정신사회재활프로그램에 참여한 만성정신질환자의 대인관계에 관한 연구

A Study of Interpersonal Relationships of Chronic Psychotic Patients who join in Pshycho-Social Rehabilitation Program

The purpose of this study was to compare interpersonal relationships of chronic psychotic patients who join in the psycho-social rehabilitation program with those who were inpatients or outpatients, to analyze the difference of interpersonal relationships according to general & disease-related characteristics, the scores of self-esteem & self -assertiveness. Subjects were twenty for rehabilitation group from D mental health center in Gwang-ju city and were twenty one for non-rehabilitation group from inpatient unit or outpatient unit at psychiatric department of C general hospital. Data were gathered from April 1 to May 30, 2004. Tools were self-esteem scale by Rosenberg(1965), selfassertiveness scale by Rathus(1973), and scale of interpersonal relationships by Chun(1964). The collected data were analyzed by percentage, X^2-test, Fisher exact probability test, t-test, ANOVA, Multiple comparison test using SPSS 11.5 version. The results were as follows: 1. The psycho-social rehabilitation program was effective to chronic psychotic patients interpersonal relationships (t=2.82, p= .008), especially in subscale openness (t=8.70, p< .001). 2. In chronic psychotic patients who join in psycho-social rehabilitation program, subjects who had higher score of self-esteem showed increasing the score of interpersonal relationship(F=12.44, p<.OO1). 3. Among chronic psychotic patients who join in psycho-social rehabilitation program, the patients who have an occupation before the onset of this disease took high score of interpersonal relationship (t=-2.11, p= .05 4. The psycho-social rehabilitation program was effective to chronic psychotic patients self-assertiveness(t=2.72, p= .01). In conclusion. chronic psychotic patients who join in the psycho-social rehabilitation program had higher score of interpersonal relationship than chronic psychotic patients who were inpatients or outpatients unit. So did subscale openness . Therefore, in order to the promotion of interpersonal relationship and social readustment, traditional hospital service of chronic psychotic patients is needed to have relations with psycho-social rehabilitation program continuously.