Changes after "Nurse-Led Group Cognitive Behavioral Therapy Program for the Recovery of Self-Esteem" among Community-Dwelling Persons with Mental Illnesses

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  • Kunikata Hiroko
    Department of Nursing, Faculty of Health Sciences, Kagawa Prefectural University of Health Sciences

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  • 地域で生活する精神障がい者に対する『自尊心回復グループ認知行動看護療法プログラム』実施前後の変化
  • チイキ デ セイカツ スル セイシン ショウガイシャ ニ タイスル 『 ジソンシン カイフク グループ ニンチ コウドウ カンゴ リョウホウ プログラム 』 ジッシ ゼンゴ ノ ヘンカ

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Abstract

We delivered our self-esteem recovery program (named "nurse-led group cognitive behavioral therapy for the recovery of self-esteem") involving 6 persons with psychiatric illnesses living in the community. A triangulation approach was used to identify changes associated with the program intervention. We quantitatively compared self-esteem, mood, Subjective Well-Being Inventory, and psychiatric symptoms before and after intervention. All study participants showed improvements in mental fatigue and its subscales, i.e., the sense of being in control and psychiatric symptoms. Significant improvements were noted for psychiatric symptoms and the sense of being in control. Self-esteem was also improved, but with no significant differences after intervention. A qualitative analysis showed that they benefited from "the effectiveness of group activities" and enhanced their metacognitive awareness through "facilitated understanding of the self", while experiencing "distress" facing up to themselves. This, in turn, enabled them to experience not only "the release" of their symptoms, but also "the internalization" of positive perception. Furthermore, the program served as an opportunity for them to learn and "put into practice" techniques used in the therapy. Changes after intervention identified in the quantitative analysis were explainable on the basis of the qualitative analysis.

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