The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial
IntroductionThis study aimed to examine the effects of a positive psychological intervention, grounded in the PERMA model, on fear levels, psychological capital, overall well-being, and quality of life among stroke patients.MethodsA single-blind, two-arm randomized controlled trial with a repeated m...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-02-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1498078/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850231282297995264 |
|---|---|
| author | Yanfang Luo Yanfang Luo Zhenzhen Su Lingyun Zhu Yujuan Huang Zhimin Liu Wangmo Dechen Bo Xu Xinyu Gao Yuping Chen Yuyu Qiu Jianru Hao Jianru Hao |
| author_facet | Yanfang Luo Yanfang Luo Zhenzhen Su Lingyun Zhu Yujuan Huang Zhimin Liu Wangmo Dechen Bo Xu Xinyu Gao Yuping Chen Yuyu Qiu Jianru Hao Jianru Hao |
| author_sort | Yanfang Luo |
| collection | DOAJ |
| description | IntroductionThis study aimed to examine the effects of a positive psychological intervention, grounded in the PERMA model, on fear levels, psychological capital, overall well-being, and quality of life among stroke patients.MethodsA single-blind, two-arm randomized controlled trial with a repeated measures design was conducted at the Affiliated Hospital of Jiangnan University from January to December 2023. A total of 125 patients experiencing fear of stroke recurrence were randomly assigned to either the intervention group (n = 63), which received a positive psychological intervention based on the PERMA model, or the control group (n = 62), which received standard care. We assessed fear levels, psychological capital, well-being, and quality of life at baseline (T0), on the day of discharge (T1), 2 weeks post-discharge (T2), and 4 weeks post-discharge (T3). The scores of the two groups were compared post-intervention using the Generalized Estimation Equation (GEE) model to analyze the effects of time, group membership, and their interaction.ResultsThe intervention group showed statistically significant improvements compared to the control group, including reduced fear levels (T2: t = −2.094, p = 0.038; T3: t = −2.207, p = 0.029), increased psychological capital (T2: t = 2.053, p = 0.042; T3: t = 2.820, p = 0.006), enhanced well-being (T2: t = 2.037, p = 0.044; T3: t = 2.761, p = 0.007), and better quality of life (T2: t = 2.083, p = 0.039; T3: t = 2.453, p = 0.016) at both T2 and T3. Additionally, significant time-related changes were observed in fear levels, psychological capital, well-being, and quality of life (χ2 = 45.275, p < 0.001; χ2 = 37.848, p < 0.001; χ2 = 48.255, p < 0.001; χ2 = 34.231, p < 0.001, respectively). Notably, the interaction effects were statistically significant for well-being (p < 0.05).DiscussionThe PERMA-based intervention had a short-term positive effect, reducing fear levels while enhancing psychological capital, well-being, and quality of life among stroke patients.Clinical Trial Registrationhttps://www.chictr.org.cn/showproj.html?proj=230313. |
| format | Article |
| id | doaj-art-dadc02a5ce9b47c995c03ab02e9ee9a6 |
| institution | OA Journals |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-dadc02a5ce9b47c995c03ab02e9ee9a62025-08-20T02:03:35ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-02-011610.3389/fpsyg.2025.14980781498078The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trialYanfang Luo0Yanfang Luo1Zhenzhen Su2Lingyun Zhu3Yujuan Huang4Zhimin Liu5Wangmo Dechen6Bo Xu7Xinyu Gao8Yuping Chen9Yuyu Qiu10Jianru Hao11Jianru Hao12Department of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, ChinaDepartment of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, ChinaDepartment of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaSchool of Nursing, Inner Mongolia University for Nationalities, Tongliao, ChinaDepartment of Basic Medicine, Jiangsu Vocational College of Medicine, Yancheng, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Neurology, Affiliated Hospital of Jiangnan University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaIntroductionThis study aimed to examine the effects of a positive psychological intervention, grounded in the PERMA model, on fear levels, psychological capital, overall well-being, and quality of life among stroke patients.MethodsA single-blind, two-arm randomized controlled trial with a repeated measures design was conducted at the Affiliated Hospital of Jiangnan University from January to December 2023. A total of 125 patients experiencing fear of stroke recurrence were randomly assigned to either the intervention group (n = 63), which received a positive psychological intervention based on the PERMA model, or the control group (n = 62), which received standard care. We assessed fear levels, psychological capital, well-being, and quality of life at baseline (T0), on the day of discharge (T1), 2 weeks post-discharge (T2), and 4 weeks post-discharge (T3). The scores of the two groups were compared post-intervention using the Generalized Estimation Equation (GEE) model to analyze the effects of time, group membership, and their interaction.ResultsThe intervention group showed statistically significant improvements compared to the control group, including reduced fear levels (T2: t = −2.094, p = 0.038; T3: t = −2.207, p = 0.029), increased psychological capital (T2: t = 2.053, p = 0.042; T3: t = 2.820, p = 0.006), enhanced well-being (T2: t = 2.037, p = 0.044; T3: t = 2.761, p = 0.007), and better quality of life (T2: t = 2.083, p = 0.039; T3: t = 2.453, p = 0.016) at both T2 and T3. Additionally, significant time-related changes were observed in fear levels, psychological capital, well-being, and quality of life (χ2 = 45.275, p < 0.001; χ2 = 37.848, p < 0.001; χ2 = 48.255, p < 0.001; χ2 = 34.231, p < 0.001, respectively). Notably, the interaction effects were statistically significant for well-being (p < 0.05).DiscussionThe PERMA-based intervention had a short-term positive effect, reducing fear levels while enhancing psychological capital, well-being, and quality of life among stroke patients.Clinical Trial Registrationhttps://www.chictr.org.cn/showproj.html?proj=230313.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1498078/fullstrokePERMA modelfear of recurrencepositive psychologicalpositive psychological capitalsubjective well-being |
| spellingShingle | Yanfang Luo Yanfang Luo Zhenzhen Su Lingyun Zhu Yujuan Huang Zhimin Liu Wangmo Dechen Bo Xu Xinyu Gao Yuping Chen Yuyu Qiu Jianru Hao Jianru Hao The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial Frontiers in Psychology stroke PERMA model fear of recurrence positive psychological positive psychological capital subjective well-being |
| title | The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial |
| title_full | The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial |
| title_fullStr | The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial |
| title_full_unstemmed | The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial |
| title_short | The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial |
| title_sort | impact of a perma model based positive psychology intervention on fear of stroke recurrence a randomized controlled trial |
| topic | stroke PERMA model fear of recurrence positive psychological positive psychological capital subjective well-being |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1498078/full |
| work_keys_str_mv | AT yanfangluo theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yanfangluo theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT zhenzhensu theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT lingyunzhu theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yujuanhuang theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT zhiminliu theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT wangmodechen theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT boxu theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT xinyugao theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yupingchen theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yuyuqiu theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT jianruhao theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT jianruhao theimpactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yanfangluo impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yanfangluo impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT zhenzhensu impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT lingyunzhu impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yujuanhuang impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT zhiminliu impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT wangmodechen impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT boxu impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT xinyugao impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yupingchen impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT yuyuqiu impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT jianruhao impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial AT jianruhao impactofapermamodelbasedpositivepsychologyinterventiononfearofstrokerecurrencearandomizedcontrolledtrial |