{"title":"The impact of a PERMA model-based positive psychology intervention on fear of stroke recurrence: a randomized controlled trial.","authors":"Yanfang Luo, Zhenzhen Su, Lingyun Zhu, Yujuan Huang, Zhimin Liu, Wangmo Dechen, Bo Xu, Xinyu Gao, Yuping Chen, Yuyu Qiu, Jianru Hao","doi":"10.3389/fpsyg.2025.1498078","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This 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.</p><p><strong>Methods: </strong>A 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 (<i>n</i> = 63), which received a positive psychological intervention based on the PERMA model, or the control group (<i>n</i> = 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.</p><p><strong>Results: </strong>The intervention group showed statistically significant improvements compared to the control group, including reduced fear levels (T2: <i>t</i> = -2.094, <i>p</i> = 0.038; T3: <i>t</i> = -2.207, <i>p</i> = 0.029), increased psychological capital (T2: <i>t</i> = 2.053, <i>p</i> = 0.042; T3: <i>t</i> = 2.820, <i>p</i> = 0.006), enhanced well-being (T2: <i>t</i> = 2.037, <i>p</i> = 0.044; T3: <i>t</i> = 2.761, <i>p</i> = 0.007), and better quality of life (T2: <i>t</i> = 2.083, <i>p</i> = 0.039; T3: <i>t</i> = 2.453, <i>p</i> = 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, <i>p</i> < 0.001; χ2 = 37.848, <i>p</i> < 0.001; χ2 = 48.255, <i>p</i> < 0.001; χ2 = 34.231, <i>p</i> < 0.001, respectively). Notably, the interaction effects were statistically significant for well-being (<i>p</i> < 0.05).</p><p><strong>Discussion: </strong>The 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.</p><p><strong>Clinical trial registration: </strong>https://www.chictr.org.cn/showproj.html?proj=230313.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1498078"},"PeriodicalIF":2.6000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897238/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.3389/fpsyg.2025.1498078","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: This 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.
Methods: A 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.
Results: The 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).
Discussion: The 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.
期刊介绍：
Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
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