The Effect of Logotherapy-Based Psychoeducation Applied to Family Members of Individuals Diagnosed with Schizophrenia on Finding Meaning, Hope and Depression

NCT06859112 | Not Yet Recruiting DMC

• 1 other identifier: 61351342Ekim/2022 21
• Study Type: interventional
• Target: 17
• Locations: 0 countries
• Sites: N/A

Brief Summary

The resources that will strengthen the family members who play a key role in the treatment of schizophrenia should also be activated. One of these resources that enable people to cope with the difficult events they experience is finding meaning in life. The meaning of life is a basic source of motivation for an individual to live despite everything. In this respect, meaning is a source that helps them maintain their mental balance. Another concept that is considered important in terms of protecting and strengthening the mental health of family members is hope. Hope is defined as setting a goal and taking action to achieve it, and looking for different ways when faced with difficulties. Hope gives caregivers the belief that they can cope with stressful experiences. Therefore, it is important to develop hope in family members of individuals with mental disorders. Today, different therapy methods are applied to protect and improve mental health. Recent studies have shown that logotherapy is an effective method in strengthening positive psychological factors and coping with negative emotions. Logotherapy adopts "Therapy through Meaning" as its basic method. The effectiveness of logotherapy on meaning and hope has been demonstrated in many different samples. No study has been found that focuses on meaning and hope in family members of chronic psychiatric patients. This study aims to determine the effect of a logotherapy-focused psychoeducation program on the meaning in life, hope, and depression levels in families of schizophrenia patients. The results of this study are applicable to family members of individuals diagnosed with schizophrenia. Research hypotheses: H1a: Logotherapy-based psychoeducation applied to family members of individuals diagnosed with schizophrenia will cause an increase in the members' finding and searching for meaning in life, future, positive readiness and expectation, and relationships with themselves and their surroundings subscale scores. H1b: Logotherapy-based psychoeducation applied to family members of individuals diagnosed with schizophrenia will cause a decrease in the members' depression levels.

Conditions

Schizophrenia

Keywords

schizophrenia, psychoeducation, patient's relative, logotherapy

Outcome Measures

Primary Outcomes (4)

• Finding meaning in life scale score

  The meaning of life scale was developed by Steger and colleagues (1) to determine the meaning people find in life and the meaning they seek. The adaptation study for Turkey was conducted by Akın and Taş (2). The meaning of life scale consists of 10 items on a 7-point Likert type. The scale consists of two subscales, namely current meaning and sought meaning. The total score on the scale varies between 7 and 70. High scores obtained from the scale indicate that the individual has a high level of meaning in life. The internal consistency reliability coefficients of the scale are .82 for the current meaning subscale and .87 for the sought meaning subscale.

  first week and eighth week

• Herth Hope Scale Scores

  The Herth Hope Scale (HUÖ) was developed by Dr. Herth in 1991 to determine the hope levels of individuals and was adapted to Turkish by Aslan and colleagues. The scale is a four-point Likert type and consists of 30 items. The scale consists of the sub-dimensions "Future", "Positive readiness and expectation" and "Relationships between oneself and those around oneself". The total hope score varies between 0-90, and the total score for each sub-scale varies between 0-30. High scores obtained from the scale indicate a high level of hope. In the reliability study of the Turkish form of the scale, the Cronbach alpha coefficient was determined as 0.84.

  first week and eighth week

• Beck Depression Inventory Scores

  The Beck Depression Inventory was first developed by Aeoron T. Beck in 1961 to determine the risk of depression in individuals and to measure the level and severity of depressive symptoms. The validity and reliability of the BDI for the Turkish society was conducted by Çınarbaş et al. The BDI is a three-point Likert-type scale and consists of 21 items. A total score of 0-63 is obtained from the items, and an increase in the total score indicates an increase in depressive symptoms. The cut-off score for the Turkish society is generally accepted as 17.

  first week and eighth week

• Results of semi-structured qualitative form

  The semi-structured interview form to be used for the qualitative interview will be created by the researcher in line with expert opinion while preparing the psychoeducation program.

  tenth week

Other Outcomes (1)

• Personal İnformation Form

  first week

Study Arms (2)

Relatives of patients who underwent the application

EXPERIMENTAL

Individuals in this group will receive 8 sessions of psychoeducation focused on logotherapy.

