Journal of Korean Academy of Nursing

Original Articles

The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia: Jae Woon Lee, Jae Hyun Ha; J Korean Acad Nurs 2018;48(4):443-453. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.4.443

Abstract Purpose

The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test.

Results

The experimental group showed a significant decrease in hospitalization stress (t=5.09, p<.001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894).

Conclusion

The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.

Citations

Citations to this article as recorded by

Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
Sumin Chai, Goun Kim
Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102. CrossRef
Positive mental health interventions for people with schizophrenia: A scoping review
Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira
Schizophrenia Research.2025; 276: 40. CrossRef
Effects of entrapment, anger, psychological flexibility, and self-compassion on the ward climate and reactive aggression in forensic psychiatric hospital patients
Sul Hwan Kim, ChongNak Son
International Journal of Law and Psychiatry.2024; 94: 101986. CrossRef
The effect of Treatment based on Acceptance and Commitment on Pathological Worry and Death Anxiety in Nurses with the Experience of Complicated Grief Caused by COVID-19
V Aghaei, R Kazemi, S Taklovi, V Nazari
Journal of Health and Care.2024; 26(1): 52. CrossRef
The Effectiveness of Acceptance and Commitment Therapy on Pain Coping Strategies and Pain Self-efficacy in Chronic Neuropathic Pain Patients
farzaneh Dehestani, Bahram mirzaian, ramazan hassanzadeh, payam saadat
Scientific Journal of Kurdistan University of Medical Sciences.2023; 27(6): 97. CrossRef
Effects of Structured Group Acceptance and Commitment Therapy for Psychological Acceptance and Recovery Among Inpatients With Psychotic Disorder: A Pilot Study
Narae Jeong, Hyesu Jeon, Dowon You, Yu Sang Lee
Korean Journal of Schizophrenia Research.2022; 25(2): 32. CrossRef
The Effectiveness of Acceptance and Commitment Therapy (ACT) on Sexual Self-Efficacy and Sexual Quality of Life in Reproductive-Age Women: A Randomized Controlled Trial
Behnaz Enjezab, Marzieh Rejaezadeh, Mahshid Bokaie, Hajar Salimi
Journal of Sex & Marital Therapy.2021; 47(8): 764. CrossRef
Training coping skills and coping with stress self-efficacy for successful daily functioning and improved clinical status in patients with psychosis: A randomized controlled pilot study
Débora Godoy Izquierdo, María Luisa Vázquez Pérez, Raquel Lara Moreno, Juan F Godoy García
Science Progress.2021;[Epub] CrossRef
Development and Effect of a Smartphone Overdependence Prevention Program for University Students Based on Self-Determination Theory
Myung Soon Kwon, Jeong Soon Yu
Journal of Korean Academy of Nursing.2020; 50(1): 116. CrossRef
Effects of Acceptance Commitment Therapy Based Recovery Enhancement Program on Psychological Flexibility, Recovery Attitude, and Quality of Life for Inpatients with Mental Illness
In Sook Kim, Jae Woon Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 79. CrossRef
Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
Jae Woon Lee, Hyun Sook Park
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 342. CrossRef

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Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman: Sun Ah Park, Kyung Mi Sung; J Korean Acad Nurs 2016;46(4):583-597. Published online August 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.4.583

Abstract PDF

Purpose

The study was done to evaluate the effects a Stress Management Program (SMP) on stress, problem solving skills, and quality of life for hospitalized patients with Schizophrenia.

Methods

A mixed method design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 40 patients with schizophrenia admitted in three psychiatric hospitals. The experimental group (n=20) received the SMP twice a week for a total of 8 weeks.

Results

Study results revealed that the SMP was effective for stress (F=321.02, p<.001), problem solving ability (F=246.28, p<.001), and quality of life (F=63.35,p<.001) for hospitalized persons with schizophrenia.

Conclusion

The results suggest that a SMP can be an effective strategy to reduce patients' hospitalization stress, and improve problem solving skills and quality of life. Therefore, it is recommended that mental health nurses use this stress management program in clinical practice to assist adaptation to hospitalization for persons with schizophrenia.

Citations

Citations to this article as recorded by

Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
Sumin Chai, Goun Kim
Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102. CrossRef
Iranian Muslim women's adaptation after mastectomy
Marzieh Beigom Bigdeli Shamloo, Nasrin Elahi, Aziz Shamsi
International Journal of Palliative Nursing.2024; 30(8): 451. CrossRef
The Structure of the Relationship between Physical Activity and Psychosocial Functioning of Women and Men during the COVID-19 Epidemic in Poland
Anna Mazur, Elżbieta Bartoń
International Journal of Environmental Research and Public Health.2022; 19(19): 11860. CrossRef
Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim, Myung Sill Chung, Mi Sook Kwon, Sunah Kang, Jain Ko, Hyeon A Kang, Mi Hui Seo, Young Ok Song, Yoonyoung Nam
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 226. CrossRef
The symptoms, resourcefulness and quality of life in community‐based patients with schizophrenia
Ching‐Yun Yu, Chien Yu Lai, Yu‐Shan Chang, Ching‐Kuan Wu, Feng‐Chin Chung
Journal of Clinical Nursing.2019; 28(19-20): 3582. CrossRef
Development and evaluation of a Communication Enhancement Program for People with Chronic Schizophrenia: A quasi-experimental pretest-posttest design study
Younghee Park, KuemSun Han
Applied Nursing Research.2018; 42: 1. CrossRef
Effects of an Empowerment Program for Patients with Schizophrenia
Ju Hyun Woo, Ji Hye Jang, Jeong Hee Cho
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(2): 123. CrossRef
The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
Journal of Korean Academy of Nursing.2018; 48(4): 443. CrossRef

