical data
  • Middle Aged
  • Outcome Assessment, Health Care / statistics & numerical data*
  • Program Evaluation
  • Psychiatric Nursing / methods
  • Psychiatric Status Rating Scales
  • Recovery of Function*
  • Sense of Coherence
  • Social Class
  • Surveys and Questionnaires
  • Time Factors
  • Young Adult