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A prospective study of group cohesiveness in therapeutic horticulture for clinical depression

A prospective study of group cohesiveness in therapeutic horticulture for clinical depression ABSTRACT This study aimed to assess changes in psychological distress and social participation in adults diagnosed with clinical depression during and after participating in a therapeutic horticulture programme, and to investigate if the changes covaried with levels of group cohesiveness during the intervention. An intervention with a single‐group design was repeated with different samples in successive years (pooled n = 46). In each year, five groups of 3–7 participants went through the intervention. Data were collected before, twice during, and immediately after a 12‐week therapeutic horticulture programme, as well as at 3‐months' follow up. Mental health assessments included the Beck Depression Inventory, the State Subscale of Spielberger State‐Trait Anxiety Inventory, the Positive Affect Scale from the Positive and Negative Affect Scale, the Perceived Stress Scale, and the Therapeutic Factors Inventory–Cohesiveness Scale. The analysis of the pooled data confirmed significant beneficial change in all mental health variables during the intervention. Change from baseline in depression severity persisted at 3‐months' follow up. Increased social activity after the intervention was reported for 38% of the participants. The groups quickly established strong cohesiveness, and this continued to increase during the intervention. The average level of group cohesiveness correlated positively, but not significantly, with change in all mental health outcome variables. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Mental Health Nursing Wiley

A prospective study of group cohesiveness in therapeutic horticulture for clinical depression

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References (78)

Publisher
Wiley
Copyright
© 2011 The Authors. International Journal of Mental Health Nursing © 2011 Australian College of Mental Health Nurses Inc.
ISSN
1445-8330
eISSN
1447-0349
DOI
10.1111/j.1447-0349.2010.00689.x
pmid
21371227
Publisher site
See Article on Publisher Site

Abstract

ABSTRACT This study aimed to assess changes in psychological distress and social participation in adults diagnosed with clinical depression during and after participating in a therapeutic horticulture programme, and to investigate if the changes covaried with levels of group cohesiveness during the intervention. An intervention with a single‐group design was repeated with different samples in successive years (pooled n = 46). In each year, five groups of 3–7 participants went through the intervention. Data were collected before, twice during, and immediately after a 12‐week therapeutic horticulture programme, as well as at 3‐months' follow up. Mental health assessments included the Beck Depression Inventory, the State Subscale of Spielberger State‐Trait Anxiety Inventory, the Positive Affect Scale from the Positive and Negative Affect Scale, the Perceived Stress Scale, and the Therapeutic Factors Inventory–Cohesiveness Scale. The analysis of the pooled data confirmed significant beneficial change in all mental health variables during the intervention. Change from baseline in depression severity persisted at 3‐months' follow up. Increased social activity after the intervention was reported for 38% of the participants. The groups quickly established strong cohesiveness, and this continued to increase during the intervention. The average level of group cohesiveness correlated positively, but not significantly, with change in all mental health outcome variables.

Journal

International Journal of Mental Health Nursing – Wiley

Published: Apr 1, 2011

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