Group-based Positive Psychotherapy in Psychological Resilience of Only-Child-Lost People

The Impact of Group-based Positive Psychotherapy in Psychological Resilience of Only-child-lost People: A Randomized Controlled Trial

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.

Study Overview

• Status: Completed
• Conditions: Mental Health; Resilience, Psychological; Bereavement
• Intervention / Treatment: Behavioral: Positive Psychotherapy; Other: Usual Care

• Study Type: Interventional
• Enrollment (Actual): 68
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 49 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Positive Psychotherapy group	Behavioral: Positive 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.
Other: Control group; Usual Care means treating as usual, including a regular home visit.	Other: Usual Care; Usual Care means treating as usual, including a regular home visit.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of psychological resilience	It is assessed by Connor-Davidson Resilience Scale. A higher score suggests a higher level of psychological resilience. The range is 0-100.	Baseline, immediately after the intervention, 3-month after the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of depressive symptoms	It is measured by Zung Self-rating Depression Scale with a higher score suggesting a more severe of depressive symptoms	Baseline, immediately after the intervention, 3-month after the intervention
Change of index of well-being	It is measured by Campbell's Index of Well-being. A high score indicates a high level of well-being.	Baseline, immediately after the intervention, 3-month after the intervention
Change of Dehydroepiandrosterone (DHEA) in saliva	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.	Baseline, immediately after the intervention, 3-month after the intervention
Change of Sleep Quality	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	Baseline, immediately after the intervention, 3-month after the intervention
Change of Social Avoidance and Social Distress	It is measured by Social Avoidance and Distress Scale. A high score indicates a high level of social avoidance and social distress.	Baseline, immediately after the intervention, 3-month after the intervention

Collaborators and Investigators

• Sponsor: Central South University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2016
• Primary Completion (Actual): October 31, 2016
• Study Completion (Actual): October 31, 2016

Study Registration Dates

• First Submitted: December 20, 2022
• First Submitted That Met QC Criteria: January 19, 2023
• First Posted (Estimate): January 30, 2023

Study Record Updates

• Last Update Posted (Estimate): January 30, 2023
• Last Update Submitted That Met QC Criteria: January 19, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: 2015058

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No