Mindfulness-Based Emotional Regulation in a Woman With Schizophrenia in an Indonesian Social Rehabilitation Facility: A Structured Case Study

Authors

  • Christin Wibhowo Soegijapranata Catholic University, Indonesia
  • Irene Kurnia Dewantara Soegijapranata Catholic University, Indonesia

DOI:

https://doi.org/10.55324/ijoms.v5i6.1271

Keywords:

schizophrenia, emotional regulation, mindfulness

Abstract

Schizophrenia is a chronic psychotic disorder characterized by distortions in perception, emotions, and behavior, and has the potential to cause social functioning disorders. This study aims to explore the effectiveness of a Mindfulness-Based Emotional Regulation intervention in reducing emotion dysregulation and enhancing affective stability in a woman with schizophrenia residing in a social rehabilitation facility.  The research uses a case study approach with data collection techniques through interviews, participant-structured observations, and psychological tests (Wartegg, graphic test, and PANAS). The results of the assessment showed that the client experienced visual hallucinations, delusions, high anxiety, and difficulty regulating emotions, but had adequate activity motivation and cognitive ability. Mindfulness interventions that include progressive relaxation, art activities, and drawing occupations are used to increase emotional awareness and lower anxiety. The results suggest that the mindfulness intervention contributed to enhanced emotional regulation in a woman with schizophrenia living in an Indonesian social rehabilitation facility. The Wong-Baker Faces Pain Rating Scale reflected decreased internal discomfort and improved affective stability following the intervention.

References

Akhtar, H. & Firmanto, A. (2021). The pursuit of happiness: Predicting happiness based on anchor theory. Indigenous: Jurnal Ilmiah Psikologi, 6(1). 15-22 doi: http://dx.doi.org/10.23917/indigenous.v6i1.11905

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.

Bighelli, I., Salanti, G., Huhn, M., Schneider-Thoma, J., Krause, M., Reitmeir, C., Wallis, S., & Leucht, S. (2021). Psychological interventions to reduce positive symptoms in schizophrenia: Systematic review and network meta-analysis. World Psychiatry, 20(2), 221–229. https://doi.org/10.1002/wps.20860

Castarlenas, E., Jensen, M. P., von Baeyer, C. L., & Miró, J. (2017). Psychometric properties of the numerical rating scale to assess self-reported pain intensity in children and adolescents: A systematic review. The Clinical Journal of Pain, 33(4), 376–383. https://doi.org/10.1097/AJP.0000000000000406

Cohen, A. S., & Minor, K. S. (2010). Emotional experience in patients with schizophrenia revisited: Meta-analysis of laboratory studies. Schizophrenia Bulletin, 36(1), 143–150. https://doi.org/10.1093/schbul/sbn061

Cramer, H., Lauche, R., Haller, H., & Dobos, G. (2022). Mindfulness-based interventions for psychosis: Updated systematic review and meta-analysis. Schizophrenia Research, 243, 220–229. https://doi.org/10.1016/j.schres.2022.02.012

Horan, W. P., Blanchard, J. J., Clark, L. A., & Green, M. F. (2006). Affective traits in schizophrenia and schizotypy. Schizophrenia Bulletin, 34(5), 856–874.

Herr, K., Coyne, P. J., McCaffery, M., Manworren, R., & Merkel, S. (2011). Pain assessment in the patient unable to self-report: Position statement with clinical practice recommendations. Pain Management Nursing, 12(4), 230–250. https://doi.org/10.1016/j.pmn.2011.10.002

Hicks, C. L., von Baeyer, C. L., Spafford, P. A., van Korlaar, I., & Goodenough, B. (2001). The Faces Pain Scale–Revised: Toward a common metric in pediatric pain measurement. Pain, 93(2), 173–183. https://doi.org/10.1016/S0304-3959(01)00314-1

Howes, O. D., & Shatalina, E. (2022). Integrating the neurodevelopmental and dopamine hypotheses of schizophrenia and the role of cortical excitation–inhibition balance. Biological Psychiatry, 92(6), 501–513. https://doi.org/10.1016/j.biopsych.2022.06.017

?çel S, Ba?o?ul C.2021. Effects of progressive muscle relaxation training with music therapy on sleep and anger of patients at Community Mental Health Center. Complement Ther Clin Pract. 2021 May;43:101338. doi: 10.1016/j.ctcp.2021.101338. Epub 2021 Feb 19. PMID: 33639518.

