Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.22(1) > 1057965

TOOLS
Chai, Nam, and Byun: Effects of a Stress Relief Program on Burden, Anxiety, Depression, and Stress Response in Family Members of Patients with Mental Illness
Original Article
Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013; 22(1): 1-11.

Published online: 31 March 2013

DOI: https://doi.org/10.12934/jkpmhn.2013.22.1.1

Effects of a Stress Relief Program on Burden, Anxiety, Depression, and Stress Response in Family Members of Patients with Mental Illness

Gongju Chai1, Unsuk Nam2, Dohwa Byun3

1Chuncheon National Hospital, Chuncheon, Korea.

2Kangwon National University, Chuncheon, Korea.

3Kangwon National University, Samcheok, Korea.

Corresponding author: Chai, Gong Ju. Chuncheon National Hospital, 824 Yeongseo-ro, Dongsan-myeon, Chuncheon 200-843, Korea. Tel: +82-33-260-3321, Fax: +82-33-260-3307, princess2308@daum.net

Received 23 December 2012       Revised 25 February 2013       Accepted 13 March 2013

© 2013 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 aim of the present study was to examine the effects of a stress relief program on burden, anxiety, depression and stress response in family members of patients with mental illness.

Methods

A quasi-experimental study using a non-equivalent comparison group pretest and posttest design was used. Participants were family members of patients with mental illness at a mental health center in C city (15 in the experimental group and 17 in the comparison group). The program was provided for 90-100 minutes/session once a week, for 8 weeks. Data were analyzed using descriptive statistics, χ2-test and Mann-Whitney U-test.

Results

After a stress relief program, we found statistically significant decreases in burden, depression and stress response for the experimental group. But there was no significant decrease in anxiety.

Conclusion

These findings suggest that stress relief program combining disease education and therapeutic recreation could reduce burden, depression and stress response in family members of patients with mental illness.

Keywords: Burden, Anxiety, Depression, Stress response

Figures and Tables

Figure 1
Conceptual framework.
jkapmhn-22-1-g001
Table 1
Stress Relief Program for Family Members of Patients with Mental Illness
jkapmhn-22-1-i001
Table 2
Homogeneity Test for Demographic Variables between the Groups (N=32)
jkapmhn-22-1-i002

Exp.=experimental group; Cont.=control group.

Table 3
Homogeneity Test for Demographic Variables of Patients between the Groups (N=32)
jkapmhn-22-1-i003

Exp.=experimental group; Cont.=control group.

Table 4
Homogeneity Test for Research Variables between the Groups (N=32)
jkapmhn-22-1-i004

Exp.=experimental group; Cont.=control group.

Table 5
Group Comparisons on Change Scores in Research Variables (N=32)
jkapmhn-22-1-i005

Exp.=experimental group; Cont.=control group.

