Effect of a Cognitive Behavioural Therapy on Self-Efficacy and Coping Skills among Elderly Patients with Schizophrenia

Document Type : Original Article

Authors

1 Assistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Cairo University, Egypt.

2 Professor of Gerontological Nursing, Faculty of Nursing, Cairo University, Egypt.

3 Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Cairo University, Egypt.

Abstract

Background: Cognitive Behavioural Therapy as emerged as a promising approach to address the unique challenges faced by elderly population with schizophrenia especially with their increasing prevalence. Aim: To evaluate the effect of a Cognitive Behavioural Therapy on self-efficacy and coping skills among elderly patients with schizophrenia. Research design: A quasi-experimental study was conducted with pre and post follow-up. Setting: This study was carried out in outpatient clinics of Psychiatry and Addiction Prevention Hospital at Qasr Al-Ani University Hospital, affiliated to Cairo University, Cairo, Egypt. Subjects: A purposive sample of 30 elderly patients with schizophrenia who were diagnosed according to DSM-5: Tools for data collection: Three tools were used for data collection I. Structured interview questionnaire consists of elderly patient demographic characteristics. 2. Generalized Self- Efficacy Scale 3. Ways of Coping Questionnaire Results there are statically significance differences were found between pre and post intervention in relation to self-efficacy and coping skills with obvious improvement in the total scores of the two variables. In addition to large size effect was found in both self-efficacy and coping skills which indicate practical significance of the intervention. Conclusion: Cognitive Behavioural Therapy improved coping skills and self-efficacy among elderly patients with schizophrenia. Recommendation: Continuous training of psychiatric and gerontological nurses about Cognitive Behavioural Therapy for implementing such programs into schizophrenia elderly patients’ routine nursing care and elevate awareness of elderly patients about importance of Cognitive Behavioural Therapy.

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