J Korean Acad Psychiatr Ment Health Nurs.  2010 Dec;19(4):420-428. 10.12934/jkpmhn.2010.19.4.420.

The Effects of a Self-esteem Improvement Program on Self-esteem, Depression, and Interpersonal Relationships in Community Dwelling Patients with Chronic Schizophrenia

Affiliations
  • 1Department of Nursing, Yeo-Ju Institute of Technology, Korea.
  • 2Department of Nursing, Yonsei University Wonju College of Medicine, Korea. youngmi@yonsei.ac.kr

Abstract

PURPOSE
The purpose of this study was to determine the effects of self-esteem improvement program on self-esteem, depression, and interpersonal relationship in chronic schizophrenia patients living in the community.
METHODS
The research design was a non-equivalent pre and post control group design. One of two community mental health centers was randomly assigned to receive the intervention and the other served as a control. Eight patients in the intervention group and ten in the control group participated. For the intervention group, the self-esteem improvement program was provided in 60-minute session once a week for 12-weeks. Measurements were Korean version of self-esteem scale (SES-K), Korean version of beck depression inventory (BDI-K), and Korean version of interpersonal relationships (IR-K).
RESULTS
The only statistically significant difference between the experimental and control group was for interpersonal relationships. For the experimental group, there were statistically significant differences in self-esteem and interpersonal relationships.
CONCLUSION
The results indicate that this type of program has a positive effect on self-esteem and interpersonal relationships and can be a feasible type of intervention program for community dwelling patients with chronic schizophrenia.

Keyword

Chronic schizophrenia; Self-esteem; Depression; Interpersonal relationship

MeSH Terms

Community Mental Health Centers
Depression*
Humans
Research Design
Schizophrenia*

Figure

  • Figure 1 Conceptual framework of the study.

  • Figure 2 Research design. O1=pretest, O2=posttest, X=self-esteem improvement program.


Reference

1. Akiskcal H, McKinney W. Overview of recent research in depression. Arch Gen Psychiatry. 1975; 32:285–305.
Article
2. Battle J. Relationship between self-esteem and depression. Psychol Rep. 1978; 42:745–746.
Article
3. Beck AT. Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row;1967.
4. Chun SK. The social skills training for social adjustment of the schizophrenic patients. Ment Health Soc Work. 1995; 2:33–50.
5. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed.Hillsdale, NJ: Erlbaum;1988.
6. Coopersmith S. Antecedents of self-esteem. San Francisco: W. H. Freeman Co;1981.
7. Do BN, Kang MH, Kang ES, Kim MY, Kim YS, Kim IH. Mental health nursing in the community. Seoul: Jungdam Media;2007.
8. De Jong P, Berg I. Interviewing for solutions. . Washington: Brooks/Cole Publishing Co;1998.
9. Gyeonggi-Do Mental Health Supporting Committee. A report on community mental health project use of logic model. Gyeonggi-do: Gyeonggi-do Mental Health Supporting Committee;2007.
10. Han HM, Yeom TJ, Shin YW, Kim GH, Yun DG, Jeong KJ. A Standardization Study of Beck Depression inventory in Korea. J Korean Neuropsychiatr Assoc . 1986; 25(3):487–500.
11. Jang SJ, Hah YS. The effect of meditation programs on stress responses, anxiety, and self-esteem in psychiatric patients. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:302–310.
12. Jeon BJ. Self-esteem: A test of it's measurability. Yonsei Nonchong. 1974; 11:107–124.
13. Jo GY. The Effects of an Integrative Self-esteem Improvement Program on Self-esteem, Interpersonal Relations, and Quality of Life for Persons with Mental Disorder. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:439–448.
14. Jun WH, Park JS, Yang S. The effect of dance movement programs on self-esteem, depression, and anxiety in psychiatric inpatients. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:390–398.
15. Kahle LR, Kullka D, Klingel A. Low adolescent self-esteem leads to multiple interpersonal problems: a test a social-adaptation theory. J Pers Soc Psychol. 1980; 9:589–601.
16. Kim EH, Kim YH. A comparison of social support, self-esteem, and social adjustment of mentally disabled living at residential facilities and home. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:78–86.
17. Kim GH, Lee YH, Pack SO, Han JY. Mental power improvement. Seoul: Hakjisa Publishing;1998.
18. Kim IH. The effects of praise activity program on self-esteem and social behavior in poverty-stricken children. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:245–254.
19. Kim JH, Song YS. The Effects of Social Adjustment Training Program on Chronic Schizophrenia Patients' Self-Esteem and Interpersonal Relations. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12:47–55.
20. Kim. JS. Effectiveness of the home visit education on the knowledge, practice & symptoms of home-based schizophrenics. J Korean Acad Psychiatr Ment Health Nurs. 1999; 8:27–43.
21. Kim JS, Yi HS. Effect of temperance program in community. J Korean Alcohol Sci. 2003; 4(1):41–52.
22. Kim YY, Baek YM, Park HS. The effect of selfefficacy and problem solving capacity on rehabilitation outcomes in patients with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:322–331.
23. Kim YY, Park HS, Bae SW. The effect of perspective-oriented social skills training on function and symptom for persons with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:140–150.
24. Lee KJ, Ryu SJ, Lee SW, Kim SJ, Kim YH, Won JS, et al. Introduction to psychiatric nursing (V). Seoul: Soomoonsa Publishing;2006.
25. Ministry of Health and Welfare. A guide of mental health service for year 2010. Seoul: Ministry of Health and Welfare;2009.
26. Oh KO, Gang MH, Sung EO. The effect of the tai exercise on the self-concept and interpersonal relationship of persons with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:167–174.
27. Park HS, Bae SW, Kim YY. The effects of the levels of self-efficacy for mentally disabled persons. J Korean Acad Nurs. 2008; 38:704–711.
Article
28. Park SJ. Self-esteem of outpatients with psychiatric disease. Unpublished master's thesis. Seoul: Ewha Womans University;1996.
29. Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press;1965.
30. Schlein S, Guerney BG. Relationship enhancement. Sanfrancisco, CA: Josey-Bass;1971.
31. Sim HO. Factors influencing internal and external problem behaviors in late elementary school children: Depression and antisocial behavior. Korean J Child Stud. 1997; 18:39–52.
32. Yoon YH. Family support, self-esteem, and depression perceived by schizophrenia. Unpublished master's thesis. Gongju: Kongju National University;2005.
33. Yong-in Psychiatric Institude. A report on community mental health project in Yong-in City. . Yong-in: Yong-in Community Mental Health Center, Suji Mental Health Center, Yong-in;2006.
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