www.elsevier.es/enfermeriaclinica Enfermería Clínica Enferm Clin. 2018;28(Supl 1 Part A):88-93 Inv Inv Invest est est iga iga iga ció ció ción n n n Asi Asi Asiste ste ste stenci nci ncia a a a Doc Doc Docenc enc encia ia ia Ges Ges Gestió tió tión n n Enfermería Clínica Volumen 28, Suplemento 1, Febrero 2018 i G Part A: 1st International Nursing Scholars Congress Depok (Indonesia), 15-16 November 2016 1130-8621/© 2018 Elsevier España, S.L.U. Todos los derechos reservados. *Corresponding author. Email: budianna_keliat@yahoo.com (B.A. Keliat). Acceptance and commitment therapy and family psycho education for clients with schizophrenia Encik Putri Ema Komala a , Budi Anna Keliat b, *and Ice Yulia Wardani b a Soeprapto Mental Health Hospital, Bengkulu, Indonesia b Faculty of Nursing, Universitas Indonesia, Depok, Indonesia KEYWORDS Acceptance and commitment therapy; Family psycho education; Insight; Schizophrenia; Violent behavior Abstract Objective: This study aims to determine the effectiveness of combining acceptance and com- mitment therapy with family psycho education on increased insight, diminished symptoms, and the client’s improved ability to control violent behavior. Method: The design of this study was a quasi-experimental pretest-posttest utilizing interven- tion and control groups. The intervention group consisted of 33 people, and the control group was composed of 33 people. Data was collected before and after respondents received both acceptance and commitment therapy and family psycho education. Results: 7KH VWXG\ VKRZHG WKDW SDWLHQW LQVLJKW LPSURYHG VLJQLﾀFDQWO\ WKH VLJQV DQG V\PSWRPV RI violent behavior decreased, and the client’s ability to control such behavior improved with a p value < 0.05 in the intervention group after they received acceptance and commitment ther- DS\ DQG IDPLO\ SV\FKR HGXFDWLRQ ,Q WKH FRQWURO JURXS SDWLHQW LQVLJKW GLG QRW LPSURYHG VLJQLﾀ- cantly, showing a p value > 0.05. Therefore, our study recommends that acceptance and com- mitment therapy and family psycho education should be given to patients with schizophrenia to improve insight into their disease, decrease signs and symptoms of violent behavior and im- prove their ability to control violent behavior. © 2018 Elsevier España, S.L.U. Todos los derechos reservados. Introduction Schizophrenia is a severe mental disorder. The prevalence of schizophrenia is high, with approximately 24 million peo- ple worldwide suffering from the disease 1 . In Indonesia, it is found that 1.7 people per mile are diagnosed with schizo- phrenia 2 . While the causes of the disorder are not exactly known, factors believed to contribute to the incidence of it include abnormal neurotransmitter activity in the brain, a brain virus infection 3 , or genetic factors 4 . Scientists believe that environmental and behavioral factors may also increase one’s chances of developing schizophrenia. Symptoms of poor insight into one’s illness and violent behavior are dominant characteristics of patients with schizophrenia. The majority of patient swith schizophre- nia had poor insight 5 .The Mental Hospital of Malang states that 92% of their patients diagnosed with schizophrenia experience poor insight 6 . Further, studies have found that 8.4% of patients with schizophrenia display violent behavior 7.