Hu Y, Tong TS, Zhang J, Zhu YN, Xia L, Yu JJ. Effect of a combined of positive emotion, engagement, relationships, meaning, and accomplishment-based mental health intervention and role model incentives. World J Psychiatry 2026; 16(2): 113242 [DOI: 10.5498/wjp.v16.i2.113242]
Corresponding Author of This Article
Jin-Jin Yu, Chief Physician, Professor, Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214000, Jiangsu Province, China. yujjwx@126.com
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Psychiatry
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Retrospective Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Feb 19, 2026 (publication date) through Feb 2, 2026
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Publication Name
World Journal of Psychiatry
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2220-3206
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Hu Y, Tong TS, Zhang J, Zhu YN, Xia L, Yu JJ. Effect of a combined of positive emotion, engagement, relationships, meaning, and accomplishment-based mental health intervention and role model incentives. World J Psychiatry 2026; 16(2): 113242 [DOI: 10.5498/wjp.v16.i2.113242]
World J Psychiatry. Feb 19, 2026; 16(2): 113242 Published online Feb 19, 2026. doi: 10.5498/wjp.v16.i2.113242
Effect of a combined of positive emotion, engagement, relationships, meaning, and accomplishment-based mental health intervention and role model incentives
Yan Hu, Jing Zhang, Yan-Ni Zhu, Ling Xia, Jin-Jin Yu, Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Tai-Shan Tong, Department of Medical Psychology, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Co-corresponding authors: Ling Xia and Jin-Jin Yu.
Author contributions: Hu Y designed the study; Hu Y and Tong TS were involved in the data and writing of this article; Tong TS, Zhang J, Zhu YN, Xia L, and Yu JJ analyzed the data; Xia L and Yu JJ jointly guided and reviewed this article; Xia L and Yu JJ contributed equally to this manuscript and are co- corresponding authors. All authors have read and approved the final manuscript.
Supported by Wuxi Taihu Lake Talent Plan, Supports for Leading Talents in Medical and Health Profession.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Hospital of Jiangnan University (Approval No. 2022-14-2).
Informed consent statement: All the individuals who participated in this study provided their written informed consent prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Jin Yu, Chief Physician, Professor, Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214000, Jiangsu Province, China. yujjwx@126.com
Received: August 19, 2025 Revised: September 21, 2025 Accepted: November 3, 2025 Published online: February 19, 2026 Processing time: 163 Days and 22.7 Hours
Abstract
BACKGROUND
Patients with ovarian cancer often experience significant psychological stress during chemotherapy, including emotional disorders such as anxiety and depression.
AIM
To analyze the application value of positive emotion, engagement, relationships, meaning, and accomplishment (PERMA) well-being care combined with role model motivation in patients with ovarian cancer undergoing chemotherapy for anxiety and depression, with a focus on psychological health and compliance behavior.
METHODS
Seventy patients with ovarian cancer undergoing chemotherapy were recruited from a hospital between August 2022 and August 2024. They were randomly divided into two groups using a lottery method: The reference group (n = 35, receiving routine care) and the experimental group (n = 35, receiving PERMA well-being care combined with role model motivation in addition to routine care). Both groups received their respective interventions before and after chemotherapy. Psychological state, mood state, compliance behavior, and cancer-related fatigue levels were assessed before and after the intervention. Data were analyzed using the SPSS software (version 26.0).
RESULTS
After the intervention, patients’ psychological state scores improved, with the experimental group showing better scores than the reference group (P < 0.05). After the intervention, both groups’ mood state scores decreased in most dimensions, except for increased vigor, with the experimental group showing a greater improvement (P < 0.05). Compliance was higher in the experimental group than in the control group (P < 0.05). Cancer-related fatigue scores decreased in both groups after the intervention, with the experimental group having lower scores than the reference group (P < 0.05).
CONCLUSION
PERMA well-being care combined with role model motivation is effective in reducing anxiety and depression symptoms, improving mood states, enhancing compliance behavior, and alleviating cancer-related fatigue in patients with ovarian cancer undergoing chemotherapy for anxiety and depression. Therefore, this approach warrants broader clinical application.
Core Tip: The combination of positive emotion, engagement, relationships, meaning, and accomplishment well-being care and role model motivation has proven highly effective in improving the psychological health of patients with ovarian cancer undergoing chemotherapy, particularly those experiencing anxiety and depression. This nursing intervention not only alleviates psychological distress but also enhances overall well-being and treatment adherence.
