Volume 14, Issue 1 (11-2017)                   J Res Dev Nurs Midw 2017, 14(1): 16-21 | Back to browse issues page

‎ 10.29252/jgbfnm.14.1.16

XML Print

Group Horticulture Program on Psychiatric Symptoms in Patients with Chronic Schizophrenia
Neda Parvin , Leila Rafiee Vardanjani 1, Fatemeh Aliakbari
1- , rafiee.leila@yahoo.com
Abstract:   (14544 Views)

Background: Schizophrenia is a devastating psychiatric disorder and its  Positive and negative symptoms have negative effects on social functions. A combination of pharmacological and non-pharmacological treatments is considered more effective for this condition. The present study aimed to determine the effect of a group horticulture program on psychiatric symptoms in patients with chronic schizophrenia.

Methods: This quasi- experimental study was conducted from April 2014 to July 2014 in Sina Hospital in Chahar Mahal and Bakhtiari province in Iran. Fifty-two eligible patients with diagnosis of chronic schizophrenia were randomly assigned to two groups of horticulture and usual care (control). Both groups received similar medical and routine care. The patients in horticulture group participated in a group horticulture program for three months. The patients’ psychiatric symptoms were evaluated at the beginning and at the end of the study by Andreasen’s scales for assessment of negative and positive symptoms. The data was analyzed by student t test, paired t test and chi square.

 Results: At the beginning of the study, the patients in both study groups were matched in terms of age, sex, marriage status, education, and average scores of positive and negative symptoms. At the end of the study, the horticulture group showed a significant improvement compared with control group in positive and negative symptoms (P < 0.05), which indicated the effectiveness of the intervention on these symptoms.

Conclusion: Group horticulture program can be used as an effective non-pharmacological adjunctive treatment in patients with chronic schizophrenia.

