Objective Patients with schizophrenia have a severe stigma and low self-efficacy,which seriously affects their medication adherence and recovery of the disease.This study explores the effects of acceptance and commitment therapy on the stigma,self-efficacy,and medication adherence of patients with schizophrenia,in order to provide an ef-fective and safe method for reducing the stigma,improving self-efficacy,and medication adherence of patients with schiz-ophrenia.Methods Patients with schizophrenia who visited the Harbin Psychiatry Specialist Baiyupao Hospital from Oc-tober 2022 to April 2023 were selected as the research subjects.A total of 178 recruited patients with schizophrenia were divided into a control group of 89 cases and a study group of 89 cases using a random number list method.The control group received conventional drug treatment,while the study group received acceptance and commitment therapy.Before and after the intervention,the internalized stigma of mental illness scale(ISMI),general self efficacy scale(GSES),and Morisky medication adherence scale-8(MMAS-8)were used to evaluate the efficacy of mental illness.Results Af-ter intervention,the ISMI score of the study group was(61.39±9.93)points,which was lower than that of the control group[(67.34±10.48)points],and the GSES score of the study group was(21.01±3.63)points,which was higher than that of the control group[(19.21±3.93)points],and the MMAS-8 score of the study group was(7.66±1.21)points,which was higher than that of the control group[(6.07±1.48)points],and the differences were statistically sig-nificant(P＜0.05).After intervention,the ISMI score of the study group was(61.39±9.93)points,which was lower than that before intervention[(67.24±10.34)points],and the GSES score of the study group was(21.01±3.63)points,which was higher than that before intervention[(19.17±3.89)points],and the MMAS-8 score of the study group was(7.66±1.21)points,which was higher than that before intervention[(6.01±1.42)points],and the differ-ences were statistically significant(P＜0.05).Conclusion Acceptance and commitment therapy can effectively reduce the stigma in patients with schizophrenia,improve their self-efficacy and medication adherence.
SchizophreniaAcceptance and commitment therapyStigmaSelf-efficacyMedication adherence
维普
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