Effect of Horticultural Therapy Program on Psychological Wellbeing, Hope and Social Adjustment Among Patients With Psychotic Disorders: A Nursing Perspective.
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| Title: | Effect of Horticultural Therapy Program on Psychological Wellbeing, Hope and Social Adjustment Among Patients With Psychotic Disorders: A Nursing Perspective. |
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| Authors: | Atta MHR; Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Addawasir, Saudi Arabia.; Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt., Salama EAA; Agricultural Botany Department (Genetics), Faculty of Agriculture Saba Basha, Alexandria University, Alexandria, Egypt., Menessy RFM; Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt. |
| Source: | Journal of psychiatric and mental health nursing [J Psychiatr Ment Health Nurs] 2025 Oct; Vol. 32 (5), pp. 1035-1052. Date of Electronic Publication: 2025 Jun 14. |
| Publication Type: | Journal Article; Randomized Controlled Trial |
| Language: | English |
| Journal Info: | Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9439514 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2850 (Electronic) Linking ISSN: 13510126 NLM ISO Abbreviation: J Psychiatr Ment Health Nurs Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1994- |
| MeSH Terms: | Hope*/physiology , Horticultural Therapy*/methods , Psychotic Disorders*/therapy , Psychotic Disorders*/psychology , Social Adjustment* , Psychological Well-Being*, Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Outcome Assessment, Health Care |
| Abstract: | Objectives: This study aims to assess the impact of the HCT on psychological well-being, hope and social adjustment among patients with psychotic disorders. Background: Patients with psychotic disorders frequently encounter challenges related to their psychological well-being, which encompasses a range of negative emotions such as depression, hopelessness and a lack of adjustment to social situations. As a non-pharmacological intervention, Horticulture Therapy (HCT) can be viewed as a supportive approach to psychiatric treatments, aiming to enhance both physical and mental health. Method: The study utilised a randomised controlled trial research design. A study and control group of 60 patients with a psychotic disorder was established. The research took place at El-Ma'mora Hospital for Psychiatric Medicine, Alexandria, Egypt. Findings: The IG exhibited significantly higher HHI scores compared to the CG, highlighting a notable improvement in hope among those who participated in the intervention. Regarding the Psychological Wellbeing Scale (PWBS), the IG scored significantly higher than the CG, indicating enhanced autonomy in the intervention group. The Modified Social Adjustment Scale (MSAS) scored significantly higher, indicating superior social adjustment in various domains of life for the intervention group. Implication: The integration of horticultural therapy as a therapeutic intervention, the recognition of holistic care, the need for interdisciplinary collaboration, the promotion of patient-centered care, the importance of education and training and the encouragement of evidence-based practice. Relevance Statement: The research findings highlight the potential benefits of horticultural therapy in improving the mental health and social adjustment of individuals with psychotic disorders. Trial Registration: NCT06077279. https://register. Clinicaltrials: gov/prs/app/action/SelectProtocol?sid=S000DM1R&selectaction=Edit&uid=U0006S6B&ts=2&cx=n4w92t. (© 2025 John Wiley & Sons Ltd.) |
| References: | Alkubati, S. A., A. M. Halboup, M. A. Zoromba, et al. 2025. “Prevalence and Determinants of Depression and Its Association With Social Support Among Cancer Patients: Implications for Enhancing Oncology Care.” BMC Psychology 13: 232. https://doi.org/10.1186/s40359‐025‐02584‐5. Atta, M., M. N. Abdelrazek Elfar, A. A. A. O. A. Rahman, and R. S. Eweida. 2024. “The Influence of Early Maladaptive Schemas on Recovery and Psychological Capital in Borderline Personality Disorder Clients: Findings From Rural Dwelling Sample.” Journal of Psychiatric and Mental Health Nursing. 32, no. 3: 699–711. https://doi.org/10.1111/jpm.13148. Atta, M. H. R., S. M. F. Abdelaliem, A. A. S. Alabdullah, and G. A. Ghazi. 