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CLINICAL TRIAL article
Front. Psychol.
Sec. Psychology for Clinical Settings
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1498078
The Impact of a PERMA Model-Based Positive Psychology Intervention on Fear of Stroke Recurrence: A Randomized Controlled Trial
Provisionally accepted
Yanfang Luo 1,2
Zhenzhen Su 2
Lingyun Zhu 2 Yujuan Huang 2
Zhimin Liu 1,2 Wangmo Dechen 1 Bo Xu 1
Xinyu Gao 3
Yuping Chen 4 Yuyu Qiu 1,2*
Jianru Hao 1,2*- 1 Wuxi Medical College, Jiangnan University, Wuxi, China
- 2 Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China
- 3 Inner Mongolia University for Nationalities, Tongliao, Inner Mongolia Autonomous Region, China
- 4 Jiangsu Vocational College of Medicine, Yancheng, China
This study aimed to examine the effects of a positive psychological intervention, grounded in the PERMA model, on fear levels, psychological capital, overall well-being, and quality of life among stroke patients. A single-blind, two-arm randomized controlled trial with a repeated measures design was conducted at the Affiliated Hospital of Jiangnan University from January to December 2023. A total of 125 patients experiencing fear of stroke recurrence were randomly assigned to either the intervention group (n = 63), which received a positive psychological intervention based on the PERMA model, or the control group (n = 62), which received standard care. We assessed fear levels, psychological capital, well-being, and quality of life at baseline (T0), on the day of discharge (T1), two weeks post-discharge (T2), and four weeks post-discharge (T3). The scores of the two groups were compared post-intervention using the Generalized Estimation Equation (GEE) model to analyze the effects of time, group membership, and their interaction. The intervention group showed statistically significant improvements compared to the control group, including reduced fear levels
Keywords: Stroke, PERMA model, Fear of recurrence, Positive psychological, Positive psychological capital, Subjective well-being, Quality of Life
Received: 10 Oct 2024; Accepted: 17 Feb 2025.
Copyright: © 2025 Luo, Su, Zhu, Huang, Liu, Dechen, Xu, Gao, Chen, Qiu and Hao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yuyu Qiu, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China
Jianru Hao, Wuxi Medical College, Jiangnan University, Wuxi, China
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