Related Changes in Personal Recovery, Benefit Finding, and Sense of Coherence among People with Chronic Mental Illness: A Two-Wave Study
Related Changes in Personal Recovery, Benefit Finding, and Sense of Coherence among People with Chronic Mental Illness: A Two-Wave Study
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DOI：
10.1080/00223980.2021.1880360
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发表时间：
2021-01-25
影响因子：
2.7
通讯作者：
Funakoshi, Akiko
中科院分区：
文献类型：
--
作者：
Chiba, Rie;Yamazaki, Yoshihiko;Funakoshi, Akiko
个人康复是一个在精神疾病的灾难性影响之外发展新的生活意义和目标的过程。发现好处（BF）的概念是通过逆境的经历发现积极的变化或好处。连贯性感（SOC）关注的是人们如何在逆境中保持健康和幸福。本研究旨在探讨日本慢性精神疾病患者个人恢复、BF和SOC的初始水平与纵向变化之间的关系。本纵向研究采用便利抽样法，于2014年和2015年对20岁及以上的精神疾病服务使用者进行两波自述问卷调查。我们采用了潜在变化评分方法。根据CFI和RMSEA评估模型拟合。在373名基线时符合条件的参与者中，195名参与者在T1和T2均有有效反应（有效反应率= 52.3%）。其中男性占65.6%，平均年龄为45.6岁。三个构式在两个时间点的模型与数据有较好的拟合。个体恢复、BF、SOC的初始水平和变化呈显著正相关。
Personal recovery is a process of developing new meaning and purpose in life beyond the catastrophic effects of mental illness. Benefit finding (BF) is conceptualized as finding positive changes or benefits through experiences in adversity. Sense of coherence (SOC) focuses on how people can stay healthy and maintain well-being, even in adversity. This study aimed to examine the relationships among the initial levels and longitudinal changes in personal recovery, BF, and SOC among people with chronic mental illness in Japan. In this longitudinal study, a two-wave self-report questionnaire survey was conducted for service users aged 20 or older with mental illness using convenience sampling method in 2014 and 2015. We applied the Latent Change Score approach. Model fit was evaluated according to the CFI and RMSEA. Among 373 eligible participants at baseline, valid responses in both T1 and T2 from 195 respondents were included in the study (valid response rate = 52.3%). Among them, 65.6% were male, with average age of 45.6. The model of the three constructs at the two time points had good to reasonable fit to the data. The initial levels and changes in personal recovery, BF, and SOC were significantly and positively related to each other.