2024. “Effect of Interpersonal Effectiveness Skill Training Intervention on Social Functioning and Communication Competence Among Clients With Depressive Disorder.” Perspectives in Psychiatric Care 2024: 6564098. https://doi.org/10.1155/2024/6564098. Atta, M. H. R., A. M. El‐Ashry, and M. Abd El‐Gawad Mousa. 2024. “The Effects of Mindfulness‐Based Techniques on Self‐Rumination, Cognitive Reappraisal, and Expressive Suppression Among Patients With Major Depression: A Nursing Perspective.” Journal of Research in Nursing 29, no. 4–5: 366–385. https://doi.org/10.1177/17449871241252011. Barut, J. K., M. S. Dietrich, P. A. Zanoni, and S. H. Ridner. 2016. “Sense of Belonging and Hope in the Lives of Persons With Schizophrenia.” Archives of Psychiatric Nursing 30, no. 2: 178–184. https://doi.org/10.1016/j.apnu.2015.08.009. Charlson, F., M. van Ommeren, A. Flaxman, J. Cornett, H. Whiteford, and S. Saxena. 2019. “New WHO Prevalence Estimates of Mental Disorders in Conflict Settings: A Systematic Review and Meta‐Analysis.” Lancet 394, no. 10194: 240–248. Chu, H.‐Y., H.‐S. Chan, and M.‐F. Chen. 2021. “Effects of Horticultural Activities on Attitudes Toward Aging, Sense of Hope and Hand–Eye Coordination in Older Adults in Residential Care Facilities.” International Journal of Environmental Research and Public Health 18, no. 12: 6555. Fernando, T., K. Yakandawala, and T. Hangawattha. 2016. “Effect of Horticultural Therapy on Hope and Well‐Being of Hospitalized Patients.”. Gaber Hamzaa, H., M. H. Atta, M. Elghareap Hassan Elmetwally Omar, E. Reda Fathy Abdel Majeed Machaly, S. Mohamed Amin, and N. Mohamed Ibrahim Wahba. 2024. “Examining Nursing Students' Prevalence of Nomophobia, and Psychological Alienation and Their Correlates With Fear of Missing out: A Multisite Survey.” SAGE Open Nursing 10: 23779608241301223. https://doi.org/10.1177/23779608241301223. Gameroff, M. J., P. Wickramaratne, and M. M. Weissman. 2012. “Testing the Short and Screener Versions of the Social Adjustment Scale–Self‐Report (SAS‐SR).” International Journal of Methods in Psychiatric Research 21, no. 1: 52–65. Gerbarg, P. L., P. R. Muskin, and R. P. Brown. 2017. Complementary and Integrative Treatments in Psychiatric Practice. American Psychiatric Pub. Gonzalez, M. T., T. Hartig, G. G. Patil, E. W. Martinsen, and M. Kirkevold. 2011. “A Prospective Study of Existential Issues in Therapeutic Horticulture for Clinical Depression.” Issues in Mental Health Nursing 32, no. 1: 73–81. Gorman, L. M., and R. Anwar. 2022. Mental Health Nursing. FA Davis. Green, M. F., W. P. Horan, and J. Lee. 2015. “Social Cognition in Schizophrenia.” Nature Reviews Neuroscience 16, no. 10: 620–631. Heinze, K., A. Lin, B. Nelson, et al. 2018. “The Impact of Psychotic Experiences in the Early Stages of Mental Health Problems in Young People.” BMC Psychiatry 18, no. 1: 1–10. Heller, N. 2014. “Risk, Hope and Recovery: Converging Paradigms for Mental Health Approaches With Suicidal Clients.” British Journal of Social Work 45, no. 7: 1788–1803. https://doi.org/10.1093/bjsw/bcu007. Kaye Herth, R. 1991. “Development and Refinement of an Instrument to Measure Hope.” Research and Theory for Nursing Practice 5, no. 1: 39. Kontos, K., S. Koutsou, A. Sismanidi, et al. 2021. “The Effects of Horticultural Therapy on the Functionality of Psychotic Patients Employed in the Green Unit of the Psychiatric Hospital of Thessaloniki, Greece.” European Psychiatry 64, no. S1: S506. Kule, M., and M. M. Kaggwa. 2023. “Adherence to Typical Antipsychotics Among Patients With Schizophrenia in Uganda: A Cross‐Sectional Study.” Schizophrenia Research and Treatment 2023: 7035893. Laranjeira, C., and A. Querido. 2022. “Hope and Optimism as an Opportunity to Improve the “Positive Mental Health” Demand.” Frontiers in Psychology 13: 827320. Lu, S., Y. Zhao, J. Liu, F. Xu, and Z. Wang. 2021. “Effectiveness of Horticultural Therapy in People With Schizophrenia: A Systematic Review and Meta‐Analysis.” International Journal of Environmental Research and Public Health 18, no. 3: 964. Mahmoud, A. S., S. I. Ali, and A. M. Hafez Elbaz. 2021. “Relation Between the Level of Hope and Functional Recovery Among Patients With Schizophrenia.” Port Said Scientific Journal of Nursing 8, no. 3: 106–125. Mahmud, A., S. Islam, and F. Sharif. 