DEVELOPMENT OF PROTOTYPE AND EFFECTIVENESS FOR GROUP EXPRESSIVE THERAPIES PROGRAM IN PERSONS WITH SCHIZOPHRENIA WHO HAVE AGGRESSIVE BEHAVIOR
Keywords:
group psychotherapy, expressive therapies, aggressive behaviors, schizophreniaAbstract
Objective: To develop a prototype of the Group Expressive Therapies Program for schizophrenia with
aggressive behavior and to assess the effectiveness of the program.
Material and Methods: This study was research and development based on the Guidelines of Mental
Health’s Innovative Knowledge and Technology Development. The first program evaluation involved
10 patients with schizophrenia. This initial evaluation aimed for improvement of program relevancy to
in-patients and its feasibility. Then, the program was implemented with 18 schizophrenic patients. Using
the matching approach, the patients were randomly assigned to experimental and control groups. The
two groups were matched based on their psychotic symptom scored, aggressive behavior scored, age,
and gender. The Overt Aggression Scale was used to assess the patients’ aggressive behaviors at before
and after the program implementation. The descriptive statistics and t-test were used to analyze the data.
Results: The Group Expressive Therapies Program for schizophrenia with aggressive behavior demonstrated
decent content validity and practicality. The program consisted of ten sessions, 90 minutes per session, 3
times per week for 4 consecutive weeks. Findings revealed that for the experiment group, the mean scores
of aggressive behavior at the posttest (mean = 0.9, SD = 1.4) were statistically significant lower than the
mean scores at the pretest (mean = 9.8, SD = 1.0). In comparison with the control group (received the
treatment as usual), the posttest scores of the experimental group were statistically significant lower than
those in the control group (mean = 8.5, SD = 1.2).
Conclusion: The prototype of the group expressive therapies program for individuals with schizophrenia
who have aggressive behavior demonstrates effectiveness in reducing the patients’ aggressive behaviors.
It should be considered as an optional intervention for schizophrenia with aggressive behavior and further
standardized treatments.
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