Role of Leisure in Recovery From Mental Illness
Role of Leisure in Recovery From Mental Illness
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DOI：
10.1080/15487768.2014.909683
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Koons, Glenn
中科院分区：
文献类型：
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作者：
Iwasaki, Yoshitaka;Coyle, Catherine;Koons, Glenn
本研究在康复、积极心理学和健康促进观点的概念支持下，探讨了休闲在不同文化背景的精神疾病患者康复和健康中的作用。对黑人（n = 35）、西班牙裔/拉丁裔（n = 28）、白色（n = 28）和亚裔（n = 8）精神疾病成人（年龄在23 - 78岁之间）（N = 101）进行了一对一调查访谈。样本中有各种精神健康诊断（例如，双相情感障碍，n = 32;重性抑郁症，n = 23;精神分裂症，n = 22）。回归分析估计休闲变量对恢复，健康和精神症状的预测作用。研究结果强调了以下方面的重要性：（a）精神疾病患者从休闲中获得的意义（例如，联系/归属、身份、自由/自主）（即，通过休闲创造意义）和（B）对抗或减少无聊感的休闲机会（即，无聊减少休闲），因为这两者都是恢复的重要预测因素。此外，积极参与/参与的感觉更强（即，积极的生活）是恢复和整体身心健康的一个重要预测因素，精神病症状较少，因此休闲可能为追求积极的生活提供了一个关键背景。此外，休闲的使用既用于应对压力（即，通过休闲应对压力）和减少无聊显着预测较少的精神症状。研究结果强调，需要考虑精神疾病患者从休闲中获得的经验、感受/情绪和意义，而不仅仅是休闲的行为形式（即，休闲活动）本身，尊重精神疾病患者的文化多样性。
Conceptually supported by recovery, positive psychology, and health promotion perspectives, this study explored the role of leisure in recovery and health among culturally diverse individuals with mental illness. One-on-one survey interviews were conducted with Black (n = 35), Hispanic/Latino (n = 28), White (n = 28), and Asian (n = 8) adults (aged between 23 and 78) with mental illness (N = 101). A variety of mental health diagnoses were represented in the sample (e.g., bipolar disorder, n = 32; major depression, n = 23; schizophrenia, n = 22). Regression analyses were performed to estimate the predictive effects of leisure variables on recovery, health, and psychiatric symptoms. The findings emphasize the importance of: (a) meanings that persons with mental illness gain from leisure (e.g., connection/belonging, identity, freedom/autonomy) (i.e., meaning making via leisure) and (b) leisure opportunities to fight against or reduce perceptions of boredom (i.e., boredom reduction in leisure) as both of these were significant predictors of recovery. Also, a greater perception of being actively engaged/involved (i.e., perceivedactive living) was a significant predictor of recovery and overall physical and mental health and less frequent psychiatric symptoms, whereby leisure potentially provides a key context for the pursuit of active living. Furthermore, the use of leisure both for coping with stress (i.e., stress coping via leisure) and reducing boredom significantly predicted fewer psychiatric symptoms. The findings highlight the need to consider the experiences, feelings/emotions, and meanings that people with mental illness gain from leisure beyond simply behavioral forms of leisure (i.e., leisure activities) per se by respectfully appreciating the cultural diversity of people with mental illness.