Effects of a positive thinking program on hope and sleep quality in Iranian patients with thalassemia: a randomized clinical trial

Somaye Makaremnia · Marieh Dehghan Manshadi · Zahra Khademian

21 citations0/0 files storedBMC Psychology

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Abstract

BACKGROUND: Thalassemia have a negative impact on the patients' psychological health and sleep quality. This study aimed to determine the effects of a positive thinking training program on hope and sleep quality of patients with thalassemia major. METHODS: This randomized clinical trial was conducted on 78 patients with thalassemia major including 36 males (46.2%) and 42 females (53.8%) with a mean age of 25.56 ± 29.6 in Iran. Subjects were randomly assigned into experimental and control groups. Experimental group received 16 h training based on positive thinking materials published by Martin Seligman. Control group received only usual programs. Data were collected at baseline, as well as immediately and one month after the intervention, using Snyder's Hope Scale and the Pittsburgh Sleep Quality Index. Data analysis was performed using SPSS Software 18.0; statistical tests included the independent T-test, the Chi-square, Mann Whitney, and Friedman test. Significance level was set at 0.05 in this study. RESULTS: The experimental group had a significantly higher mean hope score compared to the control group immediately (45.38 ± 7.82 vs. 35.32 ± 5.54, P < 0.001) and one month following intervention (44.67 ± 3.47 vs. 35 ± .54, P < 0.001). Moreover, the mean sleep quality scores of the experimental group was significantly greater than that for control group immediately (5.35 ± 2.02 vs. 7 ± 2.4, P = 0.004) and one month after the intervention (4.23 ± 2.2 vs.7.02 ± 3.03, P < 0.001). CONCLUSION: Since our training program on positive thinking improved hope and quality of sleep in patients with thalassemia major, we recommend the use of such courses as an important step toward promotion of hope and sleep quality among these patients. Trial registration The name of the registry: Iranian Registry of Clinical Trials. TRIAL REGISTRATION NUMBER: IRCT2017010431774N1. URL of the trial registry record: https://en.irct.ir/trial/24923 . Registration Date: 07/03/2017.

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References

1989The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research 2011Flourish: a visionary new understanding of happiness and well-being 1991The will and the ways: Development and validation of an individual-differences measure of hope.1991The will and the ways: Development and validation of an individual-differences measure of hope.2013Positive psychology interventions: a meta-analysis of randomized controlled studies 2014Flow and the Foundations of Positive Psychology 1991Learned Optimism: How to Change Your Mind and Your Life 2013Thinking positively about chronic illness: An exploration of optimism, illness perceptions and well‐being in patients with P arkinson's disease

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