2022. “Components and Predictors of Psychological Wellbeing in Young Adults.” Eurasia Proceedings of Educational and Social Sciences 25: 166–193. Martinez, A., J. N. Baumgartner, S. Kaaya, et al. 2023. “Hopefulness Among Individuals Living With Schizophrenia and Their Caregivers in Tanzania: An Actor‐Partner Interdependence Model.” BMC Psychiatry 23, no. 1: 508. Metrics, IoH., & Evaluation. 2021. Global Health Data Exchange (GHDx). Institute of Health Metrics and Evaluation. Mostafa, N. A., M. S. Harfoush, M. H. R. Atta, R. A. Fouad, and S. M. El garhy. 2025. “The Impact of a Student‐Led Intergenerational Support Program on Life Satisfaction, Loneliness, and Psychological Well‐Being of Institutionalized Older Adults.” Geriatric Nursing 62: 157–167. https://doi.org/10.1016/j.gerinurse.2025.01.018. Mourão, I., C. V. Mouro, L. M. Brito, S. R. Costa, and T. C. Almeida. 2022. “Impacts of Therapeutic Horticulture on Happiness and Loneliness in Institutionalized Clients With Mental Health Conditions.” British Journal of Occupational Therapy 85, no. 2: 111–119. Ng, T. K. S., D. R. Gan, R. Mahendran, E. H. Kua, and R. C. Ho. 2021. “Social Connectedness as a Mediator for Horticultural Therapy's Biological Effect on Community‐Dwelling Older Adults: Secondary Analyses of a Randomized Controlled Trial.” Social Science & Medicine 284: 114–191. Oh, Y.‐A., A.‐Y. Lee, K. J. An, and S.‐A. Park. 2020. “Horticultural Therapy Program for Improving Emotional Well‐Being of Elementary School Students: An Observational Study.” Integrative Medicine Research 9, no. 1: 37–41. Oh, Y. A., S. A. Park, and B. E. Ahn. 2018. “Assessment of the psychopathological effects of a horticultural therapy program in patients with schizophrenia.” Complement Ther Med 36: 54–58. Regier, D. A., E. A. Kuhl, and D. J. Kupfer. 2013. “The DSM‐5: Classification and Criteria Changes.” World Psychiatry 12, no. 2: 92–98. https://doi.org/10.1002/wps.20050. Ryff, C., D. M. Almeida, J. S. Ayanian, et al. 2007. “National Survey of Midlife Development in the United States (MIDUS II), 2004–2006.”. Ryff, C. D., and C. L. M. Keyes. 1995. “The Structure of Psychological Well‐Being Revisited.” Journal of Personality and Social Psychology 69, no. 4: 719–727. Sempik, J., C. Rickhuss, and A. Beeston. 2014. “The Effects of Social and Therapeutic Horticulture on Aspects of Social Behaviour.” British Journal of Occupational Therapy 77, no. 6: 313–319. Shenoy, S., and S. K. Praharaj. 2023. “Risk Factors Associated With Suicide Attempts in Patients With Schizophrenia: An Observational Study From South India.” Middle East Current Psychiatry 30, no. 1: 48. Sia, A., K. S. T. Ng, M. K. Ng, et al. 2018. “The Effect of Therapeutic Horticulture on the Psychological Well‐Being of the Elderly in Singapore: A Randomised Controlled Trial.” Journal of Therapeutic Horticulture 28, no. 1: 1–10. Siu, A. M., M. Kam, and I. Mok. 2020. “Horticultural Therapy Program for People With Mental Illness: A Mixed‐Method Evaluation.” International Journal of Environmental Research and Public Health 17, no. 3: 711. Smart, E. L., L. Brown, J. Palmier‐Claus, J. Raphael, and K. Berry. 2020. “A Systematic Review of the Effects of Psychosocial Interventions on Social Functioning for Middle‐Aged and Older Adults With Severe Mental Illness.” International Journal of Geriatric Psychiatry 35, no. 5: 449–462. Staines, L., C. Healy, F. Murphy, et al. 2023. “Incidence and Persistence of Psychotic Experiences in the General Population: Systematic Review and Meta‐Analysis.” Schizophrenia Bulletin 49, no. 4: 1007–1021. https://doi.org/10.1093/schbul/sbad056. Stanga, V., C. Turrina, P. Valsecchi, E. Sacchetti, and A. Vita. 2019. “Well‐Being in Patients With Schizophrenia, Mood and Personality Disorders Attending Psychiatric Services in the Community. A Controlled Study.” Comprehensive Psychiatry 91: 1–5. Tee, H., S. Priebe, C. Santos, P. Xanthopoulou, M. Webber, and D. Giacco. 