만성 정신분열증 입원환자를 대상으로한 정신사회 치료프로그램의 효과

Abstract

In recent years, a lot of attention have been paid to development and evaluation of the appropriate psychosocial treatment program for the chronic schizophrenics because treatment with only antipsychotic drugs has a limitation in regards to functional improvement of the chronic patients and psychosocial treatments can prevent relapse and improve social function with higher social adaptation. This study was designed to develop more effective psychosocial treatment programs in the future by investigating the effect of various psychosocial treatment programs and their treatment factors and by classifying psychosocial treatment programs according to their therapeutic factors. Data were collected from 31 chronic schizophrenics participating in 14 psychosocial treatment programs in Kwangju Severance Psychiatric Hospital, using the Short-form of Yalom's Curative Factors and their self-report questionares asking for treatment experience of patients. As a result, the therapeutic effects of psychosocial treatment programs for the chronic schizophrenics were found to mainly come from existential awareness, instillation of hope, guidance and these facors were thought to be important therapeutic factors treating negative symptoms of the patients. In conclusion, cognitive, education-directed treatment programs of the chronic schizophrenics should be strengthened and psychosocial treatment programs emphasizing cohesion and universality would be more effective.