Penerapan Latihan Berkenalan untuk Meningkatkan Kemampuan Sosialisasi pada Pasien Skizofrenia dengan Isolasi Sosial: Systematic Literature Review
DOI:
https://doi.org/10.59024/jikas.v4i1.2423Keywords:
Introduction Training, Psychiatric Nursing Intervention, Schizophrenia, Social Isolation, Socialization AbilityAbstract
Social isolation is one of the most common nursing problems found in schizophrenia patients. This condition is characterized by withdrawal from social interactions, decreased communication ability, and barriers in building meaningful interpersonal relationships. Without proper and structured nursing interventions, social isolation has the potential to worsen the prognosis of mental illness and significantly reduce the patient's quality of life. Introduction training as one of the implementation strategies in psychiatric nursing is believed to be capable of improving patients' socialization ability gradually and measurably. This literature review aims to systematically analyze the effectiveness of introduction training in improving socialization ability in patients with social isolation, including its impact on verbal and nonverbal communication, social function, and its comparison with other psychosocial interventions. This study uses the Systematic Literature Review (SLR) method based on the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Literature searches were conducted on five electronic databases, namely PubMed, ScienceDirect, Google Scholar, ProQuest, and Sage Journals, with a publication time range of 2020 to 2026. From a total of 312 identified articles, 20 articles ultimately met the inclusion criteria and were analyzed in depth. The results of the analysis show that introduction training is consistently proven effective in improving the socialization ability of patients with social isolation. This intervention is able to improve verbal and nonverbal communication skills, improve eye contact, encourage the initiation of social interaction, and increase participation in group activities. Introduction training is recommended to be systematically integrated into the standard of psychiatric nursing care in hospitals and communities.
References
Abaoğlu, H., Mutlu, E., Ak, S., Akı, E., & Yağcıoğlu, E. A. A. (2020). The effect of life skills training on functioning in schizophrenia: A randomized controlled trial. Schizophrenia Bulletin, 46, S220–S220. https://doi.org/10.1093/schbul/sbaa030.533
Aruldass, P., Sekar, T. S., Saravanan, S., Samuel, R., & Jacob, K. (2021). Effectiveness of social skills training groups in persons with severe mental illness: A pre–post intervention study. Indian Journal of Psychological Medicine, 44, 114–119. https://doi.org/10.1177/02537176211024146
Barlati, S., Nibbio, G., & Vita, A. (2024). Evidence-based psychosocial interventions in schizophrenia: A critical review. Current Opinion in Psychiatry, 37, 131–139. https://doi.org/10.1097/yco.0000000000000925
Caqueo-Urízar, A., Santibáñez-Palma, J., Lemus-Bugueño, D., Ponce-Correa, F., & Urzúa, A. (2025). Social isolation, social cognition and symptom severity in Chilean patients with schizophrenia: A mediational model. Journal of Psychiatric Research, 192, 337–344. https://doi.org/10.1016/j.jpsychires.2025.10.070
Chi, J., Liu, N., Tian, T., Jiang, Q., Lu, C., Li, Y., Zhang, X., Wang, L., & Li, S. (2024). Sex differences in loneliness, social isolation, and their impact on psychiatric symptoms and cognitive functioning in schizophrenia. BMC Psychiatry, 24. https://doi.org/10.1186/s12888-024-06333-7
Chieh-An, S. H. I. H., & Man-Hua, Y. (2023). Effect of animal-assisted therapy (AAT) on social interaction and quality of life in patients with schizophrenia during the COVID-19 pandemic: An experimental study. Asian Nursing Research, 17, 37–43. https://doi.org/10.1016/j.anr.2023.01.002
Fulford, D., & Holt, D. (2023). Social withdrawal, loneliness, and health in schizophrenia: Psychological and neural mechanisms. Schizophrenia Bulletin. https://doi.org/10.1093/schbul/sbad099
Granholm, E., Mueser, K. T., Holden, J., Worley, M., Sommerfeld, D., Perivoliotis, D., Ehret, B., Pillny, M., & Aarons, G. A. (2025). Enhancing assertive community treatment with cognitive behavioral social skills training for schizophrenia: Primary outcomes in a pragmatic randomized-controlled trial. Schizophrenia Bulletin. https://doi.org/10.1093/schbul/sbaf084
Hajek, A., Gyasi, R., Pengpid, S., Peltzer, K., Kostev, K., Soysal, P., Smith, L., Jacob, L., Veronese, N., & König, H. (2025). Prevalence of loneliness and social isolation amongst individuals with severe mental disorders: A systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 34. https://doi.org/10.1017/s2045796025000228
Handest, R., Mølstrøm, I.-M., Henriksen, G. M., Hjorthøj, C., & Nordgaard, J. (2023). A systematic review and meta-analysis of the association between psychopathology and social functioning in schizophrenia. Schizophrenia Bulletin. https://doi.org/10.1093/schbul/sbad075
Herdman, T. H., & Kamitsuru, S. (2018). NANDA International nursing diagnoses: Definitions and classification 2018–2020. Thieme Medical Publishers.
