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研究生:黃莉婷
研究生(外文):Li-Ting Huang
論文名稱:探討敘事增強暨認知治療對改善慢性思覺失調症患者自我烙印之成效-隨機對照試驗
論文名稱(外文):Effects of Narrative Enhancement and Cognitive Therapy (NECT) on Self-stigma in Patients With Schizophrenia: A Randomized Controlled Study
指導教授:楊秋月楊秋月引用關係
指導教授(外文):Chiu-Yueh Yang
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2019
畢業學年度:107
語文別:中文
論文頁數:72
中文關鍵詞:憂鬱症狀希望敘事增強暨認知治療隨機對照試驗思覺失調症自尊自我烙印
外文關鍵詞:depressive symptomshopenarrative enhancement and cognitive therapy (NECT)randomized controlled study (RCT)schizophreniaself-esteemself-stigma
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目錄
摘要.....................................................i
目錄....................................................iii
圖目錄...................................................v
表目錄...................................................vi
第一章 緒論...............................................1
第一節 研究背景與動機......................................1
第二節 研究目的與問題......................................3
第二章 文獻探討............................................4
第一節 思覺失調症..........................................4
第二節自我烙印.............................................5
第三節 改善自我烙印的介入措施...............................9
第三章 研究方法...........................................13
第一節 研究設計...........................................13
第二節 研究架構...........................................15
第三節 名詞界定...........................................16
第四節 研究假設...........................................18
第五節 研究場域及對象......................................19
第六節 研究工具...........................................20
第七節 資料分析...........................................23
第八節 研究倫理考量.......................................24
第四章 研究結果..........................................25
第一節 研究對象之人口屬性比較.............................25
第二節 敘事增強暨認知治療於慢性思覺失調症患者自我烙印之改善成效 ........................................................30
第三節 敘事增強暨認知治療於慢性思覺失調症患者自尊之改善成效...36
第四節 敘事增強暨認知治療於慢性思覺失調症患者憂鬱之改善成效...37
第五節 敘事增強暨認知治療於慢性思覺失調症患者希望之改善成效...38
第五章 討論...............................................39
第一節 研究對象之人口屬性討論..............................39
第二節 敘事增強暨認知治療於慢性思覺失調症患者自我烙印之改善成效討論.......................................................40
第三節 敘事增強暨認知治療於慢性思覺失調症患者自尊之改善成效討論 .........................................................42
第四節 敘事增強暨認知治療於慢性思覺失調症患者憂鬱之改善成效討論 .........................................................43
第五節 敘事增強暨認知治療於慢性思覺失調症患者希望之改善成效討論 .........................................................44
第六章 結論與建議.........................................45
第一節 結論...............................................45
第二節 限制與建議.........................................46
參考文獻.................................................47
附錄.....................................................53

圖目錄
Figure 3-1-1 Times of data collection....................13
Figure 3-1-2 Recruitment and participant flow chart......14
Figure 3-2 Research framework............................15
Figure 4-1 Between-group comparison of the change in ISMIS score...................................................32

表目錄
Table3-1 Weekly content of NECT..........................22
Table 4-1-1 Comparisons of the demographic data (continuous variables) of the control (CG) and experimental (EG) groups at baseline (N=86).......................................26
Table 4-1-2 Comparisons of the demographic data (categorical variables) of the control (CG) and experimental (EG) groups at baseline (N=86)..............27
Table 4-1-3 Comparisons of the outcome variables of the control (CG) and experimental (EG) groups at baseline (N=86)...................................................29
Table 4-2-1-1 The Total Scores of ISMIS of the control (CG) and experimental (EG) groups at baseline, T1 and T2......31
Table 4-2-1-2 Effects of Narrative Enhancement and Cognitive Treatment (NECT) on self-stigma (ISMIS)........31
Table 4-2-2-1 The Scores of DISC of the control (CG) and experimental (EG) groups at baseline, T1 and T2..........33
Table 4-2-2-2 Effects of Narrative Enhancement and Cognitive Treatment (NECT) on self-stigma (DISC).........34
Table 4-3-1 The Scores of RSE of the control (CG) and experimental (EG) groups at baseline, T1 and T2..........36
Table 4-3-2 Effects of Narrative Enhancement and Cognitive Treatment (NECT) on self-esteem (RSE)....................36
Table 4-4-1 The Scores of BDI of the control (CG) and experimental (EG) groups at baseline, T1 and T2..........37
Table 4-4-2 Effects of Narrative Enhancement and Cognitive Treatment (NECT) on depressive symptoms (BDI-II).........37
Table 4-5-1 The Scores of HHI of the control (CG) and experimental (EG) groups at baseline, T1 and T2..........38
Table 4-5-2 Effects of Narrative Enhancement and Cognitive Treatment (NECT) on hope (HHI)...........................38
[1] Beck, A. T., & Steer, R. A. (1984). Internal consistencies of the original and revised Beck Depression Inventory. Journal of Clinical Psychology, 40(6), 1365-1367.