Other: logotherapy focused psychoeducation

relatives of patients in routine practice

NO INTERVENTION

Individuals in this arm will not be subjected to any additional intervention other than routine practices.

Interventions

logotherapy focused psychoeducation OTHER

8 sessions of online individual logotherapy focused psychoeducation program

Relatives of patients who underwent the application

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteering to participate in the study
• Having a family history of schizophrenia diagnosed according to DSM-5 diagnostic criteria
• An individual diagnosed with schizophrenia being followed up with this diagnosis for at least one year
• Being over the age of 18

You may not qualify if:

• Not attending at least two of the psychoeducation sessions
• An individual diagnosed with schizophrenia being hospitalized

Sponsors & Collaborators

• aslı zeynep sipahi: lead

Related Publications (7)

• Frankl VE. Logotherapy. Isr Ann Psychiatr Relat Discip. 1967;5(2):142-55. No abstract available.

  PMID: 5247330 BACKGROUND

• Eskigulek Y, Kav S. Effect of logotherapy counseling program on chronic sorrow, dignity, and meaning in life of palliative care patients: a randomized controlled trial. Support Care Cancer. 2024 Aug 13;32(9):587. doi: 10.1007/s00520-024-08792-w.

  PMID: 39138762 BACKGROUND

• Aydin R, Kabukcuoglu K. The effect of logotherapy-based, nurse-guided meaning attribution conversations on women diagnosed with gynecologic cancer: A Turkish pilot study. Women Health. 2023 Sep 14;63(8):599-614. doi: 10.1080/03630242.2023.2249123. Epub 2023 Aug 29.

  PMID: 37642347 BACKGROUND

• Sun FK, Hung CM, Yao Y, Fu CF, Tsai PJ, Chiang CY. The Effects of Logotherapy on Distress, Depression, and Demoralization in Breast Cancer and Gynecological Cancer Patients: A Preliminary Study. Cancer Nurs. 2021 Jan/Feb;44(1):53-61. doi: 10.1097/NCC.0000000000000740.

  PMID: 31469671 BACKGROUND

• Applebaum AJ, Buda KL, Schofield E, Farberov M, Teitelbaum ND, Evans K, Cowens-Alvarado R, Cannady RS. Exploring the cancer caregiver's journey through web-based Meaning-Centered Psychotherapy. Psychooncology. 2018 Mar;27(3):847-856. doi: 10.1002/pon.4583. Epub 2017 Dec 19.

  PMID: 29136682 BACKGROUND

• Shewchun J, Garside BK, Ballik EA, Kwan CC, Elsherbiny MM, Hogenkamp G, Kazandjian A. Pollution monitoring systems based on resonance absorption measurements of ozone with a "tunable" CO(2) laser: some criteria. Appl Opt. 1976 Feb 1;15(2):340-6. doi: 10.1364/AO.15.000340.

  PMID: 20164973 BACKGROUND

• Yang X, Zhang P, Jing S, Cheng Y, Cavaletto A. Logotherapy-Based Interventions for Chinese Family Caregivers of Older Adults with Dementia Through Online Groups: A Mixed-Methods Study. J Gerontol Soc Work. 2024 Oct;67(7):865-880. doi: 10.1080/01634372.2024.2326689. Epub 2024 Mar 10.

  PMID: 38461440 BACKGROUND

MeSH Terms

Conditions

Schizophrenia

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Central Study Contacts

Aslı Z Sipahi, PhD student, lecturer

CONTACT

05454157947; aslizeynep.sipahi@uskudar.edu.tr

Emine Öksüz, Professor

CONTACT

05454157947; emine.oksuz@sbu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: lecturer

Model Details: This research was planned as a mixed design study in which quantitative and qualitative approaches were used together. The quantitative phase of the research consists of a prospective, single-blind, randomized controlled study design using a pre-test-post-test design aiming to reveal the effectiveness of Logotherapy-Based Psychoeducation. The qualitative phase of the study will be applied with a phenomenological approach to clarify the attitude changes of the participants in the experimental group during and after the Logotherapy-Focused Psychoeducation Program.

Study Record Dates

• First Submitted: December 30, 2024
• First Posted: March 5, 2025
• Study Start: May 3, 2025
• Primary Completion: August 3, 2025
• Study Completion: September 3, 2025
• Last Updated: March 5, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share