Personal recovery in the postdischarge period for individuals with schizophrenia spectrum diagnoses: The role of community integration and social support.

Abstract

Objective: The experience of personal recovery from mental health has been theorized to occur through several pathways. CHIME is a seminal theoretical framework of personal recovery that is widely endorsed by the existing literature. Few studies have examined the utility of the CHIME framework with those experiencing acute challenges in their engagement in the recovery process. The purpose of the present study was to examine part of the CHIME framework for individuals with schizophrenia spectrum diagnoses in the period immediately following hospitalization. Specifically, the impact of social support and community integration on personal recovery was examined. Methods: The present study involved a secondary analysis of a Phase 2 clinical trial. Assessment measures were administered to participants 1-month (n = 82) and 6-months (n = 72) postdischarge from a psychiatric hospital. Hierarchical regression and mediation analyses were conducted to assess the relationship between social support, community integration, and 1-month and 6-month personal recovery. Results: Hierarchical regression analysis indicated that community integration and social support significantly predicted personal recovery. Mediation analyses indicated social support partially accounts for the relationship between community integration and personal recovery at 1- and 6-months postdischarge, providing evidence for social support as a mechanism of personal recovery during this time. Conclusion and Implications for Practice: This quantitative investigation of CHIME highlights the mechanism of social support for individuals who are experiencing acute challenges in their recovery. These findings point to the need for interventions that enhance community integration and social support postdischarge.

The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect

“…The sample size needed for serial mediation was calculated using the Monte Carlo Power Analysis webpage (Schoemann et al., 2017). Referencing the correlation coefficients reported in previous studies, the correlation coefficients between self‐stigma and social support, between self‐stigma and perceived hope, between self‐stigma and perceived recovery, between social support and perceived hope, between social support and perceived recovery, and between perceived hope and perceived recovery were set to −.353 (Li et al., 2021), −0.582 (Lim et al., 2020), 0.560 (Lim et al., 2020), 0.219 (Mutschler et al., 2022), and 0.641 (Sari et al., 2021), respectively; referencing previous relevant studies that used the tools expected to be employed in this study, the standard deviations for self‐stigma, social support, perceived hope and perceived recovery were set to 10.83 (Lin et al., 2022), 15.48 (Prabhakaran et al., 2021), 5.02 (Lim et al., 2020), and 9.04 (Yang & Lo, 2017), respectively. The calculation by the webpage indicated that when the sample size was 110, the power was 0.97.…”