Abstract

This study is to investigate the outcome of the cognitive-behavioral rehabilitation programs for chronic schizophrenics, and supply basic data for the cognitive-behavioral rehabilitation program. The subjects were 16 patients (4 male and 12 female patients), at the Rehabilitation Center in Yongin Mental Hospital. Their diagnoses were chronic schizophrenia according to DSM-IV. The cognitive-behavioral rehabilitation program 1 was administered to 10 patients (male: 2, female: 8) from 1998. 9. 14. to 1999. 1. 20; the cognitive-behavioral rehabilitation program 2 was administered to 6 patients(male: 2, female: 4) from 1999. 3. 17 to 7. 21. Statistical analysis of the results revealed that there was no significant change in the scores on the 5 subscales of KWIS (arithmetic, similarity, digit span, digit symbol, and block design), before and after the cognitive behavioral rehabilitation program 1, while there was a significant change in the scores on the 4 WCST subscales. Specifically, the total number of errors, error % non-perseverative error % were significantly reduced. And following the cognitive-behavioral rehabilitation program 2, only the communication process scores were significantly improved. The attention and perceptual accuracy and communication ability of chronic scizophrenics were slightly improved following the program. In the future, more internally and externally valid and reliable cognitive-behavioral rebilitation program should be developed and the selection and research of outcome measures are needed.