Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia

Kelvin M T Fung, Wing Hong Hector Tsang, Wai ming Cheung

Research output: Journal article publicationJournal articleAcademic researchpeer-review

95 Citations (Scopus)

Abstract

Research evidence suggests that individuals with schizophrenia are prone to self-stigmatization, which reduces their psychosocial treatment adherence. A self-stigma reduction program was developed based on a theoretical framework proposed by our team. The effectiveness of such program to reduce self-stigma, enhance readiness for change, and promote adherent behaviors among individuals with schizophrenia was investigated. This program consisted of 12 group and four individual follow-up sessions. An integrative approach including psychoeductaion, cognitive behavioral therapy, motivational interviewing, social skills training, and goal attainment program was adopted. Sixty-six self-stigmatized individuals with schizophrenia were recruited. They were randomly allocated to the self-stigma reduction program (N=34; experimental protocol) or the newspaper reading group (N=32; comparison protocol). Measures on participants' level of self-stigma, readiness for change, insight, general self-efficacy, and treatment adherence were taken for six assessment intervals. The findings suggested that the self-stigma reduction program has potential to reduce self-esteem decrement, promote readiness for changing own problematic behaviors, and enhance psychosocial treatment adherence among the self-stigmatized individuals with schizophrenia during the active interventional stage. However, there was a lack of therapeutic maintenance effects the 6-month follow-up period. Recommendations for further improving the effectiveneduringss of self-stigma reduction program are suggested.
Original languageEnglish
Pages (from-to)208-214
Number of pages7
JournalPsychiatry Research
Volume189
Issue number2
DOIs
Publication statusPublished - 30 Sep 2011

Keywords

  • Adherence
  • Cognitive behavioral therapy
  • Randomized controlled trial
  • Self-stigma
  • Stages of change

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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