Research Article| Volume 44, P59-68, June 2023

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Narrative enhancement and cognitive therapy for perceived stigma of chronic schizophrenia: A multicenter randomized controlled trial study

  • Li-Ting Huang
    Department of Nursing, Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan Dist., Taoyuan City 33303, Taiwan

    Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, No. 155, Sec.2, Linong St. Beitou Dist., Taipei City 112304, Taiwan.
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  • Chieh-Yu Liu
    Department of Health Care Management, National Taipei University of Nursing and Health Sciences, No.365, Mingde Rd., Beitou Dist., Taipei City 11219, Taiwan
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  • Chiu-Yueh Yang
    Corresponding author at: College of Nursing, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei 112304, Taiwan.
    College of Nursing, National Yang Ming Chiao Tung University, No. 155, Sec.2, Linong St. Beitou Dist., Taipei City 112304, Taiwan
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Published:April 14, 2023DOI:


      • Learning how to face stigma is important for people with chronic persistent mental illness.
      • This study provides evidence of the effect of NECT on inpatients who were in the rehabilitation wards.
      • It is the first time NECT was conducted in Taiwan.
      • Finding indicated that people learned effective skills in group-based NECT.


      This study explored the effects of NECT on self-stigma among people with schizophrenia. Eighty-six participants were recruited and assigned to two groups. The NECT group received 20-session group meetings, while the control group received routine care. Self-stigma was measured by Internalized Stigma of Mental Illness Scale (ISMIS) and Discrimination and Stigma Scale (DISC). Generalized estimating equations were employed to explore the intervention's effectiveness. The NECT group showed a significant reduction in ISMIS total scores after 20 sessions and Stopping Self subscale scores of DISC decreased over time. The intervention is effective for improving self-stigma in people with schizophrenia.


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