KMID : 0607320180270040342
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Journal of Korean Academy of Psychiatric and Mental Health Nursing 2018 Volume.27 No. 4 p.342 ~ p.354
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Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
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Lee Jae-Woon
Park Hyun-Sook
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Abstract
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Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program¡¯s effects on patients¡¯ psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment.
Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for x2 test, Fisher¡¯s exact test, independent t-test, and repeated measurement ANOVA.
Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight.
Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.
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KEYWORD
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Acceptance and commitment therapy, Mental health, Schizophrenia, Treatment adherence and compliance
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