Effect of Assertive Training Program on Social Interaction Anxiety and Self - Esteem of Institutionalized Patients with Chronic Schizophrenia

Abstract

This study examined the effectiveness of assertive training program on social interaction anxiety andself esteem among institutionalized patients with chronic schizophrenia. Quasi-experimental design (pre -post test-groups)

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

“…The Turkish validity and reliability study of the 30-item scale was performed by Voltan. 33 The 3, 6,7,8,10,18,20,21,22,25,27,28, and 29th items (13 items) are positive expressions; and the 1,2,4,5,9,11,12,13,14,15,16,17,19,23,24,26, and 30th items (17 items) are negative expressions. Expressions are scored from a range of 1 to 6 and the positive expressions are reversed.…”

“…24 Schizophrenia causes significant deterioration of social function such as failure to maintain personal care and independent living skills, quitting hobbies, lack of enjoying leisure time, not fulfilling the socially defined roles such as spouse, family member, friend, employee or student, decrease in academic achievement, dropping out, difficulties in maintaining relationships with family and friends or not functioning at work, a significant reduction in employment levels, and difficulties in acquiring and maintaining secure housing. 5,8,9,[25][26][27][28][29] Functional recovery in schizophrenia emphasizes the importance of support for patients despite these ongoing symptoms to develop meaningful lives, including results such as cognitive performance and the development of social functioning. 24,26 Impaired functioning in patients with schizophrenia causes poor prognosis, recurrent hospitalization, and reduced quality of life, and therefore, the patient is expected to reach social competence and fulfill social functions with the treatment of these symptoms.…”

“…6,7,13,14,23 The assertiveness training implemented in line with these goals appears to be effective in schizophrenia patients and has been shown to increase patients' assertiveness skills, communication skills, and self-esteem, and reduce social anxiety and psychiatric symptoms. 22,23,27 Psychiatric nurses who play an active role in rehabilitation services, perform psychosocial interventions and have direct contact with the patient, should plan specific training programs to diagnose and meet the basic training needs of patients. 27,30,31 The research in which psychiatric nurses with roles of trainers or counselors are involved in rehabilitation programs has been increasing over time.…”

“…22,23,27 Psychiatric nurses who play an active role in rehabilitation services, perform psychosocial interventions and have direct contact with the patient, should plan specific training programs to diagnose and meet the basic training needs of patients. 27,30,31 The research in which psychiatric nurses with roles of trainers or counselors are involved in rehabilitation programs has been increasing over time. 14,23,32 It is thought that the assertiveness training, a psychosocial initiative to be applied to prevent disruption of the functioning of patients, to improve their quality of life, and social adaptation abilities, can be performed by psychiatric nurses and it is thought to help patients be more assertive, develop self-esteem, and respect their rights while respecting the rights of others.…”

“…14,23,32 It is thought that the assertiveness training, a psychosocial initiative to be applied to prevent disruption of the functioning of patients, to improve their quality of life, and social adaptation abilities, can be performed by psychiatric nurses and it is thought to help patients be more assertive, develop self-esteem, and respect their rights while respecting the rights of others. 22,23,27 The aim of this study is to investigate the effect of assertiveness training applied to schizophrenia patients on their functional recovery and assertiveness.…”