2020. “Helping People With Psychosis to Expand Their Social Networks: The Stakeholders' Views.” BMC Psychiatry 20, no. 1: 1–10. Van den Berg, M., W. Wendel‐Vos, M. van Poppel, H. Kemper, W. van Mechelen, and J. Maas. 2015. “Health Benefits of Green Spaces in the Living Environment: A Systematic Review of Epidemiological Studies.” Urban Forestry & Urban Greening 14, no. 4: 806–816. van der Zeijst, M. C., W. Veling, B. Chiliza, and H. W. Hoek. 2023. “Traditional and Faith‐Based Healthcare in the Management of Psychotic Disorders in Africa: In Search for Synergy.” Current Opinion in Psychiatry 36, no. 4: 337. Vrbova, K., J. Prasko, M. Ociskova, et al. 2017. “Quality of Life, Self‐Stigma, and Hope in Schizophrenia Spectrum Disorders: A Cross‐Sectional Study.” Neuropsychiatric Disease and Treatment 13: 567–576. https://doi.org/10.2147/NDT.S122483. Weissman, M., and M. Staff. 1999. SAS‐SR Social Adjustment Scale‐Self‐Report: Technical Manual. Multi‐Health Systems. Xu, M., S. Lu, J. Liu, and F. Xu. 2023. “Effectiveness of Horticultural Therapy in Aged People With Depression: A Systematic Review and Meta‐Analysis.” Frontiers in Public Health 11, no. 1: 1142456. Yang, Y., E. Ro, T.‐J. Lee, et al. 2022. “The Multi‐Site Trial on the Effects of Therapeutic Gardening on Mental Health and Well‐Being.” International Journal of Environmental Research and Public Health 19, no. 13: 8046. Zhang, Y. W., J. Wang, and T. H. Fang. 2022. “The effect of horticultural therapy on depressive symptoms among the elderly: A systematic review and meta‐analysis.” Front Public Health 10: 953363. Zhong, Y.‐Q., and H.‐M. Tu. 2020. “Horticultural Activity Type, Psychological Well‐Being, and Fruit and Vegetable Intake.” Nutrients 12, no. 11: 3296. Zoromba, M. A., A. S. Ali, H. E. El‐Gazar, and S. M. Amin. 2024. “The Mediating Role of Psychological Capital in the Relationship Between Family Sense of Coherence and Caregiver Stress Among Parents of Children With Autism Spectrum Disorder.” International Journal of Mental Health Nursing 33, no. 6: 2157–2169. https://doi.org/10.1111/inm.13383. |
| Contributed Indexing: | Keywords: hope; horticulture therapy; nursing perspective; patients with psychotic disorders; psychological well‐being; social adjustment |
| Molecular Sequence: | ClinicalTrials.gov NCT06077279 |
| Entry Date(s): | Date Created: 20250614 Date Completed: 20250909 Latest Revision: 20250910 |
| Update Code: | 20250910 |
| DOI: | 10.1111/jpm.13180 |
| PMID: | 40515548 |
| Database: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Objectives: This study aims to assess the impact of the HCT on psychological well-being, hope and social adjustment among patients with psychotic disorders.<br />Background: Patients with psychotic disorders frequently encounter challenges related to their psychological well-being, which encompasses a range of negative emotions such as depression, hopelessness and a lack of adjustment to social situations. As a non-pharmacological intervention, Horticulture Therapy (HCT) can be viewed as a supportive approach to psychiatric treatments, aiming to enhance both physical and mental health.<br />Method: The study utilised a randomised controlled trial research design. A study and control group of 60 patients with a psychotic disorder was established. The research took place at El-Ma'mora Hospital for Psychiatric Medicine, Alexandria, Egypt.<br />Findings: The IG exhibited significantly higher HHI scores compared to the CG, highlighting a notable improvement in hope among those who participated in the intervention. Regarding the Psychological Wellbeing Scale (PWBS), the IG scored significantly higher than the CG, indicating enhanced autonomy in the intervention group. The Modified Social Adjustment Scale (MSAS) scored significantly higher, indicating superior social adjustment in various domains of life for the intervention group.<br />Implication: The integration of horticultural therapy as a therapeutic intervention, the recognition of holistic care, the need for interdisciplinary collaboration, the promotion of patient-centered care, the importance of education and training and the encouragement of evidence-based practice.<br />Relevance Statement: The research findings highlight the potential benefits of horticultural therapy in improving the mental health and social adjustment of individuals with psychotic disorders.<br />Trial Registration: NCT06077279. https://register.<br />Clinicaltrials: gov/prs/app/action/SelectProtocol?sid=S000DM1R&selectaction=Edit&uid=U0006S6B&ts=2&cx=n4w92t.<br /> (© 2025 John Wiley & Sons Ltd.) |
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| ISSN: | 1365-2850 |
| DOI: | 10.1111/jpm.13180 |