{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T09:07:19Z","timestamp":1789981639228,"version":"4.0.1"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study was conducted to investigate the effects of positive psychotherapy\u2010based education on pain, psychological resilience, and mental well\u2010being after lumbar canal stenosis surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled experimental study was conducted with 66 participants (33 control, 33 experimental) at the Brain and Neurosurgery Department of Medical Center X between March 2025 and July 2025. The control group received no intervention, while the experimental group received 8\u00a0weeks of psychoeducation based on positive psychotherapy. Pretests were administered to the control and experimental groups in March 2025. The training of the experimental group was administered between April 2025 and May 2025. Data collection tools included the Descriptive Characteristics Form, Pain Scale, Brief Resilience Scale, and Mental Well\u2010Being Scale. It was determined that the data showed normal distribution, and parametric tests were used in the analyses. Chi\u2010square and Fisher's exact tests were used to compare the descriptive characteristics of the patients in the experimental and control groups. A\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test was applied to the dependent and independent groups to determine the effect of the training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      In the study, no statistically significant difference was found in the comparison of the pretest pain, psychological resilience, and mental well\u2010being scales of the control and experimental groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.259,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.177,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.428). In the study, a statistically significant difference was found in the comparison of the posttest pain, psychological resilience, and mental well\u2010being scales of the control and experimental groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001). In the study, a statistically significant difference was found in the pretest\u2013posttest pain, psychological resilience and mental well\u2010being scale total score averages of the experimental group (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Recommendations<\/jats:title>\n                    <jats:p>Positive psychotherapy\u2010based education was effective in reducing pain and increasing psychological resilience, and mental well\u2010being in patients after lumbar spinal stenosis surgery. Based on these findings, positive psychotherapy\u2010based education can be recommended as an adjunct to pharmacological treatment for not only physical but also psychological recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.70873","type":"journal-article","created":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T13:35:52Z","timestamp":1764509752000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Positive Psychotherapy\u2010Based Education on Pain, Psychological Resilience, and Mental Well\u2010Being After Lumbar Canal Stenosis Surgery: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"15","author":[{"given":"Ramazan","family":"Pa\u015fahan","sequence":"first","affiliation":[{"name":"Turgut \u00d6zal Medical Centre, Department of Neurosurgery \u0130n\u00f6n\u00fc University  Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2159-0180","authenticated-orcid":false,"given":"Funda","family":"Kavak Budak","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing \u0130n\u00f6n\u00fc University  Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-9001","authenticated-orcid":false,"given":"Serdar","family":"Sarita\u015f","sequence":"additional","affiliation":[{"name":"Department of Medical Biology Malatya Turgut \u00d6zal University  Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Kavak","sequence":"additional","affiliation":[{"name":"Department of Surgical Nursing Erzurum Technical University  Yakutiye Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Melike","family":"Erkan","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing \u0130n\u00f6n\u00fc University  Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sab\u0131r","family":"Akar","sequence":"additional","affiliation":[{"name":"Turgut \u00d6zal Medical Centre, Nursing \u0130n\u00f6n\u00fc University  Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2009.11.016"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000068822.10113.9E"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000682"},{"key":"e_1_2_8_5_1","first-page":"57","article-title":"Spinal Stenoz Ve Fizik Tedavi Yakla\u015f\u0131mlar\u0131","volume":"18","author":"Ay S.","year":"2007","journal-title":"Journal of Turkish Spinal Surgery"},{"key":"e_1_2_8_6_1","volume-title":"Pozitif Psikodinamik Psikoterapi Ders Kitab\u0131 (1. bs.)","author":"Boessmann