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This study examined the effectiveness of assertive training program on social interaction anxiety and self esteem among institutionalized patients with chronic schizophrenia. Quasi-experimental design (pre -post test-groups) was utilized in this study. The present study was conducted at the Al Abassia mental health hospital. Stratified random sample consisted of 15 institutionalized female chronic schizophrenic patients which were selected from 6 inpatient wards of chronic patients. Three tools were used to collect the data for the current study, Personal and medical data sheet, social interaction anxiety scale and the Rosenberg self-esteem scale. A constructed Assertive Training program was designed to help patients to develop and promote necessary skills for initiation and maintaining social interactions with others and to empower patients to be more assertive. This program was implemented over 15 sessions, two sessions per week and each session lasted about 60-90 minutes. Pre, post and follow up (after one month) assessment were carried out for the same group (self- control group). The current study results revealed overall significant effects of assertive training program regarding decreasing patients' social interaction anxiety while self esteem didn't show any significant result. There was a statistically significant difference between pre, post and follow up assessments, duration of institutionalization was negatively correlated with patients' self-esteem and their initiation anxiety of interaction. So, the study concluded that, the assertive training program was effective with institutionalized schizophrenic patients' concerning reducing social interaction anxiety and hence enhancing self-esteem. The study recommended that, the assertiveness training intervention should be incorporated into treatment regimen of institutionalized schizophrenic patients. In - service training programs for nurses and within undergraduate and postgraduate nursing curriculum.

Effect of Assertive Training Program on Social Interaction Anxiety and Self - Esteem of Institutionalized Patients with Chronic Schizophrenia