The Self-concept and Related Factors in Schizophrenia

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K24178
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Tokyo Health Care University
• Principal Investigator: SUGAWARA Hiromi 東京医療保健大学, 看護学部, 助教 (90849366)
• Project Period (FY): 2019-08-30 – 2023-03-31
• Keywords: 統合失調症 / 自己概念 / メタ認知 / リカバリー / 家族機能

Outline of Final Research Achievements

The self-concept of schizophrenia showed that the scores for “ strength awareness” and “future image,” which are subconcepts of self-concept, were high for patients with experience of hospitalization, compared to those without, and that the acquisition status of self-concept differs based on the status of hospitalization experience. In addition, it became evident that the self-concept of schizophrenia patients is associated with the cognitive assessment of family function. Moreover, for problems that arise, individuals rated as having adaptive strength such as having the entire family face and solve such problems, do earn strength awareness easily. Regarding the support for schizophrenia patients, we could show that to acquire self-concept in the future nursing assistance should be practiced while taking a real look at how schizophrenia patients perceive family relationships.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

統合失調症者がその人らしく生きるために自己概念の再構築は重要である。統合失調症者の自己概念は、入院未経験者と比較し、入院経験者でストレングスが自覚し、将来のイメージを獲得していること、本人が主観的にとらえた家族機能も自己概念の再構築に関連していることが明らかとなった。精神障害リハビリテーションの場は、その人が住む場で行われるが、入院経験は、統合失調症者が多くの支援者と関わり、自己の見つめ直す機会になるため、自己概念の再構築が促されるターニングポイントであると示唆を得た。これらのことから、入院中から自分らしく生きることを統合失調症自身が考えられる援助を強化することの重要性が考えられた。