The Effects of Solution-Focused Approach on Psychosocial Adjustment and Treatment Adherence in Individuals Diagnosed With Schizophrenia: A Randomized Controlled Trial

BACKGROUND: Schizophrenia is a chronic psychiatric disorder characterized by persistent impairments in psychosocial functioning and treatment adherence. Community-based mental health services require nursing interventions that support recovery-oriented, person-centered care. AIM: This study aimed to examine the effects of a solution-focused approach (SFA) on psychosocial adjustment and treatment adherence in individuals diagnosed with schizophrenia. METHOD: = 26; mean age = 55.0 ± 7.03; 87.6% male) via gender-stratified, computer-assisted randomization. The experimental group received six weeks of individual, face-to-face solution-focused sessions led by a psychiatric nurse, while the control group continued routine care. Psychosocial adjustment and treatment adherence were assessed pre- and post-intervention using the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR) and the Morisky-Green-Levine Adherence Scale (MGL). RESULTS: = .002). CONCLUSION: A 6-week, nurse-led solution-focused intervention significantly enhanced psychosocial adjustment and treatment adherence in individuals with schizophrenia. This approach can substantially contribute to recovery-oriented, person-centered psychiatric nursing practices in community-based mental health services.