Journal List > J Korean Acad Nurs > v.46(3) > 1003163

Kim and Jun: Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia

Abstract

Purpose

This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.

Methods

The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ2-test, t-test, repeated measures ANOVA with the SPSS program.

Results

Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.

Conclusion

Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

Figures and Tables

Table 1

Description of Mixed Method Study

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Table 2

Description of Intervention

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Table 3

Homogeneity of General Characteristics and Function (N=64)

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Exp.=Experimental group; Cont.=Control group; GAF=Global Assessment of Function; PANSS=Positive and Negative Syndrome Scale.

Table 4

Changes in Outcome Variables from Baseline to 16-week Follow-up (N=64)

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*by one-way repeated measured ANOVA; by mixed ANOVA; Exp.=Experimental group (n=32); Cont.=Control group (n=32).

Notes

This manuscript is based on a part of the first author's doctoral dissertation from Pusan National University.

CONFLICTS OF INTEREST The authors declared no conflict of interest

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