Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.28(4) > 1140693

Han, Hong, Kang, Roh, Choi, and Moon: Developing a Prediction Model for Family Health in Families of Patients with Schizophrenia

Abstract

Purpose

The purpose of this study was to identify factors related to family health and develop a prediction model with an ability to explain family health in families of patients with schizophrenia.

Methods

A hypothesized model with twelve pathway forms was developed based on literature review. Family stress and social stigma were included as two exogenous variables; whereas family resilience, family empowerment, self-esteem, community integration, and family health were included as endogenous variables. Data were collected using a self-report questionnaire from 206 families of patients with schizophrenia living in Republic of Korea. Data were analyzed with PASW/WIN 18.0 and AMOS 18.0 programs.

Results

Social stigma had a negatively indirect and total effect on family health. Family resilience, self-esteem, and community integration had positive and direct and overall effects on family health.

Conclusion

A prediction model for families of patients with schizophrenia is proposed and social stigma, family resilience, self-esteem, and community integration are presented as predicting factors for family health. Nursing interventions and support programs should be developed to overcome social stigma and improve family resilience, self-esteem, and community integration.

Figures and Tables

Figure 1

Conceptual framework and the hypothetical model.

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Figure 2

Pathway of modified model.

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Table 1

Demographic Characteristics of Families of Patients and Schizophrenia Patients (N=206)

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Table 2

Comparison of Model Fit of Modified Model to Hypothetical Model

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df=degree of freedom; GFI=goodness-of-fit index; AGFI=adjusted goodness of fit index; CFI=comparative fit index; NFI=normed fit index; TLI=Tucker-Lewis index; RMSEA=root means-square error of approximation; AIC=Akaike information criterion.

Table 3

Standardized Direct, Indirect, and Total Effects for the Final Model

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SE=standard error; CR=critical ratio; SMC=squared multiple correlations.

Notes

This research was supported by the Institute of Nursing Research, Korea University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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TOOLS
ORCID iDs

Kuem Sun Han
https://orcid.org/0000-0001-9414-8273

Yeong Seon Hong
https://orcid.org/0000-0001-8157-4353

Hyuncheol Kang
https://orcid.org/0000-0001-9459-5460

Youn Hee Roh
https://orcid.org/0000-0003-1078-995X

Myung Sook Choi
https://orcid.org/0000-0001-8160-3652

Hee Jin Moon
https://orcid.org/0000-0002-3488-4110

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