Abstract
ABSTRACT Objective: The primary purpose of this study was to determine the effectiveness of an occupational therapy intervention based on Siegel and Spivack's Problem-Solving Therapy in improving interpersonal problem-solving skills for chronic schizophrenic patients. The effect of the acquisition of interpersonal problem-solving skills on raising self-esteem was also examined. Method: A quasi-experimental, pretest-posttest comparison group design was employed with a convenient sample of 18 participants in the Provincial Taoyuan Mental Hospital, Pali Branch of Taiwan. Interpersonal problem-solving skills and self-esteem were measured by: pre-in-tervention and post-intervention administrations of the Means-Ends Problem-Solving Procedure and the Culture-Free Self-Esteem Inventories-Second Edition, respectively. Results: Compared with the comparison group, the treatment group showed statistically significant improvement in the scores on the Means-Ends Problem-Solving Procedure after treatment, but not on the Culture-Free Self-Esteem Inventories-Second Edition. Conclusion: The findings established the efficacy of Siegel and Spivack's Problem-Solving Therapy on interpersonal problem-solving cognition of the chronic schizophrenic.
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