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8 Crossref

Predictors of Hospitalization for Alcohol Use Disorder in Korean Men: Hae-Sook Hong, Jeong-Eun Park, Wan-Ju Park; J Korean Acad Nurs 2014;44(5):552-562. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.552

Abstract PDF

Purpose

This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder.

Methods

A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, χ²-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise.

Results

AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance.

Conclusion

Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

Citations

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Associations among Addiction Risk, Life Satisfaction, Depression, and Suicidal Ideation in Korean Adults
Mi Nam Bae, Mihyoung Lee, Sihyun Park, Eun Jin Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(2): 133. CrossRef
Structural Equation Model for the Analysis of Alcohol-related Problem of Alcohol Use Disorders
Hee Jung Son, Won Kee Lee, Young Shin Park, Hae Sook Hong
Journal of Health Informatics and Statistics.2017; 42(2): 192. CrossRef
One Year Clinical Correlates of EtG Positive Urine Screening in Alcohol-Dependent Patients: A Survival Analysis
Pablo Barrio, Silvia Mondon, Lídia Teixidor, Lluisa Ortega, Eduard Vieta, Antoni Gual
Alcohol and Alcoholism.2017; 52(4): 460. CrossRef
Factors Affecting Social Problem-solving Ability in Male Alcohol Dependent Patients
Mi Young Kim, Eun Kyung Byun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 316. CrossRef
Effect of alcohol consumption on peripheral bloodAlumethylation in Korean men
Dong-Sun Kim, Young Hun Kim, Won Kee Lee, Yeon Kyung Na, Hae Sook Hong
Biomarkers.2016; 21(3): 243. CrossRef

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5 Crossref

Development of a Measurement of Stress for Hospitalized Schizophrenic Patient: Sun Ah Park, Kyung Mi Sung; J Korean Acad Nurs 2014;44(3):339-349. Published online June 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.3.339

Abstract PDF

Purpose

This study was done to develop a measurement for stress experienced by patients with schizophrenia during hospitalization.

Methods

The preliminary tool was developed through in-depth interviews and a validity verification test of content. For data collection, 15 inpatients with schizophrenia were selected as participants for in-depth interviews and 195 patients admitted to one of eight psychiatric hospitals in four provinces were recruited as participants to test reliability and validity of the preliminary tool.

Results

The questionnaire was developed as a four-point Likert-type scale in a self-report form with 28 items. Factor analysis showed 28 items in six factors. Factors were named 'Unjust human rights infringement', 'Futureless life', 'Alienation from other family members', 'Infringement of basic needs', 'Infringement of personal preference' and 'Inconvenience of shared living'. The six factors explained 63.5% of the total variance. Cronbach's alpha for the total items was .93 and for the factors ranged from .65 to .87.

Conclusion

A tool to measure stress in patients hospitalized with schizophrenic was developed based on identified hospitalization stress experiences. Study results indicate that this tool can be used to evaluate hospitalization stress in these patients and will contribute to establishing nursing interventions for relief of hospitalization stress.

Citations

Citations to this article as recorded by

Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
Sumin Chai, Goun Kim
Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102. CrossRef
Development and Effectiveness of a Foot Care Program for Patients with Schizophrenia Hospitalized During Psychiatric Care: A Mixed-Methods Study
Min Ji Jeong, Hyo Ja An
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 393. CrossRef
Development of a Self-Reported Communication Competence Questionnaire for Patients with Schizophrenia
Eun Ju Song, Sook Kyoung Park, Yun Bok Kwak
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 388. CrossRef
Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim, Myung Sill Chung, Mi Sook Kwon, Sunah Kang, Jain Ko, Hyeon A Kang, Mi Hui Seo, Young Ok Song, Yoonyoung Nam
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 226. CrossRef
An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia
Go-Un Kim, Eun Young Jung
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(1): 28. CrossRef
The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
Journal of Korean Academy of Nursing.2018; 48(4): 443. CrossRef
Schizophrenic Patients' Perception and Nurses' Estimation of the Stress during Hospitalization in Psychiatric Ward
ByungJun Kim, Sookbin Im
Korean Journal of Stress Research.2017; 25(3): 201. CrossRef
Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman
Sun Ah Park, Kyung Mi Sung
Journal of Korean Academy of Nursing.2016; 46(4): 583. CrossRef
A Study on Stress, Coping Skill, Suicide Risk and Suicidal Ideation according to Treatment Phases of Hospitalized Patients with Schizophrenia
Jin Hee Ham, Kyung Mi Sung
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 338. CrossRef

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3 Download
9 Crossref

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