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J Caring Sci. 2025;14(2): 80-85.
doi: 10.34172/jcs.025.33341
  Abstract View: 29
  PDF Download: 34

Original Article

Effect of Activity Therapy on Self-Esteem among Patients with Schizophrenia: A Randomized Controlled Trial

Delmy Paul 1 ORCID logo, Rajendran Rangasamy Kavitha 1* ORCID logo, Moushumi Purkayastha Mukherjee 2 ORCID logo, KT Harichandrakumar 3 ORCID logo

1 Department of Psychiatric Nursing, College of Nursing, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry
2 Department of Psychiatry, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry
3 Department of Biostatistics, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry
*Corresponding Author: Rajendran Rangasamy Kavitha, Email: Kavirr80@gmail.com

Abstract

Introduction: Schizophrenia is a chronic mental disorder that adversely affects patients’ self-esteem. Activity therapy has been shown to positively influence self-esteem. This study aims to examine the efficacy of activity therapy in improving self-esteem among patients with schizophrenia.

Methods: In this randomized controlled study, 79 patients diagnosed with schizophrenia were enrolled using a consecutive sampling technique. The participants were assigned into intervention (39 participants) and control groups (40 participants) using computer-generated randomization. Researchers used The Rosenberg Self-Esteem Scale (RSES) to assess the participants’ self-esteem. The intervention group underwent activity therapy of making bags and envelopes using paper for seven days. The control group received routine psychiatric care. The post-test assessment was done using RSES after 7 and 15 days of intervention. Data was analyzed using descriptive and inferential statistics using SPSS software version 21.

Results: The total self-esteem score at both 7 days and 15 days post-intervention were significantly higher in the intervention group compared to the control group.

Conclusion: Evidence suggests that structured manual activities, such as the fabrication of paper bags and envelopes, may contribute to enhanced self-esteem and greater self-efficacy in patients, thereby facilitating improved psychosocial functioning. However, additional rigorous research is required to substantiate these observations.


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Submitted: 27 Jan 2024
Revision: 28 Apr 2024
Accepted: 02 Jun 2025
ePublished: 07 Jun 2025
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