The Effectiveness of Supportive Group Therapy to Reduce Impact of Stigma and Burden of Family Members of Schizophrenia Patients in Lampung Province, Indonesia

Authors

  • Arena Lestari Ph.D Student, Faculty of Medicine, BioScience and Nursing, MAHSA University, Jenjarum, Selangor Darul Ehsan, Malaysia
  • Mohamad Hussain Habil Professor in Psychiatry, Faculty of Medicine, BioScience and Nursing, MAHSA University, Jenjarum, Selangor Darul Ehsan, Malaysia
  • Faridah Hashim Professor KHAIR, International University College MAIWP, Malaysia

DOI:

https://doi.org/10.58344/jws.v1i9.88

Keywords:

Schizophrenia, Family members, Stigma, Burden, Supportive Group Therapy

Abstract

Stigma and burden from family could be reduce if they have support from other family with the same problem. Supportive group therapy would be able to help family facing stigma and burden. The aim of this study was to explore the impact of stigma and burden on family members the care of schizophrenia patients with supportive group therapy. A mixed-methods exploratory sequential design was used which comprised of the qualitative data using focus group discussion with 14 participants and quantitative data using questionnaire to assess stigma, subjective burden and objective burden to 120 participants. The findings of stigma experience there are three main themes identified; concealment of illness, perceived devaluation, and social withdrawal. Five themes were found; emotional and physical health, interpersonal family relationship, loss of expectation, religion and spirituality as subjective burden and six themes was identified objective burden: financial, disruption of routine family activities, disruption of family leisure, disruption of family interaction, effect of physical health and effect of mental health.  As for quantitative findings, after intervention the mean score of the stigma of family after three times repeated measurement decrease to 30.93 with p value = 0.00, for subjective burden score 154.06 with p value = 0.00 and for objective score burden was 14.53 with P value = 0.00. Supportive group therapy for family members of schizophrenia patients effective to reduce stigma and burden, several recommendations to propose this model to become one of therapy for family with schizophrenia as a program for mental health area.

References

Chisholm, K., Patterson, P., Torgerson, C., Turner, E., Jenkinson, D., & Birchwood, M. (2016). Impact of contact on adolescents’ mental health literacy and stigma: the SchoolSpace cluster randomised controlled trial. BMJ Open, 6(2), e009435.

Ennis, E., & Bunting, B. P. (2013). Family burden , family health and personal mental health. BMC Public Health, 13(1), 1. https://doi.org/10.1186/1471-2458-13-255

Ergetie, T., Yohanes, Z., Asrat, B., Demeke, W., Abate, A., & Tareke, M. (2018). Perceived stigma among non-professional caregivers of people with severe mental illness, Bahir Dar, northwest Ethiopia. Annals of General Psychiatry, 17(1), 1–8.

Hidru, T. H., Osman, M. H., Lolokote, S., & Li, X. (2016). Extent and pattern of burden of care and its associated factors among Eritrean families of persons living with schizophrenia: a cross-sectional study. BMJ Open, 6(9), e012127.

Koschorke, M., Padmavati, R., Kumar, S., Cohen, A., Weiss, H. A., Chatterjee, S., Pereira, J., Naik, S., John, S., & Dabholkar, H. (2017). Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India. Social Science & Medicine, 178, 66–77.

Laila, N. H., Mahkota, R., Krianto, T., & Shivalli, S. (2018). Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017. International Journal of Mental Health Systems, 12(1), 1–7.

Lower, I. Q. (n.d.). Treatment of schizophrenia, schizoaffective disorder.

Mastiyas, Y. N. (2018). Hubungan Resiliensi Keluarga Dengan Kekambuhan Pada Orang Dengan Gangguan Jiwa (Odgj). Universitas Airlangga.

Navidian, A., & KermansarNavidian, Ali, Kermansaravi, Fatihe, & Rigi, S. N. (2012). (2012). The effectiveness of a group psycho-educational program on family caregiver burden of patients with mental disorders. BMC Research Notes, 5(1), 1–7.

Organization, W. H. (2021). World report on hearing.

PANGANDAHENG, N. D. (2018). Pengalaman Keluarga Merawat Klien Dengan Gangguan Jiwa. Universitas Airlangga.

Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2013). Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research, 209(3), 665–669.

Sigit, A. P. (2020). Perlindungan hak-hak petani penggarap tanpa tanah dan buruh tani atas penguasaan dan pemanfaatan tanah dalam sengketa (studi sosio-legal penyelesaian sengketa perkebunan dalam bingkai pembaruan agraria di Kabupaten Batang, Provinsi Jawa Tengah). UPH.

Varcaraolis, E. M. (2016). Essentials of psychiatric mental health nursing-E-book: A communication approach to evidence-based care. Elsevier Health Sciences.

Videbeck, S. L. (2010). Psychiatric-mental health nursing. Lippincott Williams & Wilkins.

Wang, D., Ma, J., Tan, L., Chen, Y., Li, X., Tian, X., Zhou, X., & Liu, X. (2017). Epidemiology of severe mental illness in Hunan province in Central China during 2014-2015: a multistage cross-sectional study. PLoS One, 12(11), e0188312.

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Published

2022-09-23

How to Cite

Lestari, A., Hussain Habil, M., & Hashim, F. (2022). The Effectiveness of Supportive Group Therapy to Reduce Impact of Stigma and Burden of Family Members of Schizophrenia Patients in Lampung Province, Indonesia. Journal of World Science, 1(9), 809–818. https://doi.org/10.58344/jws.v1i9.88