pISSN : 2383-6415   eISSN : 2383-6423

The Effects of Gratitude Enhancement Program on Psycho-social and Physical Health of Chronic Schizophrenia


Choo Hyun-Sim 
Kim Joo Hyun 

INFORMATION : page. 158~169 / 2017 Vol.19 No.3


행복감이나 자존감 같은 심리적 차원의 성격특성은 장애를 예방하고 정신건강과 행복을 증진시킬 수 있어 긍정심리학계를 포함한 다양한 영역에서 긍정적 정신건강모델(positive mental health model)로 개념화하고 있다[1]. 정신건강 분야 역시 탈원화 정책과 정신건강증진의 개념에 초점을 두어 정신질환자의 치료의 목표가 주관적인 행복이나 삶의 질을 향상시키는 것으로 전환하고 있다.

Purpose: The purpose of this study was to identify the effects of the Gratitude Enhancement Program on self-esteem, interpersonal relationships, gratitude disposition, subjective happiness, stress index in patients with chronic schizophrenia. Methods: The research was designed for a nonequivalent control group before and after the test design. The subjects of this study were 29 patients in the experimental group and 28 patients in the control group. The Gratitude Enhancement Program was conducted three times a week for a total of nine sessions. Data were collected with questionnaires and measured with autonomic nervous system response (stress index) and was analyzed by t-test, chi-square test, Fisher’s exact, and repeated measures ANOVA with the SPSS/WIN 23.0 program. Results: There are no significant differences in the homogeneity test of a dependent variable between groups. The experimental group showed significant higher scores of self-esteem, interpersonal relationships, gratitude disposition, and subjective happiness than the control group. There was no significant difference in the stress index between two groups. Conclusion: Based on the results of this study, this Gratitude Enhancement Program can be a good nursing intervention to improve self-esteem, interpersonal relationship, gratitude disposition, and subjective happiness for chronic schizophrenia patients.

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