Research Article| Volume 44, P1-7, June 2023

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The effectiveness of the training program on accepting and expressing emotions on the psychological resilience and depression levels of nurses: A two-year follow-up study

Published:March 08, 2023DOI:


      • Training program which was based on accepting and expressing emotions can be carried out to improve a decrease in depressıon and strengthen the psychological resilience of nurses.
      • The training program based on emotıons has been effective for a long time in accepting and expressing emotions.



      This study aimed to examine the effectiveness of the training program which was based on cognitive behavioral theory on accepting and expressing emotions in terms of nurses' psychological resilience and depression levels.

      Design and methods

      The study is an intervention study with a control group conducted with pretest, posttest, and two-year follow-up test design in line with Consolidated Standards of Reporting Trials (CONSORT). The participants in the intervention group attended an eight-week accepting and expressing emotions training program, while those in the control group did not. The Psychological Resilience Scale for Adults (RSA) and Beck's Depression Inventory (BDI) were applied to both groups as pre-test, post-test and 6-month follow-up (T2), 12-month follow-up (T3) and 24-month follow-up (T4).


      It was determined that there was a significant change in RSA scale scores of the intervention group, and that the effect of group ∗ time interaction for all scores was significant. An increase in the total score was found for all follow-up periods with respect to T1. A significant decrease was determined in BDI scores of the intervention group, and the effect of group-time interaction for all scores was found to be significant. It was found that there was a decrease in the scores of the intervention group in all follow-up periods with respect to T1.


      The results obtained from the study showed that the training program conducted with groups on accepting and expressing emotions was effective on the nurses' psychological resilience and depression scores.

      Practice implications

      Training programs that develop the skills of accepting and expression emotions can help nurses find their thoughts underlying their emotions. Thus, depression levels of nurses can decrease, and their psychological resilience can improve. This situation can help in terms of reducing workplace stress of nurses and can cause their working life to be more effective.


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