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KMID : 1177320230260010018
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Korean Journal of Schizophrenia Research
2023 Volume.26 No. 1 p.18 ~ p.23
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Effects of Token Economy Intervention on Hospitalized Patients With Schizophrenia
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Kim Sung-Jin
Seo Young-Soo
Park Kyoung-Duck
Moon Jung-Joon
Jeong Jae-Hoon
Jung Do-Un
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Abstract
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Objectives: The purpose of this study was to investigate the effect of token economy intervention on the clinical characteristics and global function of patients with schizophrenia.
Methods: From June 1, 2022 to September 1, 2022, token economy intervention was conducted for hospitalized patients with schizophrenia in a mental hospital. Assessments were conducted before and after the intervention. Clinical Global Impression- Schizophrenia scale (CGI-SCH), Schizophrenia Quality of Life Scale (SQLS), Insight Scale for Psychosis (ISP), and Apathy Evaluation Scale (AES) were used to evaluate clinical characteristics. World Health Organization Disability Assessment Sched- ule (WHODAS) was used for global functional assessment.
Results: A total of 51 patients were included in the study. Through token economy intervention, depressive (p=0.001), cognitive symptom domain scores (p<0.001) in CGI-SCH, and SQLS score were significantly decreased (p=0.044). In the WHODAS evaluated by the clinician, the scores of self-care (p=0.012), life activities (p=0.006), and participation in society (p=0.040) de- creased significantly.
Conclusion: It was confirmed that token economy intervention had a positive effect on depressive symptoms, cognitive symp- toms, quality of life, self-care function, daily living function, and social participation function in hospitalized patients with schizo- phrenia.
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KEYWORD
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Schizophrenia, Psychiatric rehabilitation, Token economy, Quality of life, WHODAS
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