Jauhar, S., McKenna, P. J., Radua, J., Fung, E., Salvador, R., & Laws, K. R. (2022). Cognitive-behavioural therapy for the symptoms of schizophrenia: Systematic review and meta-analysis. The British Journal of Psychiatry, 220(1), 1–8. https://doi.org/10.1192/bjp.2021.82

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006

Lavenia, A., Febrina, M., Rahayu, S., Fadhila, M., Faridah, S., & Budianto, Z. (2023). Kegiatan Melukis sebagai Media Rekreasional pada Pasien Rawat Inap Rumah Sakit Jiwa Sambang Lihum. Inovasi Jurnal Pengabdian Masyarakat, 1(1), 27-36.

Louise, S., Fitzpatrick, M., Strauss, C., Rossell, S. L., & Thomas, N. (2018). Mindfulness-based interventions for psychosis: A meta-analysis. Schizophrenia Research, 192, 57–66. https://doi.org/10.1016/j.schres.2017.04.015

Novak, G., & Seeman, M. V. (2022). Dopamine, psychosis, and symptom fluctuation: A narrative review. Healthcare, 10(9), 1713. https://doi.org/10.3390/healthcare10091713

Pathak, A., Sharma, S., & Jensen, M. P. (2018). The utility and validity of pain intensity rating scales for use in developing countries. Pain Reports, 3(5), e672. https://doi.org/10.1097/PR9.0000000000000672

Puspitosari,W.A. Wardaningsih, S. Nanwani,S. 2019. Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study,Asian Journal of Psychiatry,Volume 42,2019,Pages 67-73,ISSN 1876-2018,https://doi.org/10.1016/j.ajp.2019.03.022. (https://www.sciencedirect.com/science/article/pii/S1876201818301369)

Pratiwi,N.Y, Ramadhanty, S.I.A, Amin, N.H, Najiyah, N.F. 2024. Efektivitas Intervensi Mindfulness dalam Meningkatkan Perasaan Pasien Skizofrenia di RSKD Dadi Sulawesi Selatan. Jurnal Pendidikan Tambusai. Halaman 17789-17804. Volume 8 Nomor 2 Tahun 2024. ISSN: 2614-6754 (print) ISSN: 2614-3097(online)

Strauss, G. P., Wilbur, R. C., Warren, K. R., August, S. M., & Gold, J. M. (2011). Anticipatory vs. consummatory pleasure in schizophrenia: A meta-analysis. Schizophrenia Bulletin, 37(2), 252–260.

Ullah, A., Waris, A., & Alhumaydhi, F. A. (2023). Understanding translational research in schizophrenia: A novel insight into animal models. Molecular Biology Reports, 50, 3767–3785. https://doi.org/10.1007/s11033-023-08241-7

Veronica, G. (2022). Pengaruh Seni Sulam Sebagai Sarana Terapi Seni (Art Therapy) pada Penderita Gangguan Jiwa Skizofrenia di Rumah Berdaya, Denpasar, Bali. Jurnal Visual Universitas Tarumanegara, 18(1), 36-48.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.

Wong, D. L., & Baker, C. M. (1988). Pain in children: Comparison of assessment scales. Pediatric Nursing, 14(1), 9–17.

Yüksel A, Bahad?r-Y?lmaz E. The Effect of Mindfulness-Based Psychosocial Skills Training on Functioning and Insight Level in Patients with Schizophrenia. Community Ment Health J. 2021 Feb;57(2):365-371. doi: 10.1007/s10597-020-00658-9. Epub 2020 Jun 13. PMID: 32535719.

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Published

2026-03-16