References

1. Austin DR, Crawford ME. Therapeutic recreation: An introduction. 1991. New Jersey: Prentice-Hall, Inc.
2. Chae JA. A study of development of recreation program based on the therapeutic recreation service model. Soc Welf Rev. 1997. 2(1):133–169.
3. Cho YR, No HJ, Choi YJ, Yang SS, Ji EH. The effects of a stress management program on depression, stress responses, perceived health status, and emotion dysregulation in community-dwelling older adults: A preliminary study. Cognitive Behav Ther Korea. 2008. 8:27–50.
4. Choi JY, Suh KH. The effects of yoga practice on stress responses. Korean J Health Psychol. 2005. 10:455–473.
5. Jung SK. A study on the effectiveness of family functioning by the duration of schizophrenia. J Korean Fam Ther. 1993. 1:121–136.
6. Kang SK. The impacts of the attitudes, stress coping, and social supports of parents with handicapped children upon the life satisfaction of the parents. Ment Health Soc Work. 2002. 14:7–35.
7. Kim CK, Cho JS, Seo JS, Kim YK, Kim HC, Kim SS, et al. A preliminary study for the development of the family burden scale of the schizophrenia. J Korean Neuropsychiatr Assoc. 1999. 38:539–553.
8. Kim DY, Kim DJ, Na WH. The effects of therapeutic recreation on emotional behavior of adolescents with intellectual disability. J Rehabil Res. 2008. 12:195–211.
9. Kim GH, Kim HJ. Original articles: The effect of therapeutic recreation program on the depression and self-esteem in nursing students. J Korean Acad Psychiatr Ment Health Nurs. 2006. 15:500–507.
10. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J. 1978. 21:69–75.
11. Kim MJ, Jung SL. The effect of family education program on the knowledge and the burden of schizophrenia patient's family. J Korean Acad Psychiatr Ment Health Nurs. 2002. 11:273–284.
12. Kim SS, Lee JS. Effects of therapeutic recreation programs on psychiatric patients' depression and human relationship. Chonnam J Nurs Sci. 1996. 1:1–21.
13. Kim YS. A study on positive caregiving appraisal and positive affect of parent caregivers of a person with mental disorder. Ment Health Soc Work. 2006. 22:91–124.
14. Ko KB, Park JK, Kim CH. Development of the stress response inventory. J Korean Neuropsychiatr Assoc. 2000. 39:707–719.
15. Lee JH. Development of the Korean form of Zung's Self-rating Depression Scale. Yeungnam Univ J Med. 1995. 12:292–305.
crossref
16. Lee SG. Burden and service needs of families with the mentally handicapped. 2003. Busan: Inje University;Unpublished master's thesis.
17. Lee YH, Sim JC, Lee SK, Sim YS, Kim YG, Kim KS, et al. Effect of a psychoeducational family therapy model for the families of schizophrenic patients. J Korean Neuropsychiatr Assoc. 2000. 39:479–494.
18. Lee YS. A suggested guideline for a family education program for the rehabilitation of the discharged schizophrenics. Ment Health Soc Work. 1997. 4:81–100.
19. Mafullul YM. Burden of informal carers of mentally infirm elderly in Lancashire. East Afr Med J. 2002. 79(6):291–298.
20. Ministry of Health and Welfare. The 2011 epidemiological survey of mental disorders in Korea. 2011. Seoul: Author.
21. Park GS, Lee YH, Sim KS. The effects of family education to reduce the anxiety and stress of schizophrenia patient's family. Ment Health Soc Work. 1998. 5:101–122.
22. Peterson CA, Gunn SL. Therapeutic recreation program design: Principles and procedures. 1984. 2nd ed. Englewood Cliffs, New Jersey: Prentice Hall, Inc.
23. Seol JH. The effectiveness of brief family education programs for schizophrenic outpatients and their families in a community social welfare center. Korean J Soc Welf. 2004. 56(2):261–283.
24. Son MJ. Development of family education program for persons with schizophrenia. Korean J Clin Psychol. 1994. 13:169–185.
25. Son MJ, Bae JK, Bae HS, Lee EJ. To manage their own stress. 1999. Daegu: Rehabilitation Institute of Mental Saemirae.
26. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory. 1970. Palo Alto, CA: Consulting Psychologist Press.
27. Um MS. The family environment where one member of the family is receiving psychiatric care. J Korean Acad Psychiatr Ment Health Nurs. 1992. 1:17–38.
28. Yang KH. The application of a therapeutic recreation program to decrease problem behaviors of children with ADHD. J Leis Recreation Stud. 2010. 34(3):195–205.
29. Yongin Mental Hospital WHO Collaborating Center. Family link. 2010. Seoul: Author;from http://dws026.dongwonweb.co.kr/filedown2/mental_edu02_guide.pdf.
30. Yu SY, Yun DH. The effect of the therapeutic recreation as yoga on self-esteem, interpersonal relationship and social skills of persons with chronic mental disorder. J Sport Leis Stud. 2009. 38:1033–1047.
crossref
31. Zipple AM, Spaniol LJ. Hatifield AB, Lefly HP, editors. Current education and supportive models of family intervention. Families of the Mentally Ill: Coping and Adaptation. 1987. New York: Guilford Press.
32. Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965. 12:63–70.
crossref
TOOLS
Similar articles