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KMID : 0981220100100010021
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Congnitive Behavior Therapy in Korea
2010 Volume.10 No. 1 p.21 ~ p.37
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The Effect of Self-observation on Insight in chronic schizophrenia outpatients
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Lee Hyung-Jong
Kwon Ho-In
Kwon Jung-Hye
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Abstract
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The purpose of this study is to verify that the self-observation video, which is reported as having effect on improving self-awareness on patient’s symptoms, has the effect on improving self-awareness on schizophrenia outpatients’ symptoms on chronic and cognitive point of view and to investigate the effect of the self-observation and psychological education on the change of self-awareness on outpatients’ symptoms, on depression, and on the change of psychopathological level. 43 outpatients meeting the DSM-IV criteria for chronic schizophrenia inhabiting community mental health care center voluntarily participated in this study. Insight and psychopathological symptoms in the subjects were evaluated using BCIS, ITAQ, SUMD, BDI, BPRS-E. The main result of this study is as follows. First, after verification of the effects of self-observation video and psychoeducation on the self-awareness on outpatients’ symptoms, there was no meaningful change of awareness for all three groups. Therefore, we could verify that self-observation and psychoeducation do not have an effect on the outpatients’ self-awareness, unlike the inpatients. Second, even though there was no change of self-awareness, we could observe a change on the psychopathological level. Third, we tried to verify the relationship between the self-awareness and depression, but there was no meaningful change of depression either. The implications, limitations of these findings and suggestions for further research were discussed.
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KEYWORD
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Schizophrenia, Insight, Self-observation, Psychoeducation
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