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Kim and Park: The Effects of Insight and Empowerment on Function and Quality of Life for Patients with Schizophrenia
Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2010; 19(1): 11-21.

Published online: 31 March 2010

DOI: https://doi.org/10.12934/jkpmhn.2010.19.1.11

The Effects of Insight and Empowerment on Function and Quality of Life for Patients with Schizophrenia

Yi Young Kim1, Hyun Sook Park2

1Full-time Lecturer, Department of Early Childhood Education, Daegu Polytechnic College, Korea.

2Professor, College of Nursing, Catholic University of Daegu, Korea.

Address reprint requests to: Park, Hyun Sook, College of Nursing, Catholic University of Daegu, 3056-6 Daemyung 2-dong, Nam-gu, Daegu 705-718, Korea. Tel: 82-53-650-4827, Fax: 82-53-650-4392, parkhs@cu.ac.kr

Received 13 January 2010       Revised 5 March 2010       Accepted 6 March 2010

© 2010 The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to examine whether insight and empowerment had a positive impact on function and quality of life for patients with schizophrenia.

Methods

The subjects consisted of 446 patients with schizophrenia who were attending 20 psychosocial rehabilitation centers. Data were analyzed by the SPSS/WIN and AMOS programs.

Results

Insight showed a direct effect on empowerment, function, and quality of life for patients with schizophrenia. Empowerment showed a direct effect on function and quality of life for patients with schizophrenia. Function showed a direct effect on quality of life for patients with schizophrenia.

Conclusion

These results suggest that function and quality of life for patients with schizophrenia can be improved by increasing insight and empowerment. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes increasing insight and empowerment in order to improve function and quality of life in patients with schizophrenia.

Keywords: Schizophrenia, Insight, Empowerment, Function, Quality of life

Figures and Tables

Figure 1

Conceptual framework for the study.

jkapmhn-19-11-g001
Figure 2

Result of structural equation model.

jkapmhn-19-11-g002
Table 1

General Characteristics of Subjects (N=446)

jkapmhn-19-11-i001
Table 2

Descriptive Statistics of the Measured Variables (N=446)

jkapmhn-19-11-i002

Insight 1=complying with treatment; Insight 2=recognition of symptomatology; Insight 3=ability to attribute symptoms to a mental health disorder; Empowerment 1=personal change; Empowerment 2=interpersonal change; Empowerment 3=sociopolitical change; Function 1=task performance; Function 2= communication skill; Function 3=home management; Function 4=interpersonal relationship; Quality of life 1=positive self-perception; Quality of life 2=emotional stableness.

Table 3

Correlations among the Measured Variables (N=446)

jkapmhn-19-11-i003

Insight 1=complying with treatment; Insight 2=recognition of symptomatology; Insight 3=ability to attribute symptoms to a mental health disorder; Empowerment 1=personal change; Empowerment 2=interpersonal change; Empowerment 3=sociopolitical change; Function 1=task performance; Function 2= communication skill; Function 3=home management; Function 4=interpersonal relationship; Quality of life 1=positive self-perception; Quality of life 2=emotional stableness.

Table 4

Fitness Index for the Model

jkapmhn-19-11-i004

RMSEA=root mean square error of approximation; GFI=goodness of fit index; AGFI=adjusted goodness of fit index; NFI=Bentler-Bonett normed fit index; CFI=comparative fit index; CMIN/DF=minimum discrepancy divided by the degrees of freedom.

Table 5

Estimates for the Model and Direct, Indirect, & Total Effects (N=446)

jkapmhn-19-11-i005

SMC=squared multiple correlation.

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