[2] Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
[3] Boyd, J. E., Adler, E. P., Otilingam, P. G., & Peters, T. (2014). Internalized Stigma of Mental Illness (ISMI) scale: A multinational review. Comprehensive Psychiatry, 55(1), 221-231. doi: 10.1016/j.comppsych.2013.06.005
[4] Boyd, J. E., Otilingam, P. G., & DeForge, B. R. (2014). Brief version of the Internalized Stigma of Mental Illness (ISMI) scale: Psychometric properties and relationship to depression, self esteem, recovery orientation, empowerment, and perceived devaluation and discrimination. Psychiatric Rehabilitation Journal, 37(1), 17. doi: 10.1037/prj0000035
[5] Brohan, E., Clement, S., Rose, D., Sartorius, N., Slade, M., & Thornicroft, G. (2013). Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Research, 208(1), 33-40. doi: 10.1016/j.psychres.2013.03.007
[6] Chang, C. C. (2010). [Survey of stigma and discrimination experiences among people with schizophrenia]. (Master's thesis), National Cheng Kung University, Tainan city, Taiwan, ROC. Available from Airiti Library
[7] Chang, C. C., Wu, T. H., Chen, C. Y., Wang, J. D., & Lin, C. Y. (2014). Psychometric evaluation of the internalized stigma of mental illness scale for patients with mental illnesses: Measurement invariance across time. PLoS One, 9(6), e98767. doi: 10.1371/journal.pone.0098767
[8] Chen, H. C., & Wang, H. H. (1997). [The relationship between hope, social support and demography of hospitalized patients with hemolymph neoplasm]. Journal of Nursing Research, 5(6), 487-498. doi: 10.7081/NR.199712.0487
[9] Chien, W. T., Lam, C. K., & Ng, B. F. (2015). Predictors of levels of functioning among Chinese people with severe mental illness: A 12‐month prospective cohort study. Journal of Clinical Nursing, 24(13-14), 1860-1873. doi: 10.1111/jocn.12843
[10] Corrigan, P. W., Bink, A. B., Schmidt, A., Jones, N., & Rüsch, N. (2016). What is the impact of self-stigma? Loss of self-respect and the “why try” effect. Journal of Mental Health, 25(1), 10-15.
