Cognitive intervention based on Positive Emotion-Engagement Relationship-Meaning-Achievement theory in patients with depression and insomnia: Application value

Table 1 Implementation process of cognitive intervention based on Positive Emotion-Engagement Relationship-Meaning-Achievement

Intervention content	Concrete implementation process
Positive self-perception	Understand patients’ awareness of depression and encourage them to speak their minds
	Use a professional perspective to clearly explain the knowledge of depression and insomnia for patients
	To patiently answer the doubts raised by the patient, and correct the patient’s misunderstanding of the disease
Positive emotion	Psychological counselors guide patients to view the current state of the disease from a positive perspective and make them aware of the importance of positive cognition
	Nursing staff guide patients to use positive language to motivate themselves and give timely recognition to their positive performance
	Recommend patients to watch movies that enhance their confidence, while also asking them to pay attention to events that cause negative emotions and list their thoughts after the event, and find ways to refute negative views
	Nursing staff should provide appropriate recognition and support when patients exhibit any positive emotions
Input activity importance	Introduce the positive effects of “Fuliu” on patients, and guide them to actively participate in healthy entertainment activities, such as painting and listening to music, based on their condition and personal interests
	At the same time, encourage patients to cultivate their interests and hobbies
Build good relationships	By organizing role-playing activities with four different response types: Proactive, proactive, passive, and passive, we aim to enhance patients’ awareness of family, friendship, and social responsibility
	Understand the patient’s interpersonal relationships, guide them to reflect on grateful moments in their life, motivate them to pay attention to warm moments in their daily lives, and suggest that they record them through writing a diary or sharing on social media
	Introduce communication skills to patients and guide them to practice actively responding to interpersonal communication
Meaning of human life	Understand patients’ understanding of the meaning of life, and help them form a positive outlook on life by guiding them to delve into the deeper meaning and intrinsic value of life
	Assist patients in discovering their inner growth significance, and based on the actual progress of their condition, jointly set practical and feasible life goals, encourage patients to look forward to the future with an optimistic attitude, and continuously strengthen their determination to recover
	At the same time, guide them to recognize their own value and help enhance their sense of social responsibility
Achievements and goals	Based on the different stages of the patient’s condition, work together with the patient to develop detailed short-term and long-term personal development goals from two aspects: Dynamic exercise and emotional management
	Closely track the progress of each patient’s goals and provide timely encouragement for every point of improvement
	Actively encourage patients to engage in activities they are good at and love

Table 2 Comparison of general data between the observation group and the control group, n (%)

Groups	Gender		Age, mean ± SD	Disease duration, mean ± SD	Education level
	Male	Female			Primary school	Junior/senior high	College
Control group (n = 53)	31 (58.49)	22 (41.51)	46.21 ± 2.96	4.33 ± 0.89	11 (20.75)	27 (50.94)	15 (28.31)
Observation group (n = 53)	30 (56.60)	23 (53.40)	46.30 ± 2.94	4.51 ± 0.86	12 (22.64)	26 (49.06)	15 (28.30)
χ2/t	0.039		0.157	1.059	0.062
P value	0.844		0.875	0.292	0.969