Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia

Jae Woon Lee; Hyun Sook Park

doi:10.12934/jkpmhn.2018.27.4.342

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Lee and Park: Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2018; 27(4): 342-354.

Published online: 27 December 2018

DOI: https://doi.org/10.12934/jkpmhn.2018.27.4.342

Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia

Jae Woon Lee¹

, Hyun Sook Park²

¹Advanced Practice Nurse, Department of Nursing, Bugok National Hospital, Changnyeong, Korea.

²Professor, College of Nursing · The Research Institute of Nursing Science, Daegu Catholic University, Daegu, Korea.

Corresponding author: Lee, Jae Woon. Department of Nursing, Bugok National Hospital, 145, Bugok-ro, Bugok-myeon, Changnyeong 50365, Korea. Tel: +82-55-520-2582, Fax: +82-55-520-2631, jungnamguy@hanmail.net

Received 14 October 2018 Revised 15 November 2018 Accepted 29 November 2018

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 purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment.

Methods

This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for χ² test, Fisher's exact test, independent t-test, and repeated measurement ANOVA.

Results

The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight.

Conclusion

This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

Keywords: Acceptance and commitment therapy, Mental health, Schizophrenia, Treatment adherence and compliance

Figures and Tables

Figure 1

Conceptual framework of this study.

Table 1

Acceptance Commitment-based Cognitive Behavioral Program of the Study

ACT=acceptance and commitment therapy.

Table 2

Homogeneity of General Characteristics between Experimental and Control Groups (N=42)

Exp.=experimental group; Cont.=control group; ^†Fisher's exact test.

Table 3

Homogeneity of Dependent Variables in Pretest (N=42)

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

Table 4

Change of Psychological Flexibility, Psychological Well-being, and Treatment Adherence between Two Groups (N=42)

Exp.=experimental group; Cont.=control group; Pre=pretest; Post 1=posttest 1; Post 2=posttest 2; G=group; T=time; G×T=interaction term between group and time.

Notes

This article is based on a part of the first author's doctoral thesis from Daegu Catholic University.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

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ORCID iDs

Jae Woon Lee
https://orcid.org/0000-0002-9648-7233

Hyun Sook Park
https://orcid.org/0000-0002-4486-9053

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