[11] Corrigan, P. W., Kosyluk, K. A., & Rüsch, N. (2013). Reducing self-stigma by coming out proud. American Journal of Public Health, 103(5), 794-800. doi: 10.2105/AJPH.2012.301037
[12] Drapalski, A. L., Lucksted, A., Perrin, P. B., Aakre, J. M., Brown, C. H., DeForge, B. R., & Boyd, J. E. (2013). A model of internalized stigma and its effects on people with mental illness. Psychiatric Services, 64(3), 264-269. doi: 10.1176/appi.ps.001322012
[13] Fung, K. M. T., Tsang, H. W. H., & Cheung, W. M. (2011). Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia. Psychiatry Research, 189(2), 208-214. doi: 10.1016/j.psychres.2011.02.013
[14] Gestel Timmermans, V., Van Den Bogaard, J., Brouwers, E., Herth, K., & Van Nieuwenhuizen, C. (2010). Hope as a determinant of mental health recovery: A psychometric evaluation of the Herth Hope Index‐Dutch version. Scandinavian Journal of Caring Sciences, 24(s1), 67-74. doi: 10.1111/j.1471-6712.2009.00758.x
[15] Gonçalves, M. M., Ribeiro, A. P., Silva, J. R., Mendes, I., & Sousa, I. (2016). Narrative innovations predict symptom improvement: Studying innovative moments in narrative therapy of depression. Psychotherapy Research, 26(4), 425-435. doi: 10.1080/10503307.2015.1035355
[16] Han, D. Y., & Chen, S. H. (2008). [Psychometric properties of the perceived psychiatric stigma scale and its short version]. Formosa Journal of Mental Health, 21(3), 273-290. doi: 10.30074/CJMH.200809.0003
[17] Hansson, L., Lexén, A., & Holmén, J. (2017). The effectiveness of narrative enhancement and cognitive therapy: A randomized controlled study of a self-stigma intervention. Social Psychiatry and Psychiatric Epidemiology, 52(11), 1415-1423. doi: 10.1007/s00127-017-1385-x
[18] Hansson, L., & Yanos, P. T. (2016). Narrative enhancement and cognitive therapy: A pilot study of outcomes of a self-stigma intervention in a Swedish clinical context. Stigma and Health, 1(4), 280-286. doi: 10.1037/sah0000035
[19] Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17(10), 1251-1259.
[20] Ho, A. H., Potash, J. S., Fong, T. C., Ho, V. F., Chen, E. Y., Lau, R. H., . . . Ho, R. T. (2015). Psychometric properties of a Chinese version of the Stigma Scale: Examining the complex experience of stigma and its relationship with self-esteem and depression among people living with mental illness in Hong Kong. Comprehensive Psychiatry, 56, 198-205. doi: 10.1016/j.comppsych.2014.09.016
[21] Huang, S. M. (2007). [Concept analysis of hope]. Tzu Chi Nursing Journal, 6(2), 57-63. doi: 10.6974/tcnj.200704.0057
[22] Huang, S. Y., & Sung, H. C. (2016). [Depression: A concept analysis]. VGH Nursing, 33(2), 204-211. doi: 10.6142/VGHN.33.2.204
[23] Huang, W. Y., Chen, S. P., Pakpour, A. H., & Lin, C. Y. (2018). The mediation role of self-esteem for self-stigma on quality of life for people with schizophrenia: A retrospectively longitudinal study. Journal of Pacific Rim Psychology, 12(e10), 1-7. doi: 10.1017/prp.2017.18
[24] Karakaş, S. A., Okanlı, A., & Yılmaz, E. (2016). The effect of internalized stigma on the self esteem in patients with schizophrenia. Archives of Psychiatric Nursing, 30(6), 648-652. doi: 10.1016/j.apnu.2016.02.006
[25] King, M., Dinos, S., Shaw, J., Watson, R., Stevens, S., Passetti, F., . . . Serfaty, M. (2007). The Stigma Scale: Development of a standardised measure of the stigma of mental illness. The British Journal of Psychiatry, 190(3), 248-254. doi: 10.1192/bjp.bp.106.024638
[26] Knight, M. T., Wykes, T., & Hayward, P. (2006). Group treatment of perceived stigma and self-esteem in schizophrenia: A waiting list trial of efficacy. Behavioural and Cognitive Psychotherapy, 34(3), 305-318. doi: 10.1017/S1352465805002705
[27] Liang, K.-Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13-22. doi: 10.1093/biomet/73.1.13
[28] Lu, M. L., Che, H. H., Chang, S. W., & Shen, W. W. (2002). [Reliability and validity of the Chinese version of the Beck Depression Inventory-II]. Taiwanese Journal of Psychiatry, 16(4), 301-310.
