Effect of Self-Management Program on Interpersonal Competencies and Ways of Coping among Patients with Schizophrenia

Document Type : Original Article

Authors

Assistant professors of Psychiatric Mental Health Nursing Faculty of Nursing, Cairo University

Abstract

Background: The implementation of a structured self-management program for patients with schizophrenia demonstrates significant potential for improving key psychosocial domains essential for recovery and community integration. Aim of the study: This study aimed to examine effect of self-management program on interpersonal competencies and ways of copying among schizophrenic patients. Design: A quasi-experimental pre-post design was used. Sample: a purposive of 30 schizophrenic inpatients at Al Abbasia Hospital for Mental Health participated in a 14-session intervention program. Tools for data collection: Data were collected using the Interpersonal Competence Questionnaire (ICQ) and the Ways of Coping Questionnaire (WCQ). Results: it revealed significant improvements in self-disclosure capabilities (p = .008) and coping skills, particularly in active coping (p = .032) and minimization strategies (p = .009). The percentage of participants with high-level active coping increased from 10% to 33.3%, and those with high-level overall coping skills increased from 3.3% to 23.3%. While total interpersonal competencies showed non-significant improvement (p = .112), the program demonstrated very large effect sizes for both interpersonal competencies (32.5) and coping skills (5.1). Conclusion: These findings suggest that structured self-management programs can effectively enhance adaptive coping mechanisms and specific interpersonal skills among schizophrenic patients, with potential implications for clinical practice in psychiatric rehabilitation. Recommendations: replicate the study using large sample size and control group to generalize the results.

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