Objectives:We had previously reported the open study that the Symptom Management Module-Korean Version (SMM-B) based on cognitive-behavioral approach was effective for improving self-awareness about mental disorders. In the present controlled study, we examine the effects of SMM-B on the insight and overall state of schizophrenic patients.
Methods:SMM-B was carried out in 33 schizophrenic inpatients, once a week, for 4-5 weeks. Thirty schizophrenic inpatients not participating in SMM-B session were assinged to the control group and were applied with routine psychosocial therapy. Before and after applying SMM-B, Scale to Assess Unawareness of Mental Disorder (SUMD) for evaluating self-awareness and Clinical Global Impression (CGI) for clinical status were evlauated.
Results:Thirty patients completed SMM-B program. There were significant time effects (F=32.0, p<0.001) in CGI scores without group effects. There were significant time×group interaction in SUMD scores (F=31.45, p<0.001), which favored the SMM-B group.
Conclusion:We suggested that symptom management training using SMM-B is a good approach for improving the self-awareness about mental disorders once again. As the importance of rehabilitation in schizophrenic patients grows, more effective programs improving many aspects of patients are needed. This psychosocial module based on cognitive-behaivioral principles is shown to be one of the good method for rehabilitation in schizophrenia. (Schizophrenia Clinics 2004;7:48-53) |
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