Effect of Horticultural Therapy Program on Psychological Wellbeing, Hope and Social Adjustment Among Patients With Psychotic Disorders: A Nursing Perspective

Mohamed Hussein Ramadan Atta · Ehab A. A. Salama · Reem Farag Mahrous Menessy

7 citations0/0 files storedJournal of Psychiatric and Mental Health Nursing

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Art Therapy and Mental Health Schizophrenia research and treatment Occupational Therapy Practice and Research

Abstract

OBJECTIVES: This study aims to assess the impact of the HCT on psychological well-being, hope and social adjustment among patients with psychotic disorders. BACKGROUND: Patients with psychotic disorders frequently encounter challenges related to their psychological well-being, which encompasses a range of negative emotions such as depression, hopelessness and a lack of adjustment to social situations. As a non-pharmacological intervention, Horticulture Therapy (HCT) can be viewed as a supportive approach to psychiatric treatments, aiming to enhance both physical and mental health. METHOD: The study utilised a randomised controlled trial research design. A study and control group of 60 patients with a psychotic disorder was established. The research took place at El-Ma'mora Hospital for Psychiatric Medicine, Alexandria, Egypt. FINDINGS: The IG exhibited significantly higher HHI scores compared to the CG, highlighting a notable improvement in hope among those who participated in the intervention. Regarding the Psychological Wellbeing Scale (PWBS), the IG scored significantly higher than the CG, indicating enhanced autonomy in the intervention group. The Modified Social Adjustment Scale (MSAS) scored significantly higher, indicating superior social adjustment in various domains of life for the intervention group. IMPLICATION: The integration of horticultural therapy as a therapeutic intervention, the recognition of holistic care, the need for interdisciplinary collaboration, the promotion of patient-centered care, the importance of education and training and the encouragement of evidence-based practice. RELEVANCE STATEMENT: The research findings highlight the potential benefits of horticultural therapy in improving the mental health and social adjustment of individuals with psychotic disorders. TRIAL REGISTRATION: NCT06077279. https://register. CLINICALTRIALS: gov/prs/app/action/SelectProtocol?sid=S000DM1R&selectaction=Edit&uid=U0006S6B&ts=2&cx=n4w92t.

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1995The structure of psychological well-being revisited.2019New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis 2013The DSM‐5: Classification and criteria changes 1991Development and refinement of an instrument to measure hope.2007National Survey of Midlife Development in the United States (MIDUS II), 2004-2006 2022Hope and Optimism as an Opportunity to Improve the “Positive Mental Health” Demand 2015Sense of Belonging and Hope in the Lives of Persons with Schizophrenia 2021Effects of Horticultural Activities on Attitudes toward Aging, Sense of Hope and Hand–Eye Coordination in Older Adults in Residential Care Facilities

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