Keywords: Horticulture, Schizophrenia, Patient
Full-Text [PDF 375 kb]   (2943 Downloads)    
Type of Study: Original Article |
References
1. Bonnot O, Dumas N. [Schizophrenic disorders in adolescence]. La Revue du praticien. 2014;64(4):499-504.
2. Tandon R, Nasrallah HA, Keshavan MS. Schizophrenia,"just the facts" 4. Clinical features and conceptualization. Schizophrenia research. 2009;110(1):1-23. [DOI:10.1016/j.schres.2009.03.005]
3. Gaszner P. [Complex therapy of schizophrenia]. Neuropsychopharmacologia Hungarica: a Magyar Pszichofarmakologiai Egyesulet lapja= official journal of the Hungarian Association of Psychopharmacology. 2009;11(1):41-5.
4. Twamley EW, Jeste DV, Lehman AF. Vocational rehabilitation in schizophrenia and other psychotic disorders: a literature review and meta-analysis of randomized controlled trials. The Journal of nervous and mental disease. 2003;191(8):515-23. [DOI:10.1097/01.nmd.0000082213.42509.69]
5. Foruzandeh N, Parvin N. Occupational therapy for inpatients with chronic schizophrenia: a pilot randomized controlled trial. Japan Journal of Nursing Science. 2013;10(1):136-41. [DOI:10.1111/j.1742-7924.2012.00211.x]
6. York M, Wiseman T. Gardening as an occupation: a critical review. The British Journal of Occupational Therapy. 2012;75(2):76-84. [DOI:10.4276/030802212X13286281651072]
7. Gonzalez MT, Hartig T, Patil GG, Martinsen EW, Kirkevold M. Therapeutic horticulture in clinical depression: A prospective study. Research and Theory for Nursing Practice. 2009;23(4):312-28. [DOI:10.1891/1541-6577.23.4.312]
8. Liu Y, Bo L, Sampson S, Roberts S, Zhang G, Wu W. Horticultural therapy for schizophrenia. Cochrane Database Syst Rev. 2014;5. [DOI:10.1002/14651858.CD009413.pub2]
9. Wichrowski M, Whiteson J, Haas F, Mola A, Rey MJ. Effects of horticultural therapy on mood and heart rate in patients participating in an inpatient cardiopulmonary rehabilitation program. Journal of Cardiopulmonary Rehabilitation and Prevention. 2005;25(5):270-4. [DOI:10.1097/00008483-200509000-00008]
10. Jarrott SE, Gigliotti CM. Comparing responses to horticultural-based and traditional activities in dementia care programs. American journal of Alzheimer's disease and other dementias. 2010;25(8):657-65. [DOI:10.1177/1533317510385810]
11. Gonzalez MT, Hartig T, Patil GG, Martinsen EW, Kirkevold M. A prospective study of existential issues in therapeutic horticulture for clinical depression. Issues in Mental Health Nursing. 2011;32(1):73-81. [DOI:10.3109/01612840.2010.528168]
12. Ruiyi B. Rehabilitation Effect of Gardening Therapy to Treat Chronic Schizophrenia Patients [J]. Shanxi Nursing Journal. 2001;6.
13. Andreasen NC. The Scale for the Assessment of Negative Symptoms (SANS): conceptual and theoretical foundations. The British journal of psychiatry Supplement. 1989(7):49-58.
14. Emsley RA, Niehaus DJ, Mbanga NI, Oosthuizen PP, Stein DJ, Maritz JS, et al. The factor structure for positive and negative symptoms in South African Xhosa patients with schizophrenia. Schizophr Res. 2001;47(2-3):149-57. [DOI:10.1016/S0920-9964(00)00010-4]
15. Ahmad Zadeh GH, Karim Zadeh T. Positive and negative symptoms in Iranian Schizophrenic patients. Journal of Research in Medical Sciences 2002; 7(1): 12-9.
16. Lysaker PH, Salyers MP. Anxiety symptoms in schizophrenia spectrum disorders: associations with social function, positive and negative symptoms, hope and trauma history. Acta psychiatrica Scandinavica. 2007;116(4):290-8. [DOI:10.1111/j.1600-0447.2007.01067.x]
17. Castle DJ, Slott Jensen JK. Management of depressive symptoms in schizophrenia. Clinical schizophrenia & related psychoses. 2015;9(1):13-20. [DOI:10.3371/CSRP.CAJE.103114]
18. Kam MC, Siu AM. Evaluation of a horticultural activity programme for persons with psychiatric illness. Hong Kong Journal of Occupational Therapy. 2010;20(2):80-6. [DOI:10.1016/S1569-1861(11)70007-9]
19. Tremeau F, Goldman J, Antonius D, Javitt DC. Inpatients with schizophrenia report impaired situational motivation but intact global and social motivation. Psychiatry research. 2013;210(1):43-9. [DOI:10.1016/j.psychres.2013.05.031]
20. Harvey PD, Velligan DI, Bellack AS. Performance-based measures of functional skills: usefulness in clinical treatment studies. Schizophrenia bulletin. 2007;33(5):1138-48. [DOI:10.1093/schbul/sbm040]
21. Fujimaki K, Morinobu S, Yamashita H, Takahashi T, Yamawaki S. Predictors of quality of life in inpatients with schizophrenia. Psychiatry research. 2012;197(3):199-205. [DOI:10.1016/j.psychres.2011.10.023]
22. Scheewe TW, Backx FJ, Takken T, Jorg F, van Strater AC, Kroes AG, et al. Exercise therapy improves mental and physical health in schizophrenia: a randomised controlled trial. Acta psychiatrica Scandinavica. 2013;127(6):464-73. [DOI:10.1111/acps.12029]
23. Acil AA, Dogan S, Dogan O. The effects of physical exercises to mental state and quality of life in patients with schizophrenia. Journal of psychiatric and mental health nursing. 2008;15(10):808-15. [DOI:10.1111/j.1365-2850.2008.01317.x]
24. Fogarty M, Happell B. Exploring the benefits of an exercise program for people with schizophrenia: a qualitative study. Issues Ment Health Nurs. 2005;26(3):341-51. [DOI:10.1080/01612840590915711]
25. Dishman RK. Brain monoamines, exercise, and behavioral stress: animal models. Medicine and science in sports and exercise. 1997;29(1):63-74. [DOI:10.1097/00005768-199701000-00010]
26. Gorczynski P, Faulkner G. Exercise therapy for schizophrenia. Cochrane Database Syst Rev. 2010(5):Cd004412.
27. Hoshii J, Yotsumoto K, Tatsumi E, Tanaka C, Mori T, Hashimoto T. Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial. Clinical rehabilitation. 2013;27(7):638-45. [DOI:10.1177/0269215512473136]
28. Buchain PC, Vizzotto AD, Henna Neto J, Elkis H. Randomized controlled trial of occupational therapy in patients with treatment-resistant schizophrenia. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). 2003;25(1):26-30. [DOI:10.1590/S1516-44462003000100006]
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.