Developing a Prediction Model for Family Health in Families of Patients with Schizophrenia

Kuem Sun Han; Yeong Seon Hong; Hyuncheol Kang; Youn Hee Roh; Myung Sook Choi; Hee Jin Moon

doi:10.12934/jkpmhn.2019.28.4.309

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

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

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2019; 28(4): 309-320.

Published online: 31 December 2019

DOI: https://doi.org/10.12934/jkpmhn.2019.28.4.309

Developing a Prediction Model for Family Health in Families of Patients with Schizophrenia

Kuem Sun Han¹

, Yeong Seon Hong²

, Hyuncheol Kang³

, Youn Hee Roh⁴

, Myung Sook Choi⁵

, Hee Jin Moon⁶

¹Professor, College of Nursing, Korea University, Seoul, Korea.

²Assistant Professor, Department of Nursing, Baekseok Culture University, Cheonan, Korea.

³Professor, Division of Big Data and Management Engineering, Hoseo University, Asan, Korea.

⁴Associate Professor, Department of Nursing, Kyungbok University, Namyangju, Korea.

⁵Professor, Department of Nursing, Seoil University, Seoul, Korea.

⁶Nurse, Myongji Hospital, Goyang, Korea.

Corresponding author: Hong, Yeong Seon. Department of Nursing, Baekseok Culture University, 58, Munam-ro, Dongnam-gu, Cheonan 31065, Korea. Tel: +82-41-550-2325, Fax: +82-41-550-2314, youngsunny92@daum.net

Received 19 August 2019 Revised 9 November 2019 Accepted 26 November 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 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.

Keywords: Schizophrenia, Family health, Social stigma

Figures and Tables

Figure 1

Conceptual framework and the hypothetical model.

Figure 2

Pathway of modified model.

Table 1

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

Table 2

Comparison of Model Fit of Modified Model to Hypothetical Model

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

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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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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