J Korean Acad Psychiatr Ment Health Nurs.  2017 Jun;26(2):186-195. 10.12934/jkpmhn.2017.26.2.186.

The Effects of Cognitive Behavioral Group Therapy Improving Social Cognition on the Self efficacy, Relationship Function and Social Skills for Chronic Schizophrenia

Affiliations
  • 1College of Nursing, Jeju National University, Jeju, Korea. hpeople@jejunu.ac.kr

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of cognitive behavioral group therapy improving social cognition on the self efficacy, relationship function and social skills for chronic schizophrenia.
METHODS
This study employed a nonequivalent control group pretest-posttest design. Fifty-two participants were selected from patients with chronic schizophrenia, and they divided into an experimental group(26) and control group(26). Cognitive behavioral group therapy was used as the experimental treatment from March to May. Therapy was administered once a week over 10-weeks.
RESULTS
The results showed that compared to the control group, experimental group improved on relationship function and social skills and showed better self-reported self efficacy.
CONCLUSION
These results indicated that the cognitive behavioral group therapy improving social cognition is an effective nursing intervention to increase the levels of self efficacy, relationship function and social skills.

Keyword

CBT; Self efficacy; Social skills; Schizophrenia

MeSH Terms

Cognition*
Humans
Nursing
Psychotherapy, Group*
Schizophrenia*
Self Efficacy*
Social Skills*

Reference

1. Kim NR, Lee JY, Lee ES, Kwon JH. A study on the efficacy of social-cognition enhancing rehabilitation program-revised for schizophrenia. Cognitive Behavior Therapy in Korea. 2016; 16(4):543–565.
2. Salva GN, Vella L, Armstrong CC, Penn DL, Twamley EW. Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence. Schizophrenia Bulletin. 2013; 39(5):979–992. https://doi.org/10.1093/schbul/sbs080.
3. Milev P, Ho BC, Arndt S, Adnreason NC. Predictive values of neurocognition and negative symptoms on functional outcome in schizophrenia: a longitudinal first-episode study with 7-year followup. The American Journal of Psychiatry. 2005; 162(3):495–506. https://doi.org/10.1176/appi.ajp.162.3.495.
Article
4. Fett A-KJ, Viechtbauer W, Dorminguez MG, Penn DL, Os JV, Krabbendam L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: a meta-analysis. Neuroscience & Biobehavioral Reviews. 2011; 35(3):573–588. https://doi.org/10.1016/j.neubiorev.2010.07.001.
Article
5. Green MF, Leitman DI. Social cognition in schizophrenia. Schizophrenia Bulletin. 2008; 34(4):670–672. https://doi.org/10.1093/schbul/sbn045.
Article
6. Combs DR, Abams SD, Penn DL, Robert D, Tiegreen J, Stem P. Social cognition and interaction training (SCIT) for inpatients with schizophrenia spectrum disorders: preliminary findings. Schizophrenia Research. 2007; 91(2-3):112–116. https://doi.org/10.1016/j.schres.2006.12.010.
Article
7. Choi KH, Kwon JH. A case study on the effectiveness of cognitive-behavioral group therapy on reducing irrational thoughts and depression of people with schizophrenia. Cognitive Behavior Therapy. 2005; 5(2):53–64.
8. Choi YJ. The effect of comics social cognition rehabilitation program on social function of schizophrenia. Journal of Special Education & Rehabilitation Science. 2008:47(4);91-114.
9. Kwon JH, Koh Y. A preliminary study on the effectiveness of social-cognition enhancing rehabilitation program. The Korean Journal of Clinical Psychology. 2002; 21(2):281–292.
10. Roberts DL, Penn DL. Social cognition and interaction training (SCIT) for outpatients with schozophrenia: a preliminary study. Psychiatry Research. 2009; 166(2-3):141–147. https://doi.org/10.1016/j.psychres.2008.02.007.
11. Huh HJ. The effects of social cognition enhancing rehabilitation program on social cognitive ability and social function in the home-based schizophrenic patients [master's thesis]. [Seoul]: The Catholic University of Korea. 2009; 48.
12. Granholm E, McQuaid JR, McClure FS, Auslander LA, Perivo-liotis D, Pedrelli P, et al. A randomized, controlled trial of cognitive behavioral social skills training for middle-aged and older outpatients with chronic schizophrenia. The American Journal of Psychiatry. 2005; 162(3):520–529. https://doi.org/10.1176/appi.ajp.162.3.520.
Article
13. Bandura A, Wood R. Effect of perceived controllability and performance standards on self-regulation of complex decision making. Journal of Personality and Social Psychology. 1989; 56(5):805–814.
Article
14. Kim YY, Baek YM, Park HS. The effect of self-efficacy and problem solving capacity on rehabilitation outcomes in patients with schizophrenia. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2008; 17(3):322–331.
15. Rho ES. A study on the development of a the quality of life model of schizophrenic patients [dissertation]. [Seoul]: Chung-Ang University. 2000; 121.
16. Park HS, Bae SW, Kim YY. The effects of psychosocial rehabilitation programs on the levels of self-efficacy for mentally disabled persons. Journal of Academy of Nursing. 2008; 38(5):704–711. http://doi.org/10.4040/jkan.2008.38.5.704.
Article
17. Eum EY, Kim HS. Effects of a horticultural therapy program on self-efficacy, stress response, and psychiatric symptoms in patients with schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016; 25(1):48–57. https://doi.org/10.12934/jkpmhn.2016.25.1.48.
Article
18. Kim EJ, Gwon ES, Lee HS, Lee SY, Park IH, Jung DN, et al. Effects of a stress-management program on stress coping methods, interpersonal relations, and quality of life in patients with chronic mental illness. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2011; 20(4):423–433. https://doi.org/10.12934/jkpmhn.2011.20.4.423.
Article
19. Hofstetter CR, Sallis JF, Hovell MF. Some health dimensions of self-efficacy: analysis of theoretical specificity. Social Science Medicine. 1990; 31(9):1051–1056.
Article
20. Sherer M, Maddex JE. The self-efficacy scale: construction and validation. Psychological Reports. 1982; 51(2):663–661. https://doi.org/10.2466/pr0.1982.51.2.66.
Article
21. Wallace CJ. Functional assessment in rehabilitation. Schizophrenia Bulletin. 1986; 12(4):604–630.
Article
22. Kim SJ. Han YS. The Relation of Social function, Cognitive function and Symptom of Chronic Schizophrenia. Korean Journal of Clinical Psychology. 1997; 16(1):27–40.
23. Park SK. Appraisal of social skills of schizophrenia. Korean Journal of Clinical Psychology. 1997; 16(1):13–26.
24. Koo HJ, Lee BK. Effects of social skills training using the videos of social cognitions for schizophrenics. Korean Journal of Clinical Psychology. 2011; 30(2):381–396.
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