The effects of assertiveness training in patients with schizophrenia

A randomized, single-blind, controlled study

Tso Ying Lee, Shih Chin Chang, Hsin Chu, Chyn-Yng Yang, Keng-Liang Ou, Min-Huey Chung, Kuei-Ru Chou

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aims: In this study, we investigated the effects of group assertiveness training on assertiveness, social anxiety and satisfaction with interpersonal communication among patients with chronic schizophrenia. Background: Only limited studies highlighted the effectiveness of group assertiveness training among inpatients with schizophrenia. Given the lack of group assertiveness training among patients with schizophrenia, further development of programmes focusing on facilitating assertiveness, self-confidence and social skills among inpatients with chronic schizophrenia is needed. Design: This study used a prospective, randomized, single-blinded, parallel-group design. Methods: This study employed a prospective, randomized, parallel-group design. Seventy-four patients were randomly assigned to experimental group receiving 12 sessions of assertiveness training, or a supportive control group. Data collection took place for the period of June 2009-July 2010. Results: Among patients with chronic schizophrenia, assertiveness, levels of social anxiety and satisfaction with interpersonal communication significantly improved immediately after the intervention and at the 3-month follow-up in the intervention group. The results of a generalized estimating equation (GEE) indicated that: (1) assertiveness significantly improved from pre- to postintervention and was maintained until the follow-up; (2) anxiety regarding social interactions significantly decreased after assertiveness training; and (3) satisfaction with interpersonal communication slightly improved after the 12-session intervention and at the 3-month follow-up. Conclusion: Assertivenss training is a non-invasive and inexpensive therapy that appears to improve assertiveness, social anxiety and interpersonal communication among inpatients with chronic schizophrenia. These findings may provide a reference guide to clinical nurses for developing assertiveness-training protocols.

Original languageEnglish
Pages (from-to)2549-2559
Number of pages11
JournalJournal of Advanced Nursing
Volume69
Issue number11
DOIs
Publication statusPublished - Nov 2013

Fingerprint

Assertiveness
Single-Blind Method
Schizophrenia
Anxiety
Communication
Inpatients
Program Development
Interpersonal Relations

Keywords

  • Group assertiveness training
  • Interpersonal communication
  • Nursing
  • Schizophrenia
  • Social anxiety

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The effects of assertiveness training in patients with schizophrenia : A randomized, single-blind, controlled study. / Lee, Tso Ying; Chang, Shih Chin; Chu, Hsin; Yang, Chyn-Yng; Ou, Keng-Liang; Chung, Min-Huey; Chou, Kuei-Ru.

In: Journal of Advanced Nursing, Vol. 69, No. 11, 11.2013, p. 2549-2559.

Research output: Contribution to journalArticle

@article{fb7c1d57a0da49869ab7a89f896f17c2,
title = "The effects of assertiveness training in patients with schizophrenia: A randomized, single-blind, controlled study",
abstract = "Aims: In this study, we investigated the effects of group assertiveness training on assertiveness, social anxiety and satisfaction with interpersonal communication among patients with chronic schizophrenia. Background: Only limited studies highlighted the effectiveness of group assertiveness training among inpatients with schizophrenia. Given the lack of group assertiveness training among patients with schizophrenia, further development of programmes focusing on facilitating assertiveness, self-confidence and social skills among inpatients with chronic schizophrenia is needed. Design: This study used a prospective, randomized, single-blinded, parallel-group design. Methods: This study employed a prospective, randomized, parallel-group design. Seventy-four patients were randomly assigned to experimental group receiving 12 sessions of assertiveness training, or a supportive control group. Data collection took place for the period of June 2009-July 2010. Results: Among patients with chronic schizophrenia, assertiveness, levels of social anxiety and satisfaction with interpersonal communication significantly improved immediately after the intervention and at the 3-month follow-up in the intervention group. The results of a generalized estimating equation (GEE) indicated that: (1) assertiveness significantly improved from pre- to postintervention and was maintained until the follow-up; (2) anxiety regarding social interactions significantly decreased after assertiveness training; and (3) satisfaction with interpersonal communication slightly improved after the 12-session intervention and at the 3-month follow-up. Conclusion: Assertivenss training is a non-invasive and inexpensive therapy that appears to improve assertiveness, social anxiety and interpersonal communication among inpatients with chronic schizophrenia. These findings may provide a reference guide to clinical nurses for developing assertiveness-training protocols.",
keywords = "Group assertiveness training, Interpersonal communication, Nursing, Schizophrenia, Social anxiety",
author = "Lee, {Tso Ying} and Chang, {Shih Chin} and Hsin Chu and Chyn-Yng Yang and Keng-Liang Ou and Min-Huey Chung and Kuei-Ru Chou",
year = "2013",
month = "11",
doi = "10.1111/jan.12142",
language = "English",
volume = "69",
pages = "2549--2559",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - The effects of assertiveness training in patients with schizophrenia

