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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/32705

Title: Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward
Authors: Higueras, Antonio
Carretero-Dios, Hugo
Muñoz, José P.
Idini, Esther
Ortiz, Ana
Rincón, Francisco
Prieto-Merino, David
Issue Date: 2006
Abstract: The aim of this quasi-experimental study is to investigate the effects of a humor-based activity on disruptive behaviors in patients hospitalized in a psychiatric ward. It be compared two homogeneous samples of patients hospitalized in the psychiatric ward of a general hospital (acute ward) during two 83-day-long periods designated baseline (period 1) and activity (period 2). Ten behaviors considered disruptive (DB) were defined and recorded during both periods. During the activity period, humorbased activities directed by professional actors (hospital clowns) were held two days per week. A indicator, called the Global Disruption Index (GDI), was calculated as the quotient between the total number of DB for a given period and the total number of patients per shift during that period, multiplied by 100. A Specific Disruption Index (SDI) was calculate for each of the 10 DB. The GDI decreased significantly during the activity period despite the larger number of patients on the ward. Three behaviors (attempted escape, self-injury, and fighting) also showed significant reductions during the activity period after the results were analyzed with the Bonferroni correction.
El objetivo de este estudio cuasi-experimental es analizar lo efectos de una actividad centrada en el humor sobre las conductas disruptivas de pacientes hospitalizados en un servicio de Psiquiatría. Se han comparado, teniendo en cuenta dos grupos homogéneos de pacientes hospitalizados en un servicio de Psiquiatría de hospital general (unidad de agudos), dos periodos temporales de 83 días cada uno, siendo el período 1 el de línea base, y el período 2, el de intervención. Para ambos periodos, se codificaron y registraron un total de diez conductas disruptivas. En los 83 días del periodo de intervención, y con una frecuencia de dos días semanales, dos actores profesionales llevaban a cabo las actividades centradas en el humor. Se calculó un Indice de Disrupción Global (IGD), teniendo en cuenta conjuntamente todas las conductas disruptivas, al igual que un Indice de Disrupción Específico (IDE) para cada una de las conductas disruptivas. Usando para las comparaciones la corrección de Bonferroni, los resultados indican que el IGD descendió significativamente durante el periodo de intervención, siendo tres las conductas disruptivas que mostraron un descenso significativo (intentos de fuga, autolesiones y peleas).
O objectivo deste estudo quase-experimental é analisar o efeito de uma actividade centrada no humor sobre os comportamentos disruptivos de pacientes hospitalizados num serviço de psiquiatria. Tendo em conta dois grupos homogéneos de pacientes hospitalizados num serviço de psiquiatria de um hospital peral (unidade de agudos), compararam-se dois períodos temporais de 83 dias cada uno, sendo o período 1 o da linha de base, e o período 2, o da intervenção. Para ambos os períodos, codificaramse e registaram-se um total de dez comportamentos disruptivos. Nos 83 dias do período de intervenção, e com uma frequência de dois dias semanais, dois actores profissionais levavam a cabo as actividades centradas no humor. Calculou-se um Índice de Disrupção Global (IGD), tendo em conta conjuntamente todas os comportamentos disruptivos, e um Índice de Disrupção Específico (IDE) para cada um dos comportamentos disruptivos. Usando para as comparações a correcção de Bonferroni, os resultados indicam que o IGD desceu significativamente durante o período de intervenção, sendo três os comportamentos disruptivos que mostraram uma descida significativa (intenção de fuga, auto-ferimentos e lutas).
Sponsorship: This study was made possible by funding from the Fundación Virgen de las Nieves in Granada (Spain).
Publisher: Asociación Española de Psicología Conductual
Description: This study would not have been possible without the professional collaboration and enthusiasm of the Titiritas Clown group, who were the stars of the humor-based activities on the ward. We offer special thanks to the members of this group: José Pérez de la Blanca, Francisco Parera, and Fernando Pérez de la Blanca.
Keywords: Humor
Psychiatric ward
Disruptive behaviors
Quasi-experimental study
Psiquiatría
Conductas disruptivas
Estudio cuasi-experimental
Comportamentos disruptivos
Estudo quaseexperimental
URI: http://hdl.handle.net/10481/32705
ISSN: 1697-2600
Citation: Higueras, A.; et al. Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward. International Journal of Clinical and Health Psychology, 6(1): 53-64 (2006). [http://hdl.handle.net/10481/32705]
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