Volume 22 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(3): 469-472
YANG Hao, PAN Yuhong, WANG Shuang, ZHOU Guangfeng. Effect of acceptance and commitment therapy on stigma, self-efficacy, and medication adherence in patients with schizophrenia[J]. Chinese Journal of General Practice, 2024, 22(3): 469-472. doi: 10.16766/j.cnki.issn.1674-4152.003428
Citation: YANG Hao, PAN Yuhong, WANG Shuang, ZHOU Guangfeng. Effect of acceptance and commitment therapy on stigma, self-efficacy, and medication adherence in patients with schizophrenia[J]. Chinese Journal of General Practice, 2024, 22(3): 469-472. doi: 10.16766/j.cnki.issn.1674-4152.003428
shu

Effect of acceptance and commitment therapy on stigma, self-efficacy, and medication adherence in patients with schizophrenia

doi: 10.16766/j.cnki.issn.1674-4152.003428
  • 1.

    Geriatric No.7 Department, Harbin Psychiatry Specialist Baiyupao Hospital, Harbin, Heilongjiang 150000, China

Funds:

 20220303090993

  • Received Date: 2023-07-02
    Available Online: 2024-05-27
    Abstract
  •   Objective  Patients with schizophrenia have a severe stigma and low self-efficacy, which seriously affects their medication adherence and recovery of the disease. This study explores the effects of acceptance and commitment therapy on the stigma, self-efficacy, and medication adherence of patients with schizophrenia, in order to provide an effective and safe method for reducing the stigma, improving self-efficacy, and medication adherence of patients with schizophrenia.  Methods  Patients with schizophrenia who visited the Harbin Psychiatry Specialist Baiyupao Hospital from October 2022 to April 2023 were selected as the research subjects. A total of 178 recruited patients with schizophrenia were divided into a control group of 89 cases and a study group of 89 cases using a random number list method. The control group received conventional drug treatment, while the study group received acceptance and commitment therapy. Before and after the intervention, the internalized stigma of mental illness scale (ISMI), general self efficacy scale (GSES), and Morisky medication adherence scale-8 (MMAS-8) were used to evaluate the efficacy of mental illness.  Results  After intervention, the ISMI score of the study group was (61.39±9.93) points, which was lower than that of the control group [(67.34±10.48) points], and the GSES score of the study group was (21.01±3.63) points, which was higher than that of the control group [(19.21±3.93) points], and the MMAS-8 score of the study group was (7.66±1.21) points, which was higher than that of the control group [(6.07±1.48) points], and the differences were statistically significant (P < 0.05). After intervention, the ISMI score of the study group was (61.39±9.93) points, which was lower than that before intervention [(67.24±10.34) points], and the GSES score of the study group was (21.01±3.63) points, which was higher than that before intervention [(19.17±3.89) points], and the MMAS-8 score of the study group was (7.66±1.21) points, which was higher than that before intervention [(6.01±1.42) points], and the differences were statistically significant (P < 0.05).  Conclusion  Acceptance and commitment therapy can effectively reduce the stigma in patients with schizophrenia, improve their self-efficacy and medication adherence.

     

    • FullText(HTML)
  • loading
    • References(28)
  • [1]
    JAGUAR S, JOHNSTONE M, MCKENNA P J. Schizophrenia[J]. Lancet, 2022, 399(10323): 473-486. doi: 10.1016/S0140-6736(21)01730-X
    [2]
    余林花, 王铁虎. 复发性精神分裂症患者生活质量状况调查及影响因素分析[J]. 中华全科医学, 2022, 20(5): 821-823, 858. doi: 10.16766/j.cnki.issn.1674-4152.002463

