Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
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Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia

조현병 환자를 위한 수용전념기반 인지행동 프로그램 개발 및 효과

  • Lee, Jae Woon (Department of Nursing, Bugok National Hospital) ;
  • Park, Hyun Sook (College of Nursing.The Research Institute of Nursing Science, Daegu Catholic University)
  • 이재운 (국립부곡병원 간호과) ;
  • 박현숙 (대구가톨릭대학교 간호대학.간호과학연구소)
  • Received : 2018.10.14
  • Accepted : 2018.11.29
  • Published : 2018.12.31
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Abstract

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 $x^2$ 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.

Keywords

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