J Korean Acad Psychiatr Ment Health Nurs.  2019 Dec;28(4):309-320. 10.12934/jkpmhn.2019.28.4.309.

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

  • 1Professor, College of Nursing, Korea University, Seoul, Korea.
  • 2Assistant Professor, Department of Nursing, Baekseok Culture University, Cheonan, Korea. youngsunny92@daum.net
  • 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.


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.


Schizophrenia; Family health; Social stigma
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