Holanda, D. F., Cavalcante, D. V., Zamora, F., Galvão, L., Santos, A. C., Zamora, A. V., Balio, N. Y. D. S., Barreiro, T., & Simões, G. (2025). Systematic review and meta-analysis of cognitive behavioral social skills training for schizophrenia. European Psychiatry, 68, S1060–S1060. https://doi.org/10.1192/j.eurpsy.2025.2145
Jester, D. J., Thomas, M. L., Sturm, E. T., Harvey, P. D., Keshavan, M., Davis, B. J., Saxena, S., Tampi, R., Leutwyler, H., Compton, M. T., Palmer, B., & Jeste, D. (2023). Review of major social determinants of health in schizophrenia-spectrum psychotic disorders: I. Clinical outcomes. Schizophrenia Bulletin. https://doi.org/10.1093/schbul/sbad023
Kawatake-Kuno, A., Leventhal, M. B., & Morishita, H. (2025). Impact of early social isolation on social circuits and behavior: Relevance to schizophrenia. Neuropsychopharmacology, 51, 46–56. https://doi.org/10.1038/s41386-025-02156-6
Keliat, B. A., & Akemat. (2019). Model praktik keperawatan profesional jiwa. EGC.
Lim, E., & Lee, S. Y. (2025). The effects of group integrative arts therapy based on social skill training on the social adaptive function, empowerment and subjective well-being in inpatients with chronic schizophrenia. European Psychiatry, 68, S789–S790. https://doi.org/10.1192/j.eurpsy.2025.1605
Lu, E., Cheng, A. S. K., Tsang, H., Chen, J., Leung, S., Yip, A., Lin, J., Lam, Z. V., Zhang, W., Zhao, M., & N. (2022). Psychoeducation, motivational interviewing, cognitive remediation training, and/or social skills training in combination for psychosocial functioning of patients with schizophrenia spectrum disorders. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.899840
Mosolov, S., & Yaltonskaya, P. A. (2022). Primary and secondary negative symptoms in schizophrenia. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.766692
Muryani, R. D., & Pratiwi, N. L. (2020). Efektivitas terapi aktivitas kelompok: Berkenalan terhadap kemampuan sosialisasi pasien skizofrenia. Jurnal Keperawatan Jiwa, 8(1), 33–40.
Pardede, J. A., & Ramadia, A. (2021). The ability to interact with schizophrenic patients through socialization group activity therapy. International Journal of Contemporary Medicine. https://doi.org/10.37506/ijocm.v9i1.2925
Pillny, M., Holden, J., Devoe, D., Link, P., & Granholm, E. (2026). Effect of cognitive behavioral social skills training on functioning in schizophrenia: Protocol for an individual participant data meta-analysis of randomized-control trials. Systematic Reviews, 15. https://doi.org/10.1186/s13643-026-03124-x
Sakti, D. W., Yosep, I., & Maulana, I. (2023). Social skills training therapy to reduce symptoms of social isolation in affective schizophrenia patients: A case study. SENTRI: Jurnal Riset Ilmiah. https://doi.org/10.55681/sentri.v2i7.1138
Schutt, R., Xi, H., Mueser, K., Killam, M. A., Delman, J., Eack, S., Mesholam-Gately, R., Pratt, S., Sandoval, L. R., Santos, M. M., Golden, L. R., & Keshavan, M. (2022). Cognitive enhancement therapy vs social skills training in schizophrenia: A cluster randomized comparative effectiveness evaluation. BMC Psychiatry, 22. https://doi.org/10.1186/s12888-022-04149-x
Stuart, G. W. (2013). Principles and practice of psychiatric nursing (10th ed.). Elsevier Mosby.
Thelwell, E., Dunkerley, L., Goodwin, R., & Giacco, D. (2024). Effectiveness of online social networking interventions on social isolation and quality of life of people with psychosis: A systematic review. Psychiatry Research, 339, 116088. https://doi.org/10.1016/j.psychres.2024.116088
World Health Organization. (2022). World mental health report: Transforming mental health for all. WHO Press.
Wuryandari, A. A., & Ibad, M. R. (2025). Application of group activity therapy in improving social interaction skills in patients with social isolation at UPT Bina Laras Pasuruan. Jurnal Kesehatan dan Kedokteran. https://doi.org/10.56127/jukeke.v5i1.2397
Xu, M., Gao, D., Hu, A., Qian, H., Hao, Y., Yan, Y., Gu, L., Song, C., & Zhu, N. (2025). Social isolation and its influencing factors among family caregivers of individuals with schizophrenia: A social-ecological systems theory perspective. Schizophrenia Research, 285, 30–38. https://doi.org/10.1016/j.schres.2025.09.005
Yeo, H., Yoon, S., Lee, J., Kurtz, M., & Choi, K.-H. (2021). A meta-analysis of the effects of social-cognitive training in schizophrenia: The role of treatment characteristics and study quality. The British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12320
Yu, B., Sun, Z., Li, S., Chien, I.-C., Ku, P.-W., & Chen, L.-J. (2024). Social isolation and cognitive function in patients with schizophrenia: A two-year follow-up study. Schizophrenia Research, 267, 150–155. https://doi.org/10.1016/j.schres.2024.03.035
Zhao, W., Zhang, Y., Yao, X., Yin, M., & Zhang, T. (2024). Effect of social skill training on social function in patients with schizophrenia. Journal of Clinical and Nursing Research. https://doi.org/10.26689/jcnr.v8i10.8671
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