J Korean Neuropsychiatr Assoc.  2001 Jan;40(1):72-80.

Effects of Brief Symptom Management Module on Inpatients with Chronic Schizophrenia: A Preliminary Study

Affiliations
  • 1Keyo Hospital(Anyang Neuropsychiatric Hospital), Uiwang.
  • 2Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul.
  • 3Department of Neuropsychiatry, Seoul Paik Hospital, Inje University, Seoul.

Abstract


OBJECTIVES
The purpose of this study was to examine whether Symptom Management Module-Korean Brief Version(SMM-B) is effective as a psychosocial treatment of the inpatients with chronic schizophrenia. We also questioned which of demographic and clinical characteristics could be predictors of differential treatment response.
METHODS
The subjects were composed of 30 inpatients with chronic schizophrenia, who were trained with weekly session of SMM-B for 5 weeks. Before and after the training, the level of psychopathology, knowledge about schizophrenia were assessed as dependent variables by using Clinical Global Impression(CGI) and Scale to Assess Unawareness of Mental Disorder(SUMD).
RESULTS
Overall, patients showed improvement over the treatment period on psychopathology as well as knowledge about psychosis. Total scores of SUMD were changed from 16.9+/-4.0 before training to 12.9+/-4.2 after training(p<0.01) and scores of CGI were improved from 3.7+/-0.9 to 2.8+/-0.8 (p<0.01). However age, gender, years of education, age of onset, duration of illness, duration of admission, numbers of psychiatric admission, and clinical status evaluated by CGI were not correlated with un-awareness of psychosis.
CONCLUSION
These results suggest that SMM-B could be a reliable method to improve self-awareness of psychosis in patients with chronic schizophrenia and one of important elements in rehabilitation.

Keyword

Schizophrenia; Rehabilitation; Symptom management module; Scale to assess un-awareness of mental disorder
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