J Korean Acad Psychiatr Ment Health Nurs.  2019 Mar;28(1):37-49. 10.12934/jkpmhn.2019.28.1.37.

Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients

• Kim NR
• Jang MH

• KMID: 2442410
• DOI: http://doi.org/10.12934/jkpmhn.2019.28.1.37

Abstract

PURPOSE
The aim of this study was to examine the effect of self-assertive training applying the reality therapy techniques (SATART) on self-esteem and internalized stigma of schizophrenia patients.
METHODS
This study was a non-equivalent control group pretest-posttest design and enrolled 55 people with schizophrenia (experimental group=27, control group=28) from two community mental health centers. The SATART was offered twice a week for 6 weeks in a total 12 sessions. Data were collected from February to April, 2017, using the Korean version of the Internalized Stigma of Mental Illness Scale and Rosenberg Self-Esteem Scale. The collected data was analyzed using χ2 test, independent t-test, one-way ANCOVA, and repeated measures ANOVA with using the SPSS/WIN 22.0 program.
RESULTS
The experimental group showed significant improvements in self-esteem and recudction of internalized stigma compared to the control group. However, there was no significant improvement on stigma resistance measurement among the subscales of internalized stigma between two groups.
CONCLUSION
The findings indicate that the SATART program is effective and could be recommended as a psychosocial intervention for self-esteem enhancement and internalized stigma reduction of people with schizophrenia.

Keyword

Schizophrenia; Self concept; Social stigma; Assertiveness; Reality therapy

MeSH Terms

Assertiveness
Community Mental Health Centers
Humans
Reality Therapy*
Schizophrenia*
Self Concept
Social Stigma

Figure

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  Figure 1 Flow diagram of the study participants.

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