대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

정신분열병 환자 가족에 대한 해결중심 집단상담 프로그램의 효과

The Effects of Solution-focused Group Counseling Program for the Families with Schizophrenic Patients

  • 정순아 (서강정보대학 간호과) ;
  • 양수 (가톨릭대학교 간호대학)
  • Chung Soon-Ah (Department of Nursing. Seokang College) ;
  • Yang Soo (College of Nursing, The Catholic University of Korea)
  • 발행 : 2004.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was designed to examine the effects of a solution-focused group counseling program on the family burden, active coping, expressed emotion, and family support in schizophrenic patients and their families. Method: The subjects consisted of 48 schizophrenic patients and 56 families. Twenty-four schizophrenic patients and 28 families were assigned to both the experimental and control groups. The solution-focused group counseling program was conducted for the families of the experimental group, but not for the control group or the patients of the experimental group. Result: There was a significant greater decrease in scores of family burden and expressed emotion in the experimental groups than the control groups. There was a larger increase in active coping scores in the experimental groups than the control groups, but it was not significant. There was no significant difference between the two groups in family support scores. Conclusion: This program may be an effective nursing intervention program for families with schizophrenic members.

키워드

참고문헌

  1. Barbato, A., & D'Avanzo, B. (2000). Family interventions in schizophrenia and related disorders : a critical review of clinical trials. Acta. Psychiatr. Scand, 102(2), 81-97
  2. Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse : a meta-analysis. Arch. Gen. Psychiatry, 55(6), 547-552
  3. Cole, J. D., & Kazarian, S. S. (1988). The level of expressed emotion scale : a new measure of expressed emotion. J. Clin. Psychol, 44(3), 392-397
  4. Corcoran, J. A.(1997). Solution-oriented approach : working with juvenile offenders. Child and Adolescent Social Work Journal, 14, 277-288 https://doi.org/10.1023/A:1024546425621
  5. Eakes, G., Walsh, S., Markowkis, M., Cain, H., & Swanson, M. (1997) Family centered brief solution-focused therapy with chronic schizophrenia : a pilot study. Am. J. Fam. Ther, 19(2), 145-158
  6. Greenberg, J. S., Kim, H. W., & Greenly, J. R.(1997). Factors associated with subjective burden in sibling of adult with severe mental illness. Am. J. Orthopsychiatry, 67(2), 231-241
  7. Hah, Y. S., Kim, S., Kim K. S., & Park H. S. (1998). The effects of community-based mental health program on burden of family carers of mentally ill patient. J Korean Acad Psych and Ment Health Nurs, 6(2), 170-178
  8. Harrison, C., Dadds, M., & Smith, G. (1998). Family caregivers' criticism of patients with schizophrenia. Psychiat Serv, 49(7), 918-924
  9. Kavanagh, D. J. (1992). Recent developments in expressed emotion and schizophrenia. Br. J. Psychiatry, 160, 601-620 https://doi.org/10.1192/bjp.160.5.601
  10. Kim, H. M. (2001). The effect of the solution-focused group counseling program on the self-efficacy, self-esteem, depression, and hope of the homeless. Unpublished doctoral dissertation, The Kyungpook National University of Korea, Taegu
  11. Kim, M. Y. (1997). The effectiveness of integrated family therapy management program for the family of schizophrenic patients. Unpublished masters thesis, The Yonsei University of Korea, Seoul
  12. Lazarus, R. S., & Forkman, S. (1984). Stress, appraisal and coping. NY : NcGraw-Hill
  13. Lee, M. H., Kim, S. C., Kim, S. Y. J., Kim, S. A., Park, S. L., Kim, M. Y., & Seo, J. H. (1999). Mental Health Services, 4(1), 40-49
  14. Leff, J., & Vaughn, C. E. (1981). The role maintenance therapy and relatives' expressed emotion in relapse of schizophrenia : a two-year follow-up. Br. J. Psychiatry, 130, 102-104
  15. Lim, Y. M., & Ahn Y. H. (2000). Knowledge and coping of family caregivers with schizophrenic patients. J Korean Acad Psych and Ment Health Nurs, 9(2), 195-208
  16. Metcalf, L. (1998). Solution focused group : ideas for groups in private practice, school, agencies, and treatment programs. NY : Free Press
  17. Montgomery, R. J. V., Goynea, J. G., & Hooyman, N. R. (1985). Caregiving and the experience of subject and objective burden. Fam Relat, 34, 19-26 https://doi.org/10.2307/583753
  18. Muser, K. T., Bellack, A. S., Wade, J. H., Sayers, S. L., Tierney, A., & Hass, G. (1993). Expressed emotion, social skill, and response to negative affect in schizophrenia. J Abnorm Psychol, 102, 339-351 https://doi.org/10.1037/0021-843X.102.3.339
  19. Schorr, M. (1997). Finding solutions in a roomful of angry people. Journal of Systemic Therapies, 16(3), 201-210
  20. Selekman, M. (1991). The solution-oriented parenting group : a treatment alternative that works. Journal of Strategic and Systemic Therapies, 10(1), 336-349
  21. Weisman, A., Regeser, S. L., Karno, M., & Jenkins, J. (1993). An attributional analysis of expressed emotion in Mexican-American families with schizophrenia. J Abnorm Psychol, 102, 601-606 https://doi.org/10.1037/0021-843X.102.4.601
  22. Won, J. S., & Cho, H. (1999). The effects of different duration of community based mental health rehabilitation program on perceived family support of mentally ill patients. J Korean Acad Psych and Ment Health Nurs, 8(1), 179-189
  23. Worley, N. K. (1997). Mental health nursing in the community. St. Louis : Mosby