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



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.


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.


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.


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.

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.


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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Kuem Sun Han

Yeong Seon Hong

Hyuncheol Kang

Youn Hee Roh

Myung Sook Choi

Hee Jin Moon

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