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

Yu, Yu; Xiao, Xi; Yang, Min; Ge, Xiaoping; Li, Tongxin; Gui, Cao; Liao, Yingjun

doi:10.3389/fpsyt.2020.602524

Cited by 14 publications

(12 citation statements)

References 46 publications

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“…Functioning (global, social and vocational) were identified as predictors of personal recovery where better functioning at baseline was associated with higher levels of personal recovery at 2 years followup. Kukla et al (2014) also found that perceived socially functioning was the most significant predictor of personal recovery (Kukla et al, 2014) whilst a recent by Yu and colleagues found higher functioning was associated with personal recovery (Yu et al, 2020). The ability to engage in meaningful activity despite having mental health problems has regularly been associated with better prognosis and higher well-being for people with schizophrenia ; (Roosenschoon et al, 2019).…”

Section: Predictors Of Personal and Clinical And Recoverymentioning

confidence: 99%

Investigating personal and clinical recovery processes in people with first episode psychosis

Austin

Hjorthøj

Baagland³

et al. 2021

Early Intervention Psych

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Introduction Schizophrenia is a serious mental illness characterized by a range of symptoms such as distortions in reality, emotional abnormalities and deficits in cognition. Recovery from severe mental illness can be conceptualized in a number of ways. Clinical recovery has a focus on symptoms and functioning whilst personal recovery describes the process of developing new meaning and purpose in life beyond mental illness. Objective This longitudinal study examined the relationship between clinical and personal recovery processes within a group of people with first episode psychosis (FEP) receiving early intervention treatment over a period of up to 2 years. Methods The study sequentially recruited people with FEP that accepted into early intervention treatment. Participants were evaluated at baseline, 12 months and completion of treatment for clinical and personal recovery. Results A total of 51 participants were recruited, completed treatment and assessments. Modest but significant correlations (r = 0.38–0.51) were found between personal recovery and certain aspects of clinical recovery (negative symptoms and functioning). Improvements in functioning (vocational and social activities) predicted both personal and clinical recovery whilst negative symptoms predicted attaining clinical recovery. Reductions in negative symptoms (global, apathy and anhedonia) during treatment were associated with moving towards personal recovery. Psychotic symptoms were not significantly associated with the attainment of clinical or personal recovery. Conclusions Results indicated that clinical and personal recovery are interdependent and complementary processes. Mental health services may need implement interventions that simultaneously target clinical and personal recovery processes in order to meet the treatment needs of people with psychosis.

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Section: Predictors Of Personal and Clinical And Recoverymentioning

confidence: 99%

Investigating personal and clinical recovery processes in people with first episode psychosis

Austin

Hjorthøj

Baagland³

et al. 2021

Early Intervention Psych

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“…Evidence exists of a link between recovery, SWB, insight and functioning and mental disorders (Cannavò et al, 2016 ; Chan et al, 2018 ; Widschwendter et al, 2018 ; Yu et al, 2020 ). However, no previous studies have been known to address the innovative PMH construct and its correlation with this set of positive measures.…”

Section: Introductionmentioning

confidence: 99%

The Mental Health of Patients With Psychotic Disorder From a Positive, Multidimensional and Recovery Perspective

