Effectiveness of Group Poetry Therapy on Improving Positive and Negative Symptoms of Chronic Schizophrenic Patients

Rajaei, Fahimeh; Atadokht, Akbar; Basharpour, Sajad; Mamashli, Soude

doi:10.22034/jmp.2023.388439.1051

Document Type : Research Article

Authors

¹ M. A. in Clinical Psychology, University of Mohaghegh Ardabili , Ardabil, Iran

² Professor, Department of General Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

³ Professor, Department of General Psychology, University of Mohaghegh Ardabili , Ardabil, Iran

⁴ M. A. in Family Counseling, Islamic Azad University, Azadshahr Branch, Azadshahr, Iran

https://doi.org/10.22034/jmp.2023.388439.1051

Abstract

Poetry therapy, a form of creative art therapy, utilizes poetry and other stimulating forms of literature to achieve therapeutic goals and promote personal growth. Research has shown the effectiveness of positive and negative symptom control and treatment in schizophrenia, highlighting the need for non-pharmacological interventions. Poetry therapy has emerged as one such intervention in this domain. Therefore, the present study aimed to investigate the effectiveness of group poetry therapy on positive and negative symptoms in patients with schizophrenia. This experimental study employed a pretest-posttest design with a control group. The statistical population of the study were hospitalized patients in treatment and rehabilitation centers in Ardabil city. Using cluster random sampling, 22 participants were selected and randomly assigned to the experimental and control groups. The experimental group received eleven sessions of group poetry therapy, while the control group did not receive any intervention. Data were collected using the Positive and Negative Syndrome Scale (PANSS) and analyzed through one-way analysis of covariance. The results indicated that, after accounting for the pretest effect, the mean of posttest scores of the experimental group participants were lower than those of the control group in positive and negative symptoms (P<0.05), confirming the effectiveness of group poetry therapy intervention. This study demonstrated that group poetry therapy is an effective non-pharmacological treatment for individuals with chronic schizophrenia and can be implemented by clinical professionals in treatment centers.

Keywords

20.1001.1.27834433.2022.2.2.5.9

Main Subjects

Abnormal Psychology

References

Akbari, M., Saeidi, S. (2017). The Effectiveness of Psychosocial Rehabilitation in Reducing Negative Symptoms and Improving Social Skills of Chronic Schizophrenia Patients. Shenakht Journal of Psychology and Psychiatry, 4(3), 21-35. http://dorl.net/dor/20.1001.1.25886657.1396.4.3.4.4

Almond, S., Knapp, M., Francois, C., Toumi, M., & Brugha, T. (2004). Relapse in schizophrenia: costs, clinical outcomes and quality of life. The British Journal of Psychiatry, 184(4), 346-351. https://doi.org/10.1192/bjp.184.4.346

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5^th. (Y. SeyedMohammadi, Trans). Ravan. (Original work published 2015)

Asayesh, H., Fallahi Khoshknab, M., Fadaei, F., Karimloo. M. (2012). The effect of group poetry therapy on social behaviours of schizopherenia. Iranian Journal of Nursing Research, 7(25), 6-16. https://ijnr.ir/browse.php?a_id=1027&sid=1&slc_lang=en

Bakshipour, A., & Dezhkam, M. (2014). Confirmatory factor analysis of positive and negative affect, Journal of Psychology, 9(4), 351-365. https://www.sid.ir/paper/54494/en

Berkovitch, L., Del Cul, A., Maheu, M., & Dehaene, S. (2018). Impaired conscious access and abnormal attentional amplification in schizophrenia. NeuroImage: Clinical, 18, 835-848. ‏https://doi.org/10.1016/j.nicl.2018.03.010

Bonner, G. P., Kennedy, B., Moretz, C., Stechschulte, P. (2012). Touched by violence and caring for the were assaulted by their patients in nurses who were (dissertation). (ProQuest dissertations publishing); Univrtsity of Capella.

Cheryl, J. M. (2009).The resolution of internal conflict through performing poetry. The Art in Psychotherapy; 36(4), 222-230. https://doi.org/10.1016/j.aip.2009.04.001

Choi, H., Hwang, B., Kim, S., Ko, H., Kim, S., & Kim, C. (2016). Clinical education in psychiatric mental health nursing: Overcoming current challenges. Nurse education today, 39, 109-115. https://doi.org/10.1016/j.nedt.2016.01.021

Collins, K. S., Furman, R., & Langer, C. L. (2006). Poetry therapy as a tool of cognitively based practice. The Arts in psychotherapy, 33(3), 180-187. https://doi.org/10.1016/j.aip.2005.11.002

Fallahi Khoshknab M، Fadaee، F، Kareemloo، M.، Asayesh، H، (2007).The impact of group poetry therapy on the mental state of schizophrenic patients، journal of Rehabilitation. 8(4): 56-61. http://rehabilitationj.uswr.ac.ir/article-1-204-en.html [Persian]

Fallahikhoshknab M, Qorbani M, Fadaei F, Rahmani Anaraki H, Sayesh H. (2016). The effect of poetry therapy group on communication skills of schizophrenia patients. Nursing and Midwifery Journal, 13(11), 919-927. http://unmf.umsu.ac.ir/article-1-2222-en.html

Farvardin, P. (2019). From poem to poem therapy: Applied poem in psychotherapy. Tehran: Parviz Farvardin Publication.

