- 期刊
自然體驗活動介入對慢性精神分裂症病患精神病症狀之成效探討
The Efficacy of Nature Experience Activities on Psychotic Symptoms in Sufferers of Chronic Schizophrenia
摘要
Background: Nature experience activity is an evolving, non-invasive, adjunctive therapy for patients with schizophrenia.The current literature lacks empirical evidence on its effectiveness in treating chronic schizophrenic patients.Purpose: This study examines the efficacy of nature experience activities on positive and negative symptoms in individuals with chronic schizophrenia.Methods: Researchers used a quasi-experiment design and subjects comprised a convenience sample of forty-eight patients diagnosed with schizophrenia recruited from a Taipei City psychiatric hospital daycare center. The experimental group (n = 25) received the usual psychiatric rehabilitation program as well as an additional 90-minute nature experience activity once each week for eight weeks. The control group (n = 23) received the usual psychiatric rehabilitation program only. Researchers administered positive and negative syndrome scale (PANSS) surveys three times as follows: pre-treatment (baseline), immediate post-treatment (week 8), and follow-up (week 12). Data were analyzed using generalized estimating equation analysis and an independent samples t test.Results: Generalized estimating equations (GEE) analysis showed nature experience activity indeed improved psychotic symptoms at T2 (B = -2.850, p ＜ .001) and at T3 (B = -2.637, p ＜ .001) in the experiment group. In addition, the effects of the nature experience activity continued to improve both positive and general psychopathology syndromes. The experimental group further showed significantly more relief than the control group in terms of positive psychotic syndromes (t = 3.30, p = .002) and general psychopathology syndromes (t = 4.81, p ＜ .001). Nature experience activities demonstrated lasting benefits in terms of hallucinatory behavior (t = 2.59, p = .02), anxiety (t = 2.89, p = .01), guilt (t= 2.30, p = .03), tension (t = 2.45, p = .02), poor impulse control (t = 1.99, p = .05), and active social avoidance (t = 1.99, p = .05) in the experimental group.Conclusions / Practical application: Findings recommend that nature experience activities be incorporated into psychiatric rehabilitation programs for sufferers of chronic schizophrenia.
並列摘要
Background: Nature experience activity is an evolving, non-invasive, adjunctive therapy for patients with schizophrenia.The current literature lacks empirical evidence on its effectiveness in treating chronic schizophrenic patients.Purpose: This study examines the efficacy of nature experience activities on positive and negative symptoms in individuals with chronic schizophrenia.Methods: Researchers used a quasi-experiment design and subjects comprised a convenience sample of forty-eight patients diagnosed with schizophrenia recruited from a Taipei City psychiatric hospital daycare center. The experimental group (n = 25) received the usual psychiatric rehabilitation program as well as an additional 90-minute nature experience activity once each week for eight weeks. The control group (n = 23) received the usual psychiatric rehabilitation program only. Researchers administered positive and negative syndrome scale (PANSS) surveys three times as follows: pre-treatment (baseline), immediate post-treatment (week 8), and follow-up (week 12). Data were analyzed using generalized estimating equation analysis and an independent samples t test.Results: Generalized estimating equations (GEE) analysis showed nature experience activity indeed improved psychotic symptoms at T2 (B = -2.850, p ＜ .001) and at T3 (B = -2.637, p ＜ .001) in the experiment group. In addition, the effects of the nature experience activity continued to improve both positive and general psychopathology syndromes. The experimental group further showed significantly more relief than the control group in terms of positive psychotic syndromes (t = 3.30, p = .002) and general psychopathology syndromes (t = 4.81, p ＜ .001). Nature experience activities demonstrated lasting benefits in terms of hallucinatory behavior (t = 2.59, p = .02), anxiety (t = 2.89, p = .01), guilt (t= 2.30, p = .03), tension (t = 2.45, p = .02), poor impulse control (t = 1.99, p = .05), and active social avoidance (t = 1.99, p = .05) in the experimental group.Conclusions / Practical application: Findings recommend that nature experience activities be incorporated into psychiatric rehabilitation programs for sufferers of chronic schizophrenia.