[29] Lucksted, A., Drapalski, A., Calmes, C., Forbes, C., DeForge, B., & Boyd, J. (2011). Ending self-stigma: Pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses. Psychiatric Rehabilitation Journal, 35(1), 51-54. doi: 10.2975/35.1.2011.51.54
[30] Lucksted, A., & Drapalski, A. L. (2015). Self-stigma regarding mental illness: Definition, impact, and relationship to societal stigma. Psychiatric Rehabilitation Journal, 32(2), 99-102. doi: 10.1037/prj0000152
[31] Lucksted, A., Drapalski, A. L., Brown, C. H., Wilson, C., Charlotte, M., Mullane, A., & Fang, L. J. (2016). Outcomes of a psychoeducational intervention to reduce internalized stigma among psychosocial rehabilitation clients. Psychiatric Services, 68(4), 360-367. doi: 10.1176/appi.ps.201600037
[32] Mak, W. W., & Cheung, R. Y. (2010). Self‐stigma among concealable minorities in Hong Kong: Conceptualization and unified measurement. American Journal of Orthopsychiatry, 80(2), 267-281. doi: 10.1111/j.1939-0025.2010.01030.x
[33] Mezey, G., Youngman, H., Kretzschmar, I., & White, S. (2016). Stigma and discrimination in mentally disordered offender patients – a comparison with a non-forensic population. The Journal of Forensic Psychiatry & Psychology, 27(4), 517-529. doi: 10.1080/14789949.2016.1172658
[34] Omori, Y., Mori, C., & White, A. H. (2014). Self‐stigma in schizophrenia: A concept analysis. Nursing Forum, 49(4), 259-266. doi: 10.1111/nuf.12071
[35] Paul, S., & Nadkarni, V. V. (2017). A qualitative study on family acceptance, stigma and discrimination of persons with schizophrenia in an Indian metropolis. International Social Work, 60(1), 84-99. doi: 10.1177/0020872814547436
[36] Rüsch, N., Abbruzzese, E., Hagedorn, E., Hartenhauer, D., Kaufmann, I., Curschellas, J., . . . Olschewski, M. (2014). Efficacy of coming out proud to reduce stigma’s impact among people with mental illness: Pilot randomised controlled trial. The British Journal of Psychiatry, 204(5), 391-397. doi: 10.1192/bjp.bp.113.135772
[37] Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121(1), 31-49. doi: 10.1016/j.psychres.2003.08.008
[38] Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129(3), 257-265. doi: 10.1016/j.psychres.2004.08.003
[39] Robson, P. J. (1988). Self-esteem – A psychiatric view. The British Journal of Psychiatry, 153(1), 6-15.
[40] Roe, D., Hasson-Ohayon, I., Derhi, O., Yanos, P. T., & Lysaker, P. H. (2010). Talking about life and finding solutions to different hardships: A qualitative study on the impact of narrative enhancement and cognitive therapy on persons with serious mental illness. The Journal of Nervous and Mental Disease, 198(11), 807-812. doi: 10.1097/NMD.0b013e3181f97c50
[41] Roe, D., Hasson-Ohayon, I., Mashiach-Eizenberg, M., Yamin, A., & Lysaker, P. H. (2017). Different roads lead to Rome: Exploring patterns of change among Narrative Enhancement and Cognitive Therapy (NECT) participants. The Israel Journal of Psychiatry and Related Sciences, 54(1), 62-70.