Fathi Azar, E., Haghgoo, H., Nosratabadi, M., Sayadnasiri, M., & Hosseinzadeh, S. (2022). Effects of Occupational Therapy Interventions and Brain Stimulation on Visuospatial‎ Memory in Adult Male Patients with Schizophrenia. Journal of Paramedical Sciences & Rehabilitation, 10(4), 54-66. https://doi.org/10.22038/jpsr.2022.54049.2199

Faraji, J. Fallahi Khoshenab, M., Khankeh, H. R. (2013). The effect of poetry therapy on depression in elderly residents of a nursing home in Arak. Iranian Journal of psychiatric nursing, 1(1), 55-62. http://ijpn.ir/article-1-60-en.html

Ghamari Givi, H., Moulavi, P., Heshmati, R. (2010). Exploration of the factor structure of positive andnegative syndrome scale in schizophernia spectrum disorder. Journal of Clinical Psychology, 2 (6), 1-10. https://doi.org/10.22075/jcp.2017.2018

Gillispie, C. (2003). Poetry therapy techniques applied to a recreation/adult education group for the mentally ill. Journal of Poetry Therapy, 16(2), 97-106. https://doi.org/10.1080/08893670802128424

Halder, S., & Mahato, A. K. (2015). Cognitive impairment in schizophrenia: an overview of assessment and management. International Journal of Indian Psychology, 2, 65-72.

Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. https://doi.org/10.1093/schbul/13.2.261

Khanmohammadi, R, Sheikh, M, Bagherzadeh, F, Houmanian, D, & Khajovi, D. (2022). The effectiveness of a quiet cognitive rehabilitation program on balance and walking in dual task conditions in male schizophrenic patients with depressive disorder. Motor Behavior, 14(47), 65-90. https://doi.org/10.22089/mbj.2020.8547.1861

Khodabakhshi koolaee, A., Heidari, M., FalsafiNejad, M. (2015). Effect of group poetry therapy on depression and search for meaning in life among elderly dwelling at female nursing homes in Tafresh. Journal of Geriatric Nursing, 1 (3), 55-72. https://jgn.medilam.ac.ir/browse.php?a_id=99&sid=1&slc_lang=en

Lesh, T. A., Niendam, T. A., Minzenberg, M. J., Carter, C. S. (2011). Cognitive control deficits in schizophrenia: mechanisms and meaning. Neuropsychopharmacology, 36(1), 316-338. https://www.nature.com/articles/npp2010156

Mazza, N. (2003). The place of poetry therapy in psychology: historical and theoretical foundations. In Poetry Therapy: Theory and Practice. New York: Brunner-Routledge.

Mohammadian, Y., Shahidi, Sh., Zadeh Mohammadi, A., Mahaki, B. (2010). Evaluating the Use of Poetry to Reduce Signs of Depression in Students. Journal of Ilam University of Medical Sciences, 18(2), 9-16. http://sjimu.medilam.ac.ir/article-1-288-en.html

Rahbar, K. (2012). Psychotherapy of the addicted. Chapter 1. Poem therapy page 12. (Full text in Persian).

Sadok, B. J., Sadok, V. A. (2011). Kaplan and sadok’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry Lippincott Williams & wilkins.

Simas, A. (2002). Symptoms in the mind: an introduction to descriptive psychopathology. Philadelphia: W. B. Saunders. https://zu.edu.jo/UploadFile/Library/E_Books/

Strunoiu, L. M., Strunoiu, C. M., Chirita, A. L., Tica, A. A. (2019). Factors that Impact Caregivers of Patients with Schizophrenia. Current Health Sciences Journal, 45(3), 301-310. https://doi.org/10.12865%2FCHSJ.45.03.09

Tamura, H. (2001). Poetry therapy for schizophrenia: A linguistic psychotherapeutic model of renku (linked poetry). The Arts in Psychotherapy, 28, 319-238. https://isiarticles.com/bundles/Article/pre/pdf/37153.pdf

World Health Organization. (2016). Health and Social Effects of Nonmedical Cannabis use(The).World Health Organization:2016 Mar 15 https://apps.who.int/iris/handle/10665/251056

Journal of Modern Psychology

Effectiveness of Group Poetry Therapy on Improving Positive and Negative Symptoms of Chronic Schizophrenic Patients

References

References

Volume 2, Issue 2 - Serial Number 6
April 2022
Pages 49-59

Effectiveness of Group Poetry Therapy on Improving Positive and Negative Symptoms of Chronic Schizophrenic Patients

References

References

Volume 2, Issue 2 - Serial Number 6April 2022Pages 49-59

Volume 2, Issue 2 - Serial Number 6
April 2022
Pages 49-59