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Improving Emotional Control And Activities of Daily Living (ADL) of Patients with Schizophrenia Using Spiritual Mindfulness Through SI-DEPAPU Application

Meidiana Dwidiyanti, Ainun Najib Febryna Rahman, Dessy Dwi Cahyaningrum, Diyan Yuli Wijayanti

IJNP June 27, 2023 DOI: 10.18196/ijnp.v7i1.18261 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pretest-posttest quasi-experimental design with a control group Peer reviewed
Sample size 60
Population Schizophrenia patients at risk of violent behavior
Intervention Spiritual mindfulness intervention through the SI-DEPAPU application
Duration Four sessions over two weeks
Measures anger management ability questionnaire developed by Sadipun et al. (2018), North American Nursing Diagnosis Association (NANDA) questionnaire by Wilkinson (2016)
Topics Meditation
Key findings Patients who received four sessions of spiritual mindfulness through the SI-DEPAPU application over two weeks showed significantly greater improvement in anger control (p=0.000) and activities of daily living (p=0.005) than a control group receiving standard hospital care, with higher mean scores in the intervention group. The authors conclude the intervention may help schizophrenia patients control anger and increase ADL.

Abstract

Background: Schizophrenia is a major mental health problem in the world that requires more attention. Patients with schizophrenia are at higher risk of poor psychological well-being and violent behaviors as expression of anger and delusion. Mindfulness alone is considered less efficient so it needs to be developed with technology, as such further technological development regarding its application is needed.Objective: This study aimed to determine the effects of spiritual mindfulness intervention through the SI-DEPAPU application on the ability to control anger and perform activities of daily living (ADL) among schizophrenic patients.Methods: This study used a pretest-posttest quasi-experimental design with a control group. The samples were 60 schizophrenic patients randomly selected and divided into two groups. The intervention group was given four sessions of mindfulness in two weeks through the SI-DEPAPU application. This study used the anger management ability questionnaire developed by Sadipun et al. (2018) to measure the patient's ability to control anger and the North American Nursing Diagnosis Association (NANDA) questionnaire by Wilkinson (2016) to measure ADL. The instrument was tested for its validity among 20 schizophrenic patients with a risk of violent behaviors, and the results were valid and reliable in which the r-count r-table (0.444), the control group was given standard hospital care.Results: The results showed that the patient’s ability to control anger and perform ADL increased with p=0.000 and p=0.005, (p = 0,000 0,05) respectively. The intervention group had a higher mean score than the control group.Conclusion: Mindfulness spiritual interventions through the SI-DEPAPU application could help schizophrenic patients control anger and increase their ADL.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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