Psikoedukasi Resiliensi dalam Menurunkan Distres Psikologis pada Caregiver Penderita Skizofrenia

Abstract

Caregivers of individuals with schizophrenia are at high risk of experiencing psychological distress due to the demands of long-term caregiving, emotional burden, and social stigma, all of which may adversely affect both their quality of life and the quality of care provided to patients. This study aimed to examine the effectiveness of resilience-based psychoeducation in reducing psychological distress among caregivers of individuals with schizophrenia in the service area of Klasaman Primary Health Center, Sorong. The study employed a quantitative experimental approach using a one-group pretest–posttest design. Participants were selected through purposive sampling and consisted of caregivers of individuals with schizophrenia. The intervention comprised a resilience-based psychoeducation program delivered across six sessions: caregiver's self-concept, emotional literacy, reflective thinking and impulse control, empathy, self-efficacy and optimism, and reaching out. Psychological distress was assessed before and after the intervention using the Depression Anxiety Stress Scale-21 (DASS-21). Data were analyzed using a paired-samples t-test to examine differences in psychological distress scores before and after the intervention. The findings demonstrated reductions in depression, anxiety, and stress scores following the intervention. Statistical analysis revealed that the most substantial improvement occurred in the anxiety dimension (p<0,05), whereas changes in the depression and stress dimensions did not reach statistical significance. These findings suggest that resilience-based psychoeducation has the potential to enhance caregivers' adaptive coping with caregiving-related challenges and improve their psychological well-being. This program is recommended as a component of community-based mental health services for caregivers of individuals with schizophrenia.