U.","year":"2022"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.06.003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2022.02.002"},{"key":"e_1_2_8_10_1","first-page":"724","article-title":"Dijital d\u00fcnyan\u0131n ger\u00e7ekli\u011fi, ger\u00e7ek d\u00fcnyan\u0131n sanall\u0131\u011f\u0131: Bir dijital Medya \u00dcr\u00fcn\u00fc Olarak Sanal Ger\u00e7eklik","volume":"1","author":"Ferhat S.","year":"2016","journal-title":"Dijital Medya Say\u0131s\u0131"},{"key":"e_1_2_8_11_1","first-page":"165","article-title":"Frequency of Post Dural Puncture Headache in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia With Median Versus Paramedian Approach","volume":"20","author":"Firdous T.","year":"2019","journal-title":"Anaesthesia, Pain & Intensive Care"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2017.12.84"},{"key":"e_1_2_8_13_1","volume-title":"Fibromiyalji Sendromlu Kad\u0131n Hastalarda Grup Pozitif Psikoterapi Tedavisi Ve Etkileri (Doktora tezi)","author":"G\u00fcndo\u011fdu Alt\u0131n N.","year":"2022"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568219889099"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NPR.0000820954.12040.9c"},{"issue":"3","key":"e_1_2_8_16_1","first-page":"1","article-title":"Dejeneratif Lomber Spinal Stenoz","volume":"3","author":"Karaemino\u011fullar\u0131 O.","year":"2004","journal-title":"TOTB\u0130D (T\u00fcrk Ortopedi ve Travmatoloji Birli\u011fi Derne\u011fi) Dergisi"},{"key":"e_1_2_8_17_1","volume-title":"Lomber Disk Hernisi Ameliyat\u0131 Olan Hastalara Ameliyat \u00d6ncesi Verilen E\u011fitimin Ameliyat \u00d6ncesi Ve Sonras\u0131 Kayg\u0131 D\u00fczeyine, Ameliyat Sonras\u0131 A\u011fr\u0131 Ve Memnuniyete Etkisi (Y\u00fcksek lisans tezi)","author":"Karaokur G.","year":"2019"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.5162"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.5152\/HAYEF.2021.21005"},{"issue":"1","key":"e_1_2_8_20_1","first-page":"103","article-title":"Warwick\u2013Edinburgh Mental \u0130yi Olu\u015f \u00d6l\u00e7e\u011fi'nin T\u00fcrk\u00e7e Formu: Ge\u00e7erlik Ve G\u00fcvenirlik \u00c7al\u0131\u015fmas\u0131","volume":"3","author":"Keldal G.","year":"2015","journal-title":"Journal of Happiness & Well\u2010Being"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000699"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2018.07.006"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21217877"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000313"},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","unstructured":"Miller M. J. I.Cenzer K. E.Covinsky E.Finlayson P. J.Raue andV. L.Tang.2024. \u201cAssociations of Resilience Perceived Control of Health and Depression With Geriatric Outcomes After Surgery.\u201d Annals of Surgery Ahead of print July 26 https:\/\/doi.org\/10.1097\/SLA.0000000000006448.","DOI":"10.1097\/SLA.0000000000006448"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2015.14.0383"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.22108\/ppls.2021.117838.1768"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.12788\/cp.0317"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010025\u201008733\u2010z"},{"key":"e_1_2_8_30_1","volume-title":"Positive Psychotherapy: Clinician Manual","author":"Rashid T.","year":"2018"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.60.5.410"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u20105\u201063"},{"key":"e_1_2_8_33_1","unstructured":"T\u00fcrkiye \u0130statistik Kurumu.2022. \u201cT\u00fcrkiye Sa\u011fl\u0131k Ara\u015ft\u0131rmas\u0131 2022.\u201dhttps:\/\/data.tuik.gov.tr\/Bulten\/Index?p=Turkiye\u2010Saglik\u2010Arastirmasi\u20102022\u201049747."},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1652"},{"key":"e_1_2_8_35_1","unstructured":"Yekeler B.2022. \u201cLomber Dar Kanal Cerrahisinde Unilateral Yakla\u015f\u0131mla Bilateral Dekompresyon Yap\u0131lan Olgularda Erken D\u00f6nem Sagittal Balans Parametrelerinin De\u011ferlendirilmesi.\u201d PhD diss. Erciyes \u00dcniversitesi."},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000000588"}],"container-title":["Brain and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.70873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/brb3.70873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.70873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:45:59Z","timestamp":1789980359000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/brb3.70873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,30]]},"references-count":35,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/brb3.70873"],"URL":"https:\/\/doi.org\/10.1002\/brb3.70873","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1002\/BRB3.70873\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70873\/v2\/decision1","asserted-by":"object"}]},"ISSN":["2162-3279","2162-3279"],"issn-type":[{"value":"2162-3279","type":"print"},{"value":"2162-3279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,30]]},"assertion":[{"value":"2025-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70873"}}