정신교육 프로그램이 정신분열병, 정신분열형 장애, 분열정동장애 환자의 병식과 치료태도에 미치는 영향

Effects of Psychoeducation Program on Insight and Treatment Attitudes in Patients with Schizophrenia, Schizophreniform Disorder, and Schizoaffective Disorder

본 연구를 통해 정신교육 프로그램이 정신분열병, 정신분열형 장애, 분열정동장애 환자의 병식과 치료태도의 향상에 유의한 효과가 있음을 알 수 있었다. 기존의 연구들과 마찬가지로 병식의 향상과 약물에 대한 태도의 변화가 유의한 양 의 상관관계를 보였고, 정신교육 프로그램의 효과에 영향을 미치는 원인들로 성별, 연령, 발병연령, 입원횟수, 입원기간 등이 있었다.

Objective This study aimed to confirm effectiveness of psychoeducation program on insight and treatment attitudes in patients with schizophrenia, schizophreniform disorder and schizoaffective disorder. Methods Seventy eight psychotic patients who were diagnosed as schizophrenia, schizophreniform disorder, and schizoaffective disorder by Diagnostic and Statistical Manual of Mental Disorders 4th edition Text Revision (DSM-IV TR) were included. Subjects who decline more than 30% compared with baseline in Positive and Negative Syndrome Scale (PANSS) scores participated in psychoeducation program. Insight and Treatment Attitudes Questionnaire (ITAQ) and Drug Attitude Inventory (DAI) were assessed at pre-psychoeducation, post-Psychoeducation and 2 months after discharge to estimate insight and treatment attitudes. Results There were significant improvement in ITAQ and DAI scores at post-psychoeducation and 2 months after discharge. Increase in DAI scores related with high ITAQ scores at post-psychoeducation. Small changes in PANSS scores and ITAQ scores at post-psychoeducation had positive relationship. Subjects of late onset of illness and female took better ITAQ and DAI scores after psychoeducation. Conclusion This study showed that Psychoeducation program would be effective for insight and treatment attitudes in patients with schizophrenia, schizophreniform disorder, and schizoaffective disorder.