The Effect Of Logotherapy-Based Psychoeducatıon Applıed To Famıly Members Of Indıvıduals Dıagnosıs Of Schızophrenıa

NCT06859112 | Completed DMC

• 1 other identifier: 61351342Ekim/2022 21
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: This study aimed to determine the effects of logotherapy-based psychoeducation applied to family members of individuals diagnosed with schizophrenia on meaning in life, hope, and depression, and to examine experiences related to the psychoeducation process. Materials and Methods: Using a parallel convergent mixed methods design, the quantitative dimension of the study was designed as a randomized controlled trial, and the qualitative dimension was designed using a phenomenological method. The research was conducted between November 2023 and August 2025 with family members of individuals diagnosed with schizophrenia who were being followed up in the mental health and diseases outpatient clinics of a city hospital in Istanbul. A total of 40 family members were included in the study, 19 in the experimental group and 21 in the control group. Quantitative data were collected using the Demographic Information Form, Meaning in Life Scale, Herth Hope Scale, and Beck Depression Inventory, while qualitative data were collected using a Semi-Structured Interview Form. Pre-test measurements were performed on family members in both the experimental and control groups after randomization. Subsequently, individuals in the experimental group received an eight-session Logotherapy-Based Psychoeducation program individually online. Family members who completed the psychoeducation program underwent post-test measurements the following day, and qualitative data were collected through individual in-depth interviews. Family members in the control group received no intervention for eight weeks, after which post-test measurements were taken. Quantitative data were analyzed using the Wilcoxon signed-rank test, Mann Whitney U test, and t-test; qualitative data were analyzed using Colaizzi's phenomenological data analysis method.

Conditions

Family Members; Healthy

Keywords

schizophrenia; family members; logotherapy; nursing; hope; depression; meaning

Outcome Measures

Primary Outcomes (4)

• Finding meaning in life scale score

  The meaning of life scale was developed by Steger and colleagues to determine the meaning people find in life and the meaning they seek. The adaptation study for Turkey was conducted by Akın and Taş. 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

  Developed by Beck et al. (1961), the Turkish validity and reliability study was conducted by Hisli (1989) (Beck et al., 1961; Sahin, 1989). The scale, designed to measure physical, emotional, cognitive, and motivational components, is a four-point Likert-type scale. It consists of 21 questions and is rated from 0 to 3. The lowest possible score is 0, and the highest is 63. As the total score increases, the level of depression increases. In terms of severity, 0-9 indicates minimal, 10-16 mild, 17-29 moderate, and 30-63 severe depressive symptoms. Hisli found the Cronbach's alpha value of the scale to be 0.80. In this study, the Cronbach's alpha value was calculated as 0.86 for the pre-test and 0.86 for the post-test.

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

You may not qualify if:

• Receiving treatment for a mental disorder
• Receiving psychotherapy
• Failure to attend at least two psychoeducation sessions in total
• Failure to complete or incomplete completion of data collection forms

Sponsors & Collaborators

• aslı zeynep sipahi: lead

Study Sites (1)

Uskudar University

Ümraniye, Istanbul, 34768, Turkey (Türkiye)

Location

Related Publications (6)

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

  PMID: 5247330 RESULT

• 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 RESULT

• 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 RESULT

• 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 RESULT

• 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 RESULT

• 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 RESULT

MeSH Terms

Conditions

Schizophrenia; Depression

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Behavioral Symptoms; Behavior

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 conducted using a Parallel Convergent Mixed Methods Design to simultaneously evaluate the effectiveness of a logotherapy-based psychoeducation program through both statistical generalizations and an in-depth understanding of participants' psychoeducation experiences. The quantitative dimension of the study was designed as a randomized controlled trial (RCT) to examine the cause-and-effect relationship between the psychoeducation program and participant outcomes with a high level of evidential power. In the qualitative dimension, a phenomenological method was used to reveal the essence and shared meaning of participants' experiences during the psychoeducation program. The sample consisted of 40 family members of individuals diagnosed with schizophrenia, 19 in the experimental group and 21 in the control group.

Study Record Dates

• First Submitted: December 30, 2024
• First Posted: March 5, 2025
• Study Start: December 22, 2023
• Primary Completion: June 15, 2025
• Study Completion: September 15, 2025
• Last Updated: June 22, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)