    YU L H, WANG T H. Quality of life in patients with recurrent schizophrenia and analysis of influencing factors[J]. Chinese Journal of General Practice, 2022, 20(5): 821-823, 858. doi: 10.16766/j.cnki.issn.1674-4152.002463
    [3]
    YI Q F, YANG G L, YAN J. Self-efficacy intervention programs in patients with chronic obstructive pulmonary disease: narrative review[J]. Int J Chron Obstruct Pulmon Dis, 2021, 16: 3397-3403. doi: 10.2147/COPD.S338720
    [4]
    WANG L Y, LI M Z, JIANG X J, et al. Mediating effect of self-efficacy on the relationship between perceived social support and resilience in patients with recurrent schizophrenia in China[J]. Neuropsychiatr Dis Treat, 2022, 18: 1299-1308. doi: 10.2147/NDT.S368695
    [5]
    YU W, TONG J, SUN X, et al. Analysis of medication adherence and its influencing factors in patients with schizophrenia in the chinese institutional environment[J]. Int J Environ Res Public Health, 2021, 18(9): 4746. doi: 10.3390/ijerph18094746
    [6]
    TOWNSEND M, PAREJA K, BUCHANAN-HUGHES A, et al. Antipsychotic-related stigma and the impact on treatment choices: a systematic review and framework synthesis[J]. Patient Prefer Adherence, 2022, 16: 373-401. doi: 10.2147/PPA.S343211
    [7]
    LUO H, LI Y, YANG B X, et al. Psychological interventions for personal stigma of patients with schizophrenia: a systematic review and network meta-analysis[J]. J Psychiatr Res, 2022, 148: 348-356. doi: 10.1016/j.jpsychires.2022.02.010
    [8]
    ABDISA E, FEKADU G, GIRMA S, et al. Self-stigma and medication adherence among patients with mental illness treated at Jimma University Medical Center, Southwest Ethiopia[J]. Int J Ment Health Syst, 2020, 14: 56. doi: 10.1186/s13033-020-00391-6
    [9]
    LOOTS E, GOOSSENS E, VANWSEMAEL T, et al. Interventions to improve medication adherence in patients with schizophrenia or bipolar disorders: a systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2021, 18(19): 10213. DOI: 10.3390/ijerph181910213.
    [10]
    郭辉, 勾玉莉, 沙丽艳. 慢性疼痛患者疼痛恐惧心理研究进展[J]. 中国护理管理, 2020, 20(4): 623-627. doi: 10.3969/j.issn.1672-1756.2020.04.030

    GUO H, GOU Y L, SHA L Y. Research progress on pain fear psychology in patients with chronic pain[J]. Chinese Nursing Management, 2020, 20(4): 623-627. doi: 10.3969/j.issn.1672-1756.2020.04.030
    [11]
    莫祖娥, 饶悦. 接纳与承诺疗法在糖尿病中的应用进展[J]. 河北医药, 2019, 41(24): 3797-3802. doi: 10.3969/j.issn.1002-7386.2019.24.029

    MO Z E, RAO Y. Research progress on the application acceptance and commitment therapy in treatment of diabetes mellitus[J]. Hebei Medical Journal, 2019, 41(24): 3797-3802. doi: 10.3969/j.issn.1002-7386.2019.24.029
    [12]
    张琳. 团体接纳承诺疗法在精神分裂症康复期患者中的应用效果[J]. 中西医结合护理, 2021, 7(9): 85-87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL202109023.htm

    ZHANG L. The application effect of group acceptance commitment therapy in rehabilitation patients with schizophrenia[J]. Journal of Clinical Nursing in Practice, 2021, 7(9): 85-87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL202109023.htm
    [13]
    李莉, 史俊研, 贾跃辉, 等. 接纳承诺疗法对精神分裂症康复期患者病耻感及自我效能感的影响[J]. 世界最新医学信息文摘, 2019, 19(20): 57-58. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201920025.htm

    LI L, SHI J Y, JIA Y H, et al. Effect of acceptance and commitment therapy (ACT) on stigma and self-efficacy in patients with schizophrenia during rehabilitation[J]. World Latest Medicine Information, 2019, 19(20): 57-58. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201920025.htm
    [14]
    汤秀成, 丁跃庆, 周娜, 等. 接纳承诺疗法对双相情感障碍患者疗效及社会功能的影响[J]. 国际精神病学杂志, 2022, 49(2): 212-215. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202202004.htm

    TANG X C, DING Y Q, ZHOU N, et al. The Influence of acceptance commitment therapy on the efficacy and social function of patients with bipolar disorder[J]. Journal of International Psychiatry, 2022, 49(2): 212-215. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202202004.htm
    [15]
    KOMATSU H, ONO T, ONOGUCHIN G, et al. Mediating effects of self-stigma and depression on the association between autistic symptoms and recovery in patients with schizophrenia-spectrum disorders: a cross-sectional study[J]. BMC Psychiatry, 2021, 21(1): 464. doi: 10.1186/s12888-021-03472-z
    [16]
    SUN Y, WANG M, ZHOU Y, et al. The mediating effect of family function and medication adherence between symptoms and mental disability among Chinese patients with schizophrenia: a cross-sectional study[J]. Psychol Health Med, 2019, 24(5): 559-569. doi: 10.1080/13548506.2018.1533248
    [17]
    吕阳, 李东艳, 董妞, 等. 团体接纳与承诺疗法对结直肠癌患者反刍性沉思和心理一致感的影响[J]. 中国健康心理学杂志, 2021, 29(7): 1055-1059. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202107023.htm

