<![CDATA[Schizophrenia is a chronic mental disorder often accompanied by psychological distress that impacts social functioning and quality of life. Non-pharmacological interventions such as skill-based occupational therapy can be an alternative to help patients manage distress. This study aims to determine the effect of skill-based occupational therapy in the form of beadwork on reducing psychological distress (K-10) levels in schizophrenia patients at the Griya Cinta Kasih Foundation in Jombang. This study employed a pre-experimental design with a one-group pre-test and post-test approach. A sample of 42 respondents was selected using a total sampling technique. The instrument used was the Kessler Psychological Distress Scale (K-10). The intervention was administered over eight sessions. Data analysis used the Wilcoxon signed-ranks test. The results showed that before the intervention, most respondents were in the severe and moderate distress categories. After the intervention, there was a decrease in distress levels, with the majority of respondents moving to the mild distress category and some reaching the low distress category. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of skill-based occupational therapy on reducing psychological distress in patients with schizophrenia. It can be concluded that skill-based occupational therapy, in the form of beadwork, is effective as a non-pharmacological intervention in reducing psychological distress in patients with schizophrenia and can be implemented as part of a psychosocial rehabilitation program.]]>
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