Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients

Na-Ra Kim; Mi Heui Jang

doi:10.12934/jkpmhn.2019.28.1.37

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Kim and Jang: Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2019; 28(1): 37-49.

Published online: 29 March 2019

DOI: https://doi.org/10.12934/jkpmhn.2019.28.1.37

Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients

Na-Ra Kim¹

, Mi Heui Jang²

¹School Health Teacher, Neungdong Middle School, Hwaseong, Korea.

²Associate Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea.

Corresponding author: Jang, Mi Heui. College of Nursing, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea. Tel: +82-2-961-0592, Fax: +82-2-961-0592, mhjang@khu.ac.kr

Received 11 February 2019 Revised 20 February 2019 Accepted 6 March 2019

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 this study was to examine the effect of self-assertive training applying the reality therapy techniques (SATART) on self-esteem and internalized stigma of schizophrenia patients.

Methods

This study was a non-equivalent control group pretest-posttest design and enrolled 55 people with schizophrenia (experimental group=27, control group=28) from two community mental health centers. The SATART was offered twice a week for 6 weeks in a total 12 sessions. Data were collected from February to April, 2017, using the Korean version of the Internalized Stigma of Mental Illness Scale and Rosenberg Self-Esteem Scale. The collected data was analyzed using χ² test, independent t-test, one-way ANCOVA, and repeated measures ANOVA with using the SPSS/WIN 22.0 program.

Results

The experimental group showed significant improvements in self-esteem and recudction of internalized stigma compared to the control group. However, there was no significant improvement on stigma resistance measurement among the subscales of internalized stigma between two groups.

Conclusion

The findings indicate that the SATART program is effective and could be recommended as a psychosocial intervention for self-esteem enhancement and internalized stigma reduction of people with schizophrenia.

Keywords: Schizophrenia, Self concept, Social stigma, Assertiveness, Reality therapy

Figures and Tables

Figure 1

Flow diagram of the study participants.

Table 1

Contents of Self-assertive Training based on Reality Therapy Techniques

WDEP=want-doing-evaluation-plan.

Table 2

Homogeneity of Demographic Characteristics (N=55)

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

Table 3

Homogeneity of Dependent Variables (N=55)

Exp.=experimental group; Cont.=control group; ^†Mann Whitney U-test.

Table 4

Effects of Intervention on Dependent Variables (N=55)

Exp.=experimental group (n=27); Cont.=control group (n=28); ^†ANCOVA used after calibration correction value 6th week.

Notes

This article is a revision of the first author's master's thesis from Kyung Hee University.

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

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ORCID iDs

Na-Ra Kim
https://orcid.org/0000-0002-7082-9063

Mi Heui Jang
https://orcid.org/0000-0002-5645-4816

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