Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia

Fung, Kelvin M. T.; Tsang, Hector W.H.; Cheung, W.M.

doi:10.1016/j.psychres.2011.02.013

Cited by 133 publications

(129 citation statements)

References 42 publications

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“…스 스로를 불신하는 부정적인 인지평가는 회피 및 위축과 같은 소극적 대처를 초래하고, 자아존중감 및 정신건강 회복을 감소시키며 [3], 간접적으로는 삶의 질 저하를 초래할 수 있다 [4]. 그러므로 내재화 된 낙인에 대한 부정적인 생각을 긍정적으로 수정하고 [5], 바람직한 대처행동 및 대처자원을 강화하여 내재화된 낙인을 중재할 필요가 있다 [4].…”

Section: 연구 가설unclassified

“…는 인지치료에 근거한 중재 프로그램이 시도되었다 [5][6][7]. 이러한 인 지 프로그램으로 정신과적 증상 관리에 정신교육 방법을 혼합한 교 육 프로그램 [5,6], 내러티브와 인지치료를 혼합한 중재 프로그램 [7], 증상 중재와 문제해결을 혼합한 교육 프로그램 [8] 등이 시도되 었다.…”

Section: 조현병 환자의 내재화된 낙인을 감소시키기 위한 선행 연구에서unclassified

“…이러한 인 지 프로그램으로 정신과적 증상 관리에 정신교육 방법을 혼합한 교 육 프로그램 [5,6], 내러티브와 인지치료를 혼합한 중재 프로그램 [7], 증상 중재와 문제해결을 혼합한 교육 프로그램 [8] 등이 시도되 었다. 이들 프로그램은 자존감증진에는 대부분 효과가 있었으나 [5,6] 내재화된 낙인에는 한 편에서만 효과가 있었다 [7].…”

Section: 조현병 환자의 내재화된 낙인을 감소시키기 위한 선행 연구에서unclassified

“…이러한 인 지 프로그램으로 정신과적 증상 관리에 정신교육 방법을 혼합한 교 육 프로그램 [5,6], 내러티브와 인지치료를 혼합한 중재 프로그램 [7], 증상 중재와 문제해결을 혼합한 교육 프로그램 [8] 등이 시도되 었다. 이들 프로그램은 자존감증진에는 대부분 효과가 있었으나 [5,6] 내재화된 낙인에는 한 편에서만 효과가 있었다 [7]. 또한 자존 감에 영향을 주는 주요요소인 역량을 증진시키는 자존감 증진 프로 그램 [9], 역량강화 교육 프로그램 [8,10] ·Helping participants to identify their positive or negative self-concept ·Educating participants on the relationship between positive or negative self-concept and recovery ·Educating participants on their choice of internalized stigma and behaviors by utilizing internalized stigma and behavior checklist ·Explaining how to rate participants' choice of internalized stigma and behaviors ·Facilitating problem-solving focused discussion about participants' choice of internalized stigma and behaviors ·Educating participants on the relationship between treatment compliance and internalized stigma ·Explaining worksheet assignment for treatment compliance…”

Section: 조현병 환자의 내재화된 낙인을 감소시키기 위한 선행 연구에서unclassified

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

Kim

Jun

2016

J Korean Acad Nurs

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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.

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Section: 연구 가설unclassified

Section: 조현병 환자의 내재화된 낙인을 감소시키기 위한 선행 연구에서unclassified

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

Kim

Jun

2016

J Korean Acad Nurs

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“…Internalized or self-stigmatization causes a person to accept the negative judgement of society and to withdraw from society with such feelings as worthlessness and shame, and to cause significant trauma (1,2). In those who are mentally ill, internalized stigmatization hinders adherence to treatment and recovery (2,3).…”

Section: Introductionmentioning

confidence: 99%

Internalized stigmatization and social functioning in psychiatric patients

Türkmen¹,

Yorulmaz²,

Koza³

et al. 2017

J Turgut Ozal Med Cent

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Aim: This study was conducted to determine the relationship between with sociodemographic characteristics, internalized stigmatization and social functioning in psychiatric patients. Material and Method:The research was conducted as cross-sectional study. The population of the study consisted of 170 patients. The research sample consisted of 119 patients in the hospital during 2015. An information form, the Social Functioning Scale (SFS) and Internalized Stigma of Mental Illness (ISMI) Scale were used to collect data. Evaluation of data was performed with the use of percentages, regression analyses and Pearson correlation. Results: It was seen that 52.9% of the patients taking part in the study were female and 47.1% were male, 33.6% were educated to high school level, and 83.2% lived with their families. It was determined in the study that those who were married, those with university level education, those whose income and expenditure were in balance and those whose income levels were high, those whose duration of illness was 1-5 years, and females rather than males had better social functioning (p<0.05). Conclusion: It was shown that in most patients, their illness affected their social functioning and stigmatization. It was determined that as stigmatization increased in patients, social functioning was reduced. It is thought that psychiatry nurse who is working in this area should attempt to increase functioning of the patients in cooperation with institutions and patients family.

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Narrative Enhancement and Cognitive Therapy (NECT) Effectiveness: A Quasi-Experimental Study

et al. 2013

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Objective Accumulated evidence suggests that approximately one third of people with a serious mental illness (SMI) experience elevated self-stigma. Narrative enhancement and cognitive therapy (NECT) is a structured group-based intervention aimed to reduce self-stigma. The current study aims to examine the effectiveness of NECT. A quasi-experimental design. Design Baseline and follow-up data were collected and outcomes were compared between 63 persons with SMI who participated in NECT and 56 persons who received treatment as usual. Results The NECT treatment group showed significant (p < .05) reductions in self-stigma and increases in self-esteem, quality of life, and Hope-Agency scores between pre- and posttreatment assessments, compared with the control group. Conclusions The current results provide preliminary support for the use of NECT as an effective treatment to reduce self-stigma and its implications for treatment and practice are discussed.

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Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia

Cited by 133 publications

References 42 publications

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

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

Internalized stigmatization and social functioning in psychiatric patients

Narrative Enhancement and Cognitive Therapy (NECT) Effectiveness: A Quasi-Experimental Study

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