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[Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients
Mi Young Kim1, Seong Sook Jun2
1Department of Nursing, Kaya University, Gimhae, Korea.
This study developed an effective cognitive-behavioral therapy program to reduce internalized stigma in schizophrenia patients. The program improved self-esteem, mental health recovery, and quality of life.
Area of Science:
- Psychiatry
- Clinical Psychology
- Rehabilitation Medicine
Background:
- Internalized stigma significantly impacts patients with schizophrenia, affecting their recovery and quality of life.
- Cognitive-behavioral therapy (CBT) offers a promising framework for addressing psychological distress and maladaptive thought patterns.
Purpose of the Study:
- To develop and evaluate a CBT-based program specifically designed to reduce internalized stigma in patients with schizophrenia.
- To assess the program's effectiveness as a rehabilitation intervention.
Main Methods:
- A mixed-methods approach was employed, including qualitative interviews with 13 patients and a quantitative study with 64 patients (32 experimental, 32 control).
- The CBT-based program consisted of 12 sessions over 8 weeks.
- Quantitative data were analyzed using descriptive statistics, chi-square tests, t-tests, and repeated measures ANOVA.
Main Results:
- Qualitative analysis identified 17 themes and 5 theme-clusters related to patients' experiences with stigma and coping.
- The experimental group showed significant improvements in internalized stigma, self-esteem, mental health recovery, and quality of life compared to the control group.
Conclusions:
- The developed CBT-based program is effective in reducing internalized stigma among schizophrenia patients.
- This program can be recommended as a valuable rehabilitation intervention to enhance coping mechanisms for schizophrenia patients facing stigma.
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