Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Group therapeutic activity assisted by an expert user within an acute psychiatric ward: one-year qualitative and quantitative analyses |
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| Name | D'amore Jessica |
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| Supervisor(s) | Di Lorenzo Rosaria, Bonisoli Jessica, Ragazzini Ilaria, Gualtieri Federica, Amoretti Sara |
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| Academic Year | 2021/22 |
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| Thesis type | Research thesis |
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Abstract
Background: Group psychotherapy improves therapeutic process, fosters identification with others, increases awareness of illness and reduces isolation and discomfort. Objectives: To evaluate group psychotherapy in an acute psychiatric ward by identifying the type of group configurations (according to Bion), the main narrative themes, the patients participation, the mentalisation processes and the participation of one expert outpatient. Materials and methods: A retrospective qualitative-quantitative study was conducted at the Psychiatric Diagnosis and Treatment Service (SPDC) of AUSL-Modena. We collected a total of 40 weekly sessions in one year carried out with all inpatients who agreed to participate, at least three ward staff professionals and one expert outpatient. Data were statistically and qualitatively analyzed. Results: The working group was the prevailing one and the most represented narrative themes were related to treatment programmes. Statistically significant correlations were found between group types and main narrative themes (Fisher's exact=0.007), between main narrative themes and both the number of participants (Fisher's exact=0.022) and the number of compulsory hospitalized patients in the ward (Fisher's exact =0.022) 39;s exact=0.006). The overall recurrence score of the Mentalisation-Based Therapy-Group Adherence and Quality Scale (MBT-G-AQS) was positively correlated with the number of participants (Coeff.=14.87; p=0.011) and negatively with the number of participants speaking in groups (Coeff.=-16.87; p=0.025). The MBT-G-AQS overall quality score was negatively correlated with the disorganized group type (Coeff.=-22.8; p=0.040). Conclusions: The involvement of one expert outpatient and the presence of ward staff favored the regularity of setting. Group psychotherapy, even if in an acute ward, maintained its therapeutic function, supporting mentalisation processes and integration with individual treatment and nursing assistance.