T2 - A randomized, single-blind, controlled study

AU - Lee, Tso Ying

AU - Chang, Shih Chin

AU - Chu, Hsin

AU - Yang, Chyn-Yng

AU - Ou, Keng-Liang

AU - Chung, Min-Huey

AU - Chou, Kuei-Ru

PY - 2013/11

Y1 - 2013/11

N2 - Aims: In this study, we investigated the effects of group assertiveness training on assertiveness, social anxiety and satisfaction with interpersonal communication among patients with chronic schizophrenia. Background: Only limited studies highlighted the effectiveness of group assertiveness training among inpatients with schizophrenia. Given the lack of group assertiveness training among patients with schizophrenia, further development of programmes focusing on facilitating assertiveness, self-confidence and social skills among inpatients with chronic schizophrenia is needed. Design: This study used a prospective, randomized, single-blinded, parallel-group design. Methods: This study employed a prospective, randomized, parallel-group design. Seventy-four patients were randomly assigned to experimental group receiving 12 sessions of assertiveness training, or a supportive control group. Data collection took place for the period of June 2009-July 2010. Results: Among patients with chronic schizophrenia, assertiveness, levels of social anxiety and satisfaction with interpersonal communication significantly improved immediately after the intervention and at the 3-month follow-up in the intervention group. The results of a generalized estimating equation (GEE) indicated that: (1) assertiveness significantly improved from pre- to postintervention and was maintained until the follow-up; (2) anxiety regarding social interactions significantly decreased after assertiveness training; and (3) satisfaction with interpersonal communication slightly improved after the 12-session intervention and at the 3-month follow-up. Conclusion: Assertivenss training is a non-invasive and inexpensive therapy that appears to improve assertiveness, social anxiety and interpersonal communication among inpatients with chronic schizophrenia. These findings may provide a reference guide to clinical nurses for developing assertiveness-training protocols.

AB - Aims: In this study, we investigated the effects of group assertiveness training on assertiveness, social anxiety and satisfaction with interpersonal communication among patients with chronic schizophrenia. Background: Only limited studies highlighted the effectiveness of group assertiveness training among inpatients with schizophrenia. Given the lack of group assertiveness training among patients with schizophrenia, further development of programmes focusing on facilitating assertiveness, self-confidence and social skills among inpatients with chronic schizophrenia is needed. Design: This study used a prospective, randomized, single-blinded, parallel-group design. Methods: This study employed a prospective, randomized, parallel-group design. Seventy-four patients were randomly assigned to experimental group receiving 12 sessions of assertiveness training, or a supportive control group. Data collection took place for the period of June 2009-July 2010. Results: Among patients with chronic schizophrenia, assertiveness, levels of social anxiety and satisfaction with interpersonal communication significantly improved immediately after the intervention and at the 3-month follow-up in the intervention group. The results of a generalized estimating equation (GEE) indicated that: (1) assertiveness significantly improved from pre- to postintervention and was maintained until the follow-up; (2) anxiety regarding social interactions significantly decreased after assertiveness training; and (3) satisfaction with interpersonal communication slightly improved after the 12-session intervention and at the 3-month follow-up. Conclusion: Assertivenss training is a non-invasive and inexpensive therapy that appears to improve assertiveness, social anxiety and interpersonal communication among inpatients with chronic schizophrenia. These findings may provide a reference guide to clinical nurses for developing assertiveness-training protocols.

KW - Group assertiveness training

KW - Interpersonal communication

KW - Nursing

KW - Schizophrenia

KW - Social anxiety

UR - http://www.scopus.com/inward/record.url?scp=84885175453&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84885175453&partnerID=8YFLogxK

U2 - 10.1111/jan.12142

DO - 10.1111/jan.12142

M3 - Article

VL - 69

SP - 2549

EP - 2559

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 11

ER -