Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.28(3) > 1134592

Kim, Chung, Kwon, Kang, Ko, Kang, Seo, Song, and Nam: Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients



The purpose of this study was to test the effects on stress and depression by developing and implementing an integrated stress management program for inpatients in the psychiatric closed ward.


The study was a one-group pretest-posttest design. A total of 36 patients in the closed ward participated in this study. Data were collected through self-report questionnaires to measure hospital stress and depression. Data were analyzed by using t-tests and one-way ANOVA with SPSS/WIN 21.0.


Integrated stress management program was designed based on Lazarus and Folkman stress-appraisal-coping model. Total of eight 1-hour sessions were delivered for four weeks in the group. There were significant differences in the inpatient stress scores before and after the intervention. However, the integrated stress management program showed some reduction in depression but did not show signifiant differences statistically.


Our study findings confirm that the use of the integrated stress management program can reduce stress of the patients, that enable them to stabilize their minds at hospitalization. However, further study is needed to confirm the effects on depression. Thus, it would be beneficial to provide psychiatric nursing intervention tailored to psychiatric patients' symptoms, especially for reducing inpatient stress.

Figures and Tables

Table 1

Integrated Management Program for the Closed Ward

Table 2

Differences in Hospital Stress and Depression according to the General Characteristics of Patients (N=36)

Table 3

Effects of the Integrated Stress Management Program (N=36)


Paired t-test.


CONFLICTS OF INTEREST The authors declared no conflict of interest.


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