title: Effect of self-consistency group intervention for adolescents with schizophrenia: An inpatient randomized controlled trial.
abstract: OBJECTIVE
  The aim of the study was to explore the efficacy of structural group therapy on the self-consistency and congruence of inpatient adolescents with a diagnosis of schizophrenia.
  
  
  METHODS
  Sixty inpatient adolescents with schizophrenia were randomly assigned to an intervention group (n = 30) and a control group (n = 30). The intervention group was provided with a 12-session structural group therapy program for six weeks (1 h, two times per week), while the control group participated in a handicraft group. All patients were assessed with the Self-Consistency and Congruence Scale (SCCS) and the Positive and Negative Syndrome Scale (PANSS) at pretest, posttest, three-month and one-year follow-up. The results were analyzed using t-test and repeated measures ANOVA.
  
  
  RESULTS
  The two groups had no significant difference at the pre-test of outcome measures (p > 0.05). Significant differences existed between the two groups in ego-dystonic, self-flexibility, SCCS scores, positive syndrome, general psychopathology and PANSS scores after the intervention (p < 0.05). At the three-month follow-up, ego-dystonic, self-flexibility and PANSS scores were also found to be significantly different between the two groups (p < 0.05). But the outcome measures were not significantly different between the two groups at the one-year follow-up.
  
  
  CONCLUSIONS
  Structural group therapy in a mental health setting had a positive effect on improving self-consistency and congruence, positive symptoms and general psychopathology of inpatient adolescents with a diagnosis of schizophrenia.
authors.affiliation: HOPE School of Nursing, Wuhan University, Hubei Province, PR China. Electronic address: 971232560@qq.com.
authors.forename: Pan
authors.initials: P
authors.lastname: She
authors.affiliation: Department of Children and Adolescent, Wuhan Mental Health Center, Hubei Province, PR China. Electronic address: 46852224@qq.com.
authors.forename: Hongling
authors.initials: H
authors.lastname: Zeng
authors.affiliation: HOPE School of Nursing, Wuhan University, Hubei Province, PR China. Electronic address: yangbingxiang82@163.com.
authors.forename: Bingxiang
authors.initials: B
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D008297:Male; D017063:Outcome Assessment, Health Care; D011615:Psychotherapy, Group / Q000379:methods*; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D000068356:Self-Control
keywords: Adolescent; Group therapy; Schizophrenia; Self-consistency and congruence