[42] Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
[43] Russinova, Z., Rogers, E. S., Gagne, C., Bloch, P., Drake, K. M., & Mueser, K. T. (2014). A randomized controlled trial of a peer-run antistigma photovoice intervention. Psychiatric Services, 65(2), 242-246. doi: 10.1176/appi.ps.201200572)
[44] Sarıkoç, G., & Öz, F. (2016). The effects and stigma of mental illness in Turkey. Community Mental Health Journal, 52(3), 353-360. doi: 10.1007/s10597-015-9960-7
[45] Schmitt, D. P., & Allik, J. (2005). Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. Journal of Personality and Social Psychology, 89(4), 623. doi: 10.1037/0022-3514.89.4.623
[46] Schrank, B., Amering, M., Hay, A. G., Weber, M., & Sibitz, I. (2014). Insight, positive and negative symptoms, hope, depression and self-stigma: A comprehensive model of mutual influences in schizophrenia spectrum disorders. Epidemiology and Psychiatric Sciences, 23(3), 271-279. doi: 10.1017/S2045796013000322
[47] Sharaf, A. Y., Ossman, L. H., & Lachine, O. A. (2012). A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia. International Journal of Nursing Studies, 49(12), 1512-1520. doi: 10.1016/j.ijnurstu.2012.08.006
[48] Singh, A., Mattoo, S. K., & Grover, S. (2016). Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit. Indian Journal of Psychiatry, 58(3), 291. doi: 10.4103/0019-5545.192024
[49] Świtaj, P., Chrostek, A., Grygiel, P., Wciórka, J., & Anczewska, M. (2016). Exploring factors associated with the psychosocial impact of stigma among people with schizophrenia or affective Disorders. Community Mental Health Journal, 52(3), 370-378. doi: 10.1007/s10597-014-9800-1
[50] Tandon, R., Gaebel, W., Barch, D. M., Bustillo, J., Gur, R. E., Heckers, S., . . . Tsuang, M. (2013). Definition and description of schizophrenia in the DSM-5. Schizophrenia Research, 150(1), 3-10. doi: 10.1016/j.schres.2013.05.028
[51] Tang, I. C., & Wu, H. C. (2012). Quality of life and self-stigma in individuals with schizophrenia. Psychiatric Quarterly, 83(4), 497-507. doi: 10.1007/s11126-012-9218-2
[52] Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., & Group, I. S. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet, 373(9661), 408-415. doi: 10.1016/S0140-6736(08)61817-6
[53] Torrey, W. C., Mueser, K. T., McHugo, G. H., & Drake, R. E. (2000). Self-esteem as an outcome measure in studies of vocational rehabilitation for adults with severe mental illness. Psychiatric Services, 51(2), 229-233. doi: 10.1176/appi.ps.51.2.229
[54] Walsh, J., Hochbrueckner, R., Corcoran, J., & Spence, R. (2016). The lived experience of schizophrenia: A systematic review and meta-synthesis. Social Work in Mental Health, 14(6), 607-624. doi: 10.1080/15332985.2015.1100153
[55] West, M. L., Yanos, P. T., Smith, S. M., Roe, D., & Lysaker, P. H. (2011). Prevalence of internalized stigma among persons with severe mental illness. Stigma Research and Action, 1(1), 3-10. doi: 10.5463/sra.v1i1.9
[56] Wu, P. H., Lai, Y. C., & Shih, C. L. (2013). [Evaluation of the Rosenberg Self-Esteem Scale using the rating scale model]. Psychological Testing, 60(2), 263-289.
[57] Wu, T. H., Chang, C. C., Chen, C. Y., Wang, J. D., & Lin, C. Y. (2015). Further psychometric evaluation of the Self-Stigma Scale-Short: Measurement invariance across mental illness and gender. Plos One, 10(2), e0117592. doi: 10.1371/journal.pone.0117592
[58] Yanos, P. T., Roe, D., & Lysaker, P. H. (2011). Narrative enhancement and cognitive therapy: A new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy, 61(4), 576-595. doi: 10.1521/ijgp.2011.61.4.576
[59] Yılmaz, E., & Okanlı, A. (2015). The effect of internalized stigma on the adherence to treatment in patients with schizophrenia. Archives of Psychiatric Nursing, 29(5), 297-301. doi: 10.1016/j.apnu.2015.05.006
[60] Young, D. K. W., & Ng, P. Y. N. (2016). The prevalence and predictors of self-stigma of individuals with mental health illness in two Chinese cities. International Journal of Social Psychiatry, 62(2), 176-185. doi: 10.1177/0020764015614596
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