THE EFFECTIVENESS OF RESILIENCE PROGRAM ON SELF-CONTROL FOR VIOLENT BEHAVIORS OF SCHIZOPHRENIC PATIENTS

Abstract

               Objective: To compare the effectiveness of the Resilience Program on self-control for violent behaviors of schizophrenic patients.

               Methods: This research was a quasi-experimental study with pre-test and post-test design. A sample group was twenty-four male schizophrenia patients who exhibited violent behaviors caused by impulsivity or self-uncontrolled behavior who received inpatient treatment at Nakhon Ratchasima Rajanagarindra Psychiatric Hospital. They participated in a resilience program developed by the researcher from four concepts as follows; 1) Psychoeducation (Anderson et al., 1980), 2) Motivational interviewing (Miller & Rollnick, 2002), 3) Psychological stress and the coping process (Lazarus & Folkman, 1984), and 4) Resilience quotient (Grotberg, 1995). The program consisted of six activities held on Monday, Wednesday, and Friday twice a day and each session took sixty minutes. The control group of twenty-four patients received normal nursing care. The research instruments were 1) Resilience program for risk group (IOC=.98), and 2) Violent behavior management assessment form for schizophrenia patients (a = .91). Data were analyzed by a descriptive statistic and the repeated measures ANOVA.

               Results: The study revealed that the experimental group had the mean score for managing violent behavior immediately after the experiment and the one-month follow-up period higher than before the experiment. The mean score for managing violent behavior immediately after the experiment and the one-month follow-up period was higher than the control group statistically significant (p-value=.05).