Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/9613
Title: Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia
Authors: Fung, KMT
Tsang, HWH 
Cheung, WM
Keywords: Adherence
Cognitive behavioral therapy
Randomized controlled trial
Self-stigma
Stages of change
Issue Date: 2011
Publisher: Elsevier Ireland Ltd
Source: Psychiatry research, 2011, v. 189, no. 2, p. 208-214 How to cite?
Journal: Psychiatry Research 
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.
URI: http://hdl.handle.net/10397/9613
DOI: 10.1016/j.psychres.2011.02.013
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