J Korean Acad Nurs.  2016 Jun;46(3):349-363. 10.4040/jkan.2016.46.3.349.

Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia

• Kim MY
• Jun SS

• KMID: 2413342
• DOI: http://doi.org/10.4040/jkan.2016.46.3.349

Abstract

PURPOSE
This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.
METHODS
The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program.
RESULTS
Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.
CONCLUSION
Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

Keyword

Schizophrenia; Cognitive therapy; Behavioral therapy; Social stigma; Stereotyping

MeSH Terms

Adaptation, Psychological
*Cognitive Therapy
Female
Humans
Male
Mental Health
*Program Development
*Program Evaluation
Quality of Life
Schizophrenia/nursing/*therapy
Self Concept
Social Stigma
Stereotyping

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