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J Korean Acad Psychiatr Ment Health Nurs > Volume 27(4); 2018 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2018;27(4):342-354.
DOI: https://doi.org/10.12934/jkpmhn.2018.27.4.342    Published online January 7, 2019.
Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia.
Jae Woon Lee, Hyun Sook Park
1Advanced Practice Nurse, Department of Nursing, Bugok National Hospital, Changnyeong, Korea. jungnamguy@hanmail.net
2Professor, College of Nursing · The Research Institute of Nursing Science, Daegu Catholic University, Daegu, Korea.
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 χ2 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.
Key Words: Acceptance and commitment therapy; Mental health; Schizophrenia; Treatment adherence and compliance


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