A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China
Self-stigma has been consistently cited as a major obstacle to recovery-related outcomes among patients with schizophrenia. To examine the feasibility, acceptability, and preliminary efficacy of the group-based narrative intervention for improving self-stigma, self-esteem and psychological capital i...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1594471/full |
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| author | Qian Zhou Yuhua Wei Zaifei Huang Yue Zhao Sujiao Qin Xuewei Wei Lianou Wei Da Huang Mingkang Qin Lingjun Zeng Fengqiong Qin Yuting Huo |
| author_facet | Qian Zhou Yuhua Wei Zaifei Huang Yue Zhao Sujiao Qin Xuewei Wei Lianou Wei Da Huang Mingkang Qin Lingjun Zeng Fengqiong Qin Yuting Huo |
| author_sort | Qian Zhou |
| collection | DOAJ |
| description | Self-stigma has been consistently cited as a major obstacle to recovery-related outcomes among patients with schizophrenia. To examine the feasibility, acceptability, and preliminary efficacy of the group-based narrative intervention for improving self-stigma, self-esteem and psychological capital in hospitalized patients with schizophrenia, a case-series study was conducted from March to May 2023 in a closed psychiatric ward of a specialized hospital in mainland China. Feasibility was assessed by examining rates of recruitment, retention, and protocol adherence. Acceptability was assessed through the therapist’s and patients’ feedback about the intervention. Changes in the levels of self-stigma, self-esteem, and psychological capital perceived by patients were measured before and after 4 weeks of intervention. Rates of enrolment (85%) and completion of intervention sessions and study procedures (100%) were excellent, demonstrating high rates of feasibility among these patients in the local setting. The feedback from participants and the therapist about satisfaction, helpfulness, and difficulty of the intervention was largely positive, demonstrating high rates of acceptability. And the results indicated significant improvements in patients’ self-reported self-stigma, self-esteem, and psychological capital (change in T = 3.872, p = 0.001; T = −6.308, p < 0.001; T = −2.895, p = 0.011, respectively). The study provided a structured intervention program for clinical care to reduce self-stigma and promote positive recovery outcomes for inpatients with schizophrenia. |
| format | Article |
| id | doaj-art-c9965ceae3b44b0394a4f269f868f7a4 |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-c9965ceae3b44b0394a4f269f868f7a42025-08-20T03:10:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.15944711594471A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern ChinaQian Zhou0Yuhua Wei1Zaifei Huang2Yue Zhao3Sujiao Qin4Xuewei Wei5Lianou Wei6Da Huang7Mingkang Qin8Lingjun Zeng9Fengqiong Qin10Yuting Huo11Guangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaGuangxi Zhuang Autonomous Region Brain Hospital, Liuzhou, ChinaLiuzhou Liujiang District Hospital of Traditional Chinese Medicine, Liuzhou, ChinaSelf-stigma has been consistently cited as a major obstacle to recovery-related outcomes among patients with schizophrenia. To examine the feasibility, acceptability, and preliminary efficacy of the group-based narrative intervention for improving self-stigma, self-esteem and psychological capital in hospitalized patients with schizophrenia, a case-series study was conducted from March to May 2023 in a closed psychiatric ward of a specialized hospital in mainland China. Feasibility was assessed by examining rates of recruitment, retention, and protocol adherence. Acceptability was assessed through the therapist’s and patients’ feedback about the intervention. Changes in the levels of self-stigma, self-esteem, and psychological capital perceived by patients were measured before and after 4 weeks of intervention. Rates of enrolment (85%) and completion of intervention sessions and study procedures (100%) were excellent, demonstrating high rates of feasibility among these patients in the local setting. The feedback from participants and the therapist about satisfaction, helpfulness, and difficulty of the intervention was largely positive, demonstrating high rates of acceptability. And the results indicated significant improvements in patients’ self-reported self-stigma, self-esteem, and psychological capital (change in T = 3.872, p = 0.001; T = −6.308, p < 0.001; T = −2.895, p = 0.011, respectively). The study provided a structured intervention program for clinical care to reduce self-stigma and promote positive recovery outcomes for inpatients with schizophrenia.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1594471/fullself-esteempsychological capitalschizophrenianarrative nursingself-stigma |
| spellingShingle | Qian Zhou Yuhua Wei Zaifei Huang Yue Zhao Sujiao Qin Xuewei Wei Lianou Wei Da Huang Mingkang Qin Lingjun Zeng Fengqiong Qin Yuting Huo A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China Frontiers in Public Health self-esteem psychological capital schizophrenia narrative nursing self-stigma |
| title | A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China |
| title_full | A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China |
| title_fullStr | A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China |
| title_full_unstemmed | A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China |
| title_short | A pilot short-term study of feasibility, acceptability and preliminary efficacy of 3-stage 8-session 4-week group therapy-based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern China |
| title_sort | pilot short term study of feasibility acceptability and preliminary efficacy of 3 stage 8 session 4 week group therapy based narrative intervention in 17 improved hospitalized female schizophrenia patients in southern china |
| topic | self-esteem psychological capital schizophrenia narrative nursing self-stigma |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1594471/full |
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