Abbasi Amirhossein, Farokhzadian Jamileh, Torkaman Mahya, Miri Sakineh
Nursing research center, Kerman University of Medical Sciences, Kerman, Iran.
Student Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
BMC Psychiatry. 2025 Mar 26;25(1):289. doi: 10.1186/s12888-025-06732-4.
Visual impairment can lead to low self-esteem and social isolation for partially sighted individuals. Schema therapy offers a systematic approach to identifying and modifying maladaptive schemas formed in the past. This therapy has proven effective in treating mental disorders and preventing their recurrence. This study aimed to investigate the effectiveness of schema therapy in addressing social isolation and enhancing self-esteem among partially sighted individuals.
This interventional study involved 66 partially sighted individuals who referred to Tavangaran Institute in Shiraz, southwestern Iran. Participants were randomly assigned to two groups: an intervention group (n = 33) and a control group (n = 33). The intervention group received eight sessions of schema therapy over four weeks, with two sessions per week. Data were collected from both groups using the University of California at Los Angeles Loneliness Scale and the Rosenberg Self-Esteem Scale at three time points: before the intervention, immediately after the intervention, and one month post-intervention.
Mean social isolation scores in the intervention group decreased significantly from 65.03 ± 2.76 before the intervention to 35.93 ± 2.80 immediately after the intervention, and 38.36 ± 3.19 one month later (p < 0.001). Additionally, mean self-esteem scores increased significantly from 13.27 ± 1.27 to 22.30 ± 2.24 immediately after the intervention and 20.75 ± 2.43 one month after the intervention (p < 0.001). These post-intervention scores were significantly higher than that in the control group (p-value < 0.001).
The results of this study demonstrated the effectiveness of schema therapy in improving self-esteem and reducing social isolation among partially sighted individuals. Healthcare providers, including psychologists and psychiatric nurses, are encouraged to consider using this intervention with other vulnerable groups, such as individuals with disabilities or physical impairments, who may experience similar challenges in self-esteem and social interaction.
视力障碍会导致部分视力受损者自尊心低落和社交孤立。图式疗法提供了一种系统的方法来识别和改变过去形成的适应不良图式。这种疗法已被证明在治疗精神障碍和预防其复发方面有效。本研究旨在调查图式疗法在解决部分视力受损者的社交孤立和提高其自尊方面的有效性。
这项干预性研究涉及66名转诊至伊朗西南部设拉子塔万加兰研究所的部分视力受损者。参与者被随机分为两组：干预组（n = 33）和对照组（n = 33）。干预组在四周内接受八节图式疗法课程，每周两节。在三个时间点使用加利福尼亚大学洛杉矶分校孤独量表和罗森伯格自尊量表从两组收集数据：干预前、干预后立即以及干预后一个月。
干预组的平均社交孤立得分从干预前的65.03±2.76显著降至干预后立即的35.93±2.80，以及一个月后的38.36±3.19（p < 0.001）。此外，平均自尊得分从干预前的13.27±1.27在干预后立即显著提高至22.30±2.24，干预后一个月为20.75±2.43（p < 0.001）。这些干预后的得分显著高于对照组（p值 < 0.001）。
本研究结果表明图式疗法在提高部分视力受损者的自尊和减少社交孤立方面有效。鼓励包括心理学家和精神科护士在内的医疗保健提供者考虑将这种干预措施用于其他弱势群体，例如可能在自尊和社交互动方面面临类似挑战的残疾或身体有损伤的个体。
