1.A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis
Korean Journal of Schizophrenia Research 2024;27(1):1-13
Objectives:
The social and economic costs of severe mental illness, including psychosis, are increasing, and methods to reduce costs such as a mobile app-based approach have been tried more than ever. This study aims to explore and analyze the methods that have been used in previous studies for mobile app-based psychosocial interventions for personal and clinical recovery of psychosis.
Methods:
To identify mobile apps associated with psychosis, psychotic disorder, and other related terms, we searched for literature published from 2017 to 2023 (n=21). After classifying them into personal and clinical recovery, we qualitatively analyzed each study’s topics, objectives, measurement tools, results, and other aspects.
Results:
For personal recovery, the focus was mainly on improving daily living, self-management, and cognitive and social function improvement, and for clinical recovery, the focus was mainly on preventing symptom recurrence and managing symptoms. Mobile apps for improving daily living functions, cognitive functions, and relapse prevention have significant effects. While mobile apps for improving social function and symptom management mainly reported smaller effects.
Conclusion
The results of this study suggest that mobile app-based psychosocial interventions for personal and clinical recovery of psychosis are likely to be utilized. Finally, the significance and limitations of the studies were discussed.
2.Effects of Structured Group Acceptance and Commitment Therapy for Psychological Acceptance and Recovery Among Inpatients With Psychotic Disorder: A Pilot Study
Narae JEONG ; Hyesu JEON ; Dowon YOU ; Yu Sang LEE
Korean Journal of Schizophrenia Research 2022;25(2):32-42
Objectives:
Psychosocial intervention method is very important for clinical recovery and personal recovery for psychosis. Acceptance and Commitment Therapy (ACT) is a trans-diagnostic approach that has been proven effective in the recovery for psychosis but there are few studies in South Korea testing its effects. In this paper, the structured protocol, ‘Group Acceptance and Commitment Therapy for Psychosis Recovery (G-ACTp)’ was adopted and a systematized manual was developed to investigate the effects on psychological acceptance and recovery.
Methods:
17 patients receiving treatment for psychotic symptoms were randomly assigned to the treatment group and control group, respectively. The treatment group (n=9) received G-ACTp for 5 weeks in addition to the treatment as usual, and the control group (n=8) waited with only the treatment as usual, and the scores of pre assesment, post assesment, and follow-up assessment for acceptance, recovery, mindfulness, psychotic symptoms, depression, anxiety, and quality of life were all compared.
Results:
As a result, there was a significant interaction effect of time and group in acceptance and recovery variables. Also, in the mindfulness variable, there was a significant trend in the time and group interaction. There were no significant effects on psychotic symptoms, depression and anxiety symptoms, and quality of life variables.
Conclusion
As a result of this study, it was mentioned that the ACT for psychosis can be widely used as an effective method in the personal recovery of psychosis, and that results can be linked to the application of mental health services in South Korea. Finally, the significance and limitations of the studies were discussed.
3.Actual Judgment of Criminal Responsibility as Seen Through the Criminal Psychiatric Examination of a Psychiatric Hospital
Soyoung MOON ; Soyeon PARK ; Jinseok CHO ; Dowon YOU
Journal of Korean Neuropsychiatric Association 2021;60(4)::354-365
Objectives:
The purpose of this study was to compare the demographic, clinical, and criminal characteristics and legal judgments of criminal cases, in which psychiatric evaluation was requested, and to identify factors affecting criminal responsibility judgments.
Methods:
The medical records of 100 subjects that committed crimes and the judgment records of 51 subjects admitted to Yongin Mental Hospital from February 2005 to February 2021 were analyzed retrospectively. Psychiatric disorder groups were compared with respect to demographic, clinical, criminal characteristics, and legal judgments. Factors affecting criminal responsibility judgments were identified by comparing legal judgment groups.
Results:
Psychiatric history, criminal motivation, and criminal history differed significantly between psychiatric disorder groups. Differences between the opinions of the appraiser and courts regarding criminal responsibility were significantly dependent on psychiatric disorder type, and there was a consistent tendency according to the psychiatric disorders, but there was a difference of opinion between the two groups.
Conclusion
The findings of the current study suggest psychiatric diagnoses and symptoms such as psychotic symptoms and cognitive impairments that provoke crime can influence criminal responsibility judgments.