et al. 2022

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Positive mental health (PMH) and mental illness are distinct, yet interrelated, constructs. However, this relationship has yet to be adequately established. We aimed to evaluate the level of PMH and its relationship with sociodemographic and clinical determinants as well as to explore the relationship between PMH and the positive constructs of recovery, subjective wellbeing (SWB), insight and functioning in patients with psychotic disorder. A multicenter, descriptive, cross-sectional and correlational study with a sample of 347 patients with psychotic disorder was conducted. The following assessment instruments were used: Positive Mental Health Questionnaire, Maryland Assessment of Recovery in Serious Mental Illness scale, Insight Scale, Personal Wellbeing Index-Adult version (PWI-A), Overall Life Satisfaction (OLS) and Global Assessment of Functioning scale. The mean global level of PMH was 116.16 (range of 39–156, SD = 19.39). Significant differences were found in PMH in relation to sociodemographic (sex, civil status and employment situation) and clinical variables (family history of mental disorders, number of prescribed antipsychotics, treatment with anxiolytics, treatment with antidepressants and suicide attempts). PMH was significantly and positively correlated with recovery (r = 0.760), SWB (PWI-A: r = 0.728 and OLS: r = 0.602) and functioning (r = 0.243), and negatively with insight (r = −0.335). These results can lead to a major change in mental health care. If actions are taken to increase PMH, then recovery, SWB and functioning will also increase. At the same time, interventions should be carried out to boost insight, since increasing PMH could decrease insight, all resulting in better quality of life for patients with psychotic disorder.

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“…These findings match those of research conducted by Gathaiya, Mwaura, and Wagoro, (2018) (36) that reported that male schizophrenic patients had a double variety of relapses as compared to feminine patients. This may be incompatible with Yu et al (2020) (33) who reported that male was considerably and severally related to higher personal recovery. This discovery calls for more investigation into gender-based recovery studies and the mechanisms underlying the relation between gender and recovery in psychiatric patients.…”

Section: Discussionmentioning

confidence: 62%

“…Along with the same line, Yu et al (2020) (33) conducted a study entitled "personal recovery and its determinants among people living with schizophrenia in China" and found that patients' personal recovery was determined to be relatively low. This finding is in the same line with the results of Iasielloa, Agterena, Keyesd, and Cochrane (2019) (34) concluded that mentally ill patients who maintained the lowest level of positive mental health were less likely to recover from mental illness when compared to those who maintained the highest level of positive mental health.…”

Section: Discussionmentioning

confidence: 96%

“…Specifically, the Recovery percentage was significantly high among schizophrenic patients in this study. This could be explained by the fact that up to half of schizophrenic individuals have positive outcomes and can have a productive and fulfilling life despite their disease (33) . Another rationale is that individuals with schizophrenia now have access to a wide range of pharmacological and psychosocial therapies that may eventually satisfy the unique demands of each patient profile, therefore increasing the probability of successful treatment (42) .…”

Section: Discussionmentioning

confidence: 99%

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Perceived Social Support and Its Effect On Psychiatric Patients' Recovery

Hamza

Berma²,

El-said³

2022

Tanta Scientific Nursing Journal

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Background: Social support is an important element in the recovery of clients with psychiatric disorders. There is a lack of studies investigating the relative impact of factors related to social support. Disentangling these could enhance recovery for psychiatric patients. Aim: The current study intended to explore the relation between perceived social support and recovery among patients with psychiatric disorders. Subjects and Method: Design: A descriptive correlational research design was used. Setting: Port Said Psychiatric Health and Addiction Treatment Hospital. Subjects: The studied subjects compromised 90 patients with psychiatric disorders. Tools: Data were collected by the use of three tools namely, a personal and clinical data questionnaire, a Multidimensional scale of perceived social support, and a Recovery assessment scale domains and stages. Results: Most of the psychiatric patients in this study had low perceived social support. Participants had a mean total recovery score of 76.10 ± 20.08. Conclusion:It can be concluded from the present study that there was a positive statistically significant correlation between perceived social support and recovery for psychiatric patients. Recommendations: Enhancing social support while caring for psychiatric patients is recommended to regain recovery. Further studies are needed to improve recovery for psychiatric patients.

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

Cited by 14 publications

References 46 publications

Investigating personal and clinical recovery processes in people with first episode psychosis

Investigating personal and clinical recovery processes in people with first episode psychosis

The Mental Health of Patients With Psychotic Disorder From a Positive, Multidimensional and Recovery Perspective

Perceived Social Support and Its Effect On Psychiatric Patients' Recovery

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