Self-esteem, Self-efficacy And Social Support Of Patients With Schizophrenia Disease Rehabilitation

Schizophrenia (SP) is a chronic, relapsing, and severe mental disease, which often onsets in young adults, and was characterized by thinking, affection, will, and behavioral disorders and incompatible with mental activities and the environment. Patients of schizophrenia often show mental disorders, disjointing of the unity of personality, deficiencies of social function, and other serious disorders in many aspects of mind and behaviors. In the treatment of the disease, although anti-psychotic drugs can improve symptoms of the sufferers, but most of the patients are difficult to restore social functions, and show lots of degradations in self-assessment and social skills. They are difficult to adapt in social life, and show serious adverse conditions in prognosis. How to improve the outcome of patients with schizophrenia effectively, is the focus of successful treatment of the disease. Therefore, effective combination of drug treatment and psychological intervention has become one of the strategies for the issues. Thus, the study of psychosocial factors such as self-esteem, self-efficacy, social support of schizophrenia patients, which examine the characteristics of the factors and the impact of rehabilitation, has great significance for the treatment of schizophrenia.StudyⅠinvestigated 60 patients of schizophrenia in period of convalescence by questionnaireⅡ, Rosenberg self-esteem Scale (SES), General self-efficacy scale (GSES), Social Support Rating Scale (SSRS), Brief Psychiatric Rating Scale (BPRS), Symptom Checklist 90 (SCL-90) and the Social Disability Screening Scale (SDSS) to learn the status and impact factors of the patients'self-esteem, self-efficacy and social support, and the impact of rehabilitation. In StudyⅡ, subjects of study I were divided into intervention group and control group of 30 members, and individual and group psychological intervention were implemented on the intervention group, then, both of the 2 groups were tested by questionnaireⅡ, SES, GSES, SSRS, to study if psychological interventions could improve the patients'self-esteem, self-efficacy and social support. A month after discharged, both of the 2 groups were tested by BPRS, SCL-90 and SDSS to inspect the impact of increasing of self-esteem, self-efficacy and social support in rehabilitation.The conclusions:StudyⅠ: (1)The patients of schizophrenia's self-esteem, self-efficacy, and social support are significantly lower than normal people.(2)The patients of schizophrenia's self-esteem, self-efficacy, and social support have positive correlation.(3)The patients of schizophrenia's self-esteem is affected by education, personal income, and the course of disease; self-efficacy f is affected by education and personal income; and social support is affected by marriage, and the course of disease. While self-esteem, self-efficacy and social support, are affected by awareness and attitudes to the disease.(4)The patients of schizophrenia's self-esteem, self-efficacy, and social support have impacts on their rehabilitation.StudyⅡ(1) Through psychological intervention, patients of schizophrenia's self-esteem, self-efficacy, and social support can be improved.(2)By increasing the patients'self-esteem, self-efficacy and social support, their rehabilitation status can be promoted.Based on the conclusions put forward, the author suggest that the therapists should improve patients'self-esteem to overcome feelings of inferiority, and improve patients' self-efficacy to overcome feelings of powerlessness, and improve the patient's social support to overcome the sense of helplessness, in order to make references for future research and treatment of schizophrenia.