The Effectiveness of Positive Psychology Based Intervention on Anhedonia, and Internalized Stigma among Schizophrenic Patients

Document Type : Original Article

Authors

1 psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

2 Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University

Abstract

Schizophrenia is a complex mental disorder that complicates daily life for those affected. It includes
anhedonia, which hinders social interactions and presents a major challenge to treatments. Furthermore,
many experience internalized stigma, which heightens their psychological and social isolation. Purpose:
To investigate the effectiveness of positive psychology-based intervention on anhedonia and internalized
stigma among schizophrenic patients. Methods: A quasi-experimental design (pre- and post-tests)
alongside a control group was employed. A purposive sample of 60 schizophrenic patients who had a
score less than 3 on the Snaith-Hamilton Pleasure Scale were chosen and randomly assigned into two
groups. This study has been carried out at the Meet-Khalaf Psychiatric and Addiction Treatment
Hospital's psychiatric outpatient clinic. The data were collected using the structured interviewing
questionnaire, the internalized stigma of mental illness inventory (ISMI), the mini-mental state
examination scale (MMSE), and the Snaith Hamilton pleasure scale (SHAPS).Results: illustrate that
there was a significant difference found between the case and control group regarding dimensions of
anhedonia (SHAPS) and levels of internalized stigma of mental illness both immediately and 2 months
following the intervention (P<0.001). Also, results revealed a highly statistically significant positive
correlation was found between the internalized stigma of mental illness and anhedonia (SHAPS) scores.
Conclusion: The findings concluded that the anhedonia and the internalized stigma of mental illness are
all greatly improved by positive psychology-based interventions for individuals with schizophrenia.
Recommendation: Apart from medication remedies, positive psychology-based interventions must be
included in the regular treatment plan for people with schizophrenia.

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