Variability in community functioning of mothers with serious mental illness.
Variability in community functioning of mothers with serious mental illness.
复制标题
患有严重精神疾病的母亲的社区功能存在差异。
DOI：
10.1007/bf02287317
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Lewandowski,Lisa
中科院分区：
文献类型：
--
作者：
Bybee,Deborah;Mowbray,CarolT;Oyserman,Daphna;Lewandowski,Lisa
在后去机构化时代，日常社区功能是评估和治疗严重精神疾病患者的一个重要方面。目前的研究集中在332名患有严重精神疾病的低收入母亲的社区功能的相关性上。结果显示，日常功能与许多人口统计学、精神病学、环境和心理健康治疗变量之间存在显著关系。目前的精神症状占最大的方差，并完全介导诊断和药物滥用史对社区功能的影响；然而，即使在控制了症状和其他临床特征之后，经济担忧和社会支持等背景变量也是重要的预测因素。此外，心理健康服务的使用是社会压力对社区功能影响的显著调节因素。讨论了研究结果对未来研究和实践的意义。
In thepost-deinstitutionalizationera, everyday community functioning is an important aspect of assessment and treatment of individuals with serious mental illness. The current study focuses on correlates of community functioning among 332 low-income mothers with serious mental illness. Results revealed significant relationships between everyday functioning and a number of demographic, psychiatric, contextual, and mental health treatment variables. Current psychiatric symptoms accounted for the greatest amount of variance and completely mediated the effects of diagnosis and substance abuse history on community functioning; yet contextual variables such as financial worries and social support were also significant predictors, even after controlling for symptoms and other clinical characteristics. Additionally, use of mental health services was a significant moderator of the effect of social stress on community functioning. Implications of results for future research and practice are discussed.