Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis

Roosenschoon, Bert-Jan; Kamperman, Astrid M.; Deen, Mathijs; Weeghel, Jaap van; Mulder, Cornelis L.

doi:10.1371/journal.pone.0222378

Cited by 37 publications

(30 citation statements)

References 53 publications

(64 reference statements)

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“…Also consistent with the literature, functioning was found to be predictive of personal recovery (11,50). One explanation may be that functioning and personal recovery represent two mutually exclusive, but complementary aspects of recovery (51).…”

Section: Discussionsupporting

confidence: 83%

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Xiao

Yang

et al. 2020

Front. Psychiatry

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Objective: The past few decades have seen an evolution in the understanding of recovery from a clinical-based view that focuses on symptoms and functioning to a more consumer-oriented perspective that focuses on personal recovery. The present study aimed to assess personal recovery among people living with schizophrenia and determine its predictors.Methods: This cross-sectional study recruited a random sample of 400 people living with schizophrenia (PLS) from twelve community health centers of Hunan, China. Recovery was assessed using the short-form 8-item Recovery Assessment Scale (RAS-8). PLS disability and functioning were assessed using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Global Assessment of Functioning (GAF), respectively.Results: Participants had a mean personal recovery score of 20.29 (SD: 9.31, Range: 8–40). Personal recovery was predicted by both socio-demographic and clinical characteristics. Older age (r = −0.17, p < 0.001), being female (r = −2.29, p = 0.019), and higher disability (r = −0.22, p < 0.001) were independently associated with worse personal recovery, while having a college education (r = 5.49, p = 0.002), and higher functioning (r = 0.09, p = 0.017) were independently associated with better personal recovery.Conclusion: Interventions to improve recovery among PLS may be best served by reducing the impact of disability and improving functioning, with targeted interventions for individuals who are older, female and less educated in order to increase their likelihood of recovery.

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Section: Discussionsupporting

confidence: 83%

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Xiao

Yang

et al. 2020

Front. Psychiatry

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“…Six studies reported determinants of multiple self-management behaviours, two of which focused on a range of diabetes self-management activities ( 69 , 71 ); the other four reported behaviours including physical activity, healthy eating, reducing risks (smoking cessation and alcohol consumption) ( 57 , 59 , 61 , 65 ). Of the studies that focused on a single behaviour, eleven reported determinants of being active ( 55 , 58 , 63 , 67 , 68 , 70 , 74 , 76 , 78 – 80 , 82 ), seven were about reducing risks [smoking cessation ( 56 , 60 , 62 , 64 , 72 , 73 , 81 ), seeking professional help ( 77 ), alcohol or drug use ( 75 )], and one was about taking medications ( 66 ). Studies reported evidence aligning with a mean of five different MoAs (range 1–14) and there was evidence identified for 21 of 26 MoAs.…”

Section: Resultsmentioning

confidence: 99%

“…Mulligan et al showed that social influences and environmental context and resources were not significantly associated with monitoring in a population with SMI ( 69 ). Reducing risks associated with alcohol and drug use was positively associated with environmental context and resources in one cross-sectional study in people with a range of psychotic and mood disorders and personality disorder ( 75 ). There were more equivocal findings in one other study which found no evidence for a significant association between either environmental context and resources or social influences and reducing risks ( 69 ).…”

Section: Resultsmentioning

confidence: 99%

Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review

et al. 2021

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Behavioural interventions can support the adoption of healthier lifestyles and improve physical health outcomes, but it is unclear what factors might drive success of such interventions in people with serious mental illness (SMI). We systematically identified and reviewed evidence of the association between determinants of physical health self-management behaviours in adults with SMI. Data about American Association of Diabetes Educator's Self-Care Behaviours (AADE-7) were mapped against the novel Mechanisms of Action (MoA) framework. Twenty-eight studies were included in the review, reporting evidence on 104 determinant-behaviour links. Beliefs about capabilities and beliefs about consequences were the most important determinants of behaviour, especially for being physically active and healthy eating. There was some evidence that emotion and environmental context and resources played a role in determining reducing risks, being active, and taking medications. We found very limited evidence associated with problem solving, and no study assessed links between MoAs and healthy coping. Although the review predominantly identified evidence about associations from cross-sectional studies that lacked validated and objective measures of self-management behaviours, these findings can facilitate the identification of behaviour change techniques with hypothesised links to determinants to support self-management in people with SMI.Systematic Review Registration: PROSPERO, registration CRD42018099553.

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“…In this study, we investigated several factors that could be related to the changes in personal recovery. Nevertheless, there are other candidate factors related to the changes in personal recovery based on previous findings with cross-sectional relationships [ 31 ]. Affective symptoms have been proved to have stronger effects on personal recovery than positive or negative symptoms [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal changes in personal recovery in individuals with psychotic disorders through hospitalisation in a psychiatric ward: preliminary findings

Mitsunaga-Ohmuro

Ohmuro

2021

BMC Psychiatry

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Background This study aimed to investigate whether personal recovery indices in individuals with psychotic disorders would change through hospitalisation in a psychiatric ward and to identify factors associated with these changes. Methods Participants underwent assessments for personal recovery using the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery Part A and B; clinical symptoms using the Positive And Negative Syndrome Scale; self-efficacy using the General Self-Efficacy Scale; and self-esteem using the Rosenberg Self-Esteem Scale at baseline and before hospital discharge. Wilcoxon signed-rank tests were administered for longitudinal comparisons between baseline and follow-up. Spearman’s rank correlation tests were conducted to assess correlations of longitudinal changes in personal recovery with baseline values of personal recovery as well as baseline values or changes in the Positive And Negative Syndrome Scale, General Self-Efficacy Scale, and Rosenberg Self-Esteem Scale. Results Thirty-four individuals with psychotic disorders completed the assessments. The average duration of the current hospitalisation was 81.9 days (SD, 15.3; median, 85.0; range, 51–128 days). No significant changes were observed in personal recovery, self-efficacy, and self-esteem, although clinical symptoms significantly improved. Significant correlations were found between positive changes in the Recovery Assessment Scale and improvements in negative symptoms; between positive changes in the General Self-Efficacy Scale and those in personal recovery assessed with the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery part A; and between positive changes in the Rosenberg Self-Esteem Scale and those in the Self-Identified Stage of Recovery part B. Conclusion This study revealed longitudinal relationships between changes in personal recovery and amelioration of negative symptoms or enhancement of self-efficacy and self-esteem through moderate length of hospitalisation in individuals with psychotic disorders. Considering the small sample size in this study, further studies with a larger sample size are needed to confirm the present finding. Trial registration The protocol of this study is registered in the UMIN Clinical Trials Registry (UMIN-CTR; ID: UMIN000035131).

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Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis

Cited by 37 publications

References 53 publications

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review

Longitudinal changes in personal recovery in individuals with psychotic disorders through hospitalisation in a psychiatric ward: preliminary findings

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