    LYU Y, LI D Y, DONG N, et al. Effect of group acceptance and commitment therapy on ruminant contemplation and psychological coherence inpatients with colorectal cancer[J]. China Journal of Health Psychology, 2021, 29(7): 1055-1059. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202107023.htm
    [18]
    陈玥, 祝卓宏. 接纳承诺疗法在抑郁症治疗中的应用[J]. 中国心理卫生杂志, 2019, 33(9): 679-684. doi: 10.3969/j.issn.1000-6729.2019.09.008

    CHEN Y, ZHU Z H. A review of acceptance and commitment therapy for depression[J]. Chinese Mental Health Journal, 2019, 33(9): 679-684. doi: 10.3969/j.issn.1000-6729.2019.09.008
    [19]
    张含, 王会聪, 郭永攀, 等. 接纳与承诺疗法对创伤性截肢患者反刍性沉思及生活质量的影响[J]. 中国健康心理学杂志, 2021, 29(7): 965-969. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202107003.htm

    ZHANG H, WANG H C, GUO Y P, et al. The effect of acceptance and commitment therapy on rumination and quality of life in patients with traumatic amputation[J]. China Journal of Health Psychology, 2021, 29(7): 965-969. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202107003.htm
    [20]
    POLAT H, ASI KARAKAS S. The effect of acceptance and commitment therapy orientated anger management training on anger ruminations and impulsivity levels in forensic psychiatric patients: a randomized controlled trial[J]. Perspect Psychiatr Care, 2021, 57(4): 1616-1627. doi: 10.1111/ppc.12726
    [21]
    刘会静, 刘维, 董建清, 等. 目的性反刍性沉思与家庭环境交互作用对首诊前列腺癌骨转移老年患者心理痛苦的影响[J]. 中华全科医学, 2019, 17(10): 1722-1725. doi: 10.16766/j.cnki.issn.1674-4152.001040

    LIU H J, LIU W, DONG J Q, et al. Interaction of rumination meditations in purpose and family environment on psychological pain in elderly patients with first diagnosed bone metastasis of prostate cancer[J]. Chinese Journal of General Practice, 2019, 17(10): 1722-1725. doi: 10.16766/j.cnki.issn.1674-4152.001040
    [22]
    GAUDIANO B A, ELLENBERG S, OSTROVE B, et al. Feasibility and preliminary effects of implementing acceptance and commitment therapy for inpatients with psychotic-spectrum disorders in a clinical psychiatric intensive care setting[J]. J Cogn Psychother, 2020, 34(1): 80-96. doi: 10.1891/0889-8391.34.1.80
    [23]
    ZEMESTANI M, MOZAFFARI S. Acceptance and commitment therapy for the treatment of depression in persons with physical disability: a randomized controlled trial[J]. Clin Rehabil, 2020, 34(7): 938-947. doi: 10.1177/0269215520923135
    [24]
    MOENS M, JANSEN J, DE SMEDT A, et al. Acceptance and commitment therapy to increase resilience in chronic pain patients: a clinical guideline[J]. Medicina (Kaunas), 2022, 58(4): 499. doi: 10.3390/medicina58040499
    [25]
    李莉, 史俊研, 李懋, 等. 接纳承诺疗法对精神分裂症康复期患者生活质量及应对方式的影响[J]. 国际精神病学杂志, 2019, 46(4): 644-647. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201904020.htm

    LI L, SHI J Y, LI M, et al. Effect of acceptance and commitment therapy (ACT) on quality of life and coping style in patients with schizophrenia during rehabilitation[J]. Journal of International Psychiatry, 2019, 46(4): 644-647. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201904020.htm
    [26]
    KOMATSU H, ONO T, MAITA Y, et al. Association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders[J]. Neuropsychiatr Dis Treat, 2020, 16: 2553-2561. doi: 10.2147/NDT.S280485
    [27]
    MORGADES-BAMBA C I, FUSTER-RUIZDEAPODACA M J, MOLERO F. Internalized stigma and its impact on schizophrenia quality of life[J]. Psychol Health Med, 2019, 24(8): 992-1004. doi: 10.1080/13548506.2019.1612076
    [28]
    王丽丽, 白睿锋. ACT干预对乳腺癌改良根治术后患者自我接纳水平及自我效能感的影响[J]. 山西卫生健康职业学院学报, 2020, 30(6): 114-116. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZG202006060.htm

    WANG L L, BAI R F. Effect of ACT intervention on self acceptance and self-efficacy of patients with breast cancer after modified radical mastectomy[J]. Journal of Shanxi Health Vocational College, 2020, 30(6): 114-116. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZG202006060.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (155) PDF downloads(5) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return