What matters: Factors impacting the recovery process among outpatient mental health service users.
What matters: Factors impacting the recovery process among outpatient mental health service users.
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DOI：
10.1037/prj0000407
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发表时间：
2021-03
影响因子：
1.9
通讯作者：
Lincoln AK
中科院分区：
文献类型：
--
作者：
Garverich S;Prener CG;Guyer ME;Lincoln AK
了解促进和阻碍严重精神疾病患者康复过程的因素仍然至关重要。我们研究的因素，包括有限的识字，与公共精神卫生服务用户之间的精神健康恢复。这项研究使用的数据来自一个混合方法，服务用户知情的项目，重点是有限的识字能力在严重精神疾病患者的生活中的影响。从结构化访谈的数据评估的恢复评估量表（RAS）评估的恢复的看法。回归模型检查与恢复相关的因素，控制社会人口因素，识字，神经认知，心理健康状况和感知的社会支持。尽管RAS和有限的识字率之间的双变量关系，完整的模型表明，其他因素占这种关系。这些因素包括心理健康状况、较高的社会支持、较高的自我报告社区地位和较高的污名意识，以及某些模特的种族。我们的研究结果表明，社会支持和社区地位的看法与较高的分数RAS回声先前的工作表明，社会联系和背景在心理健康恢复的重要性。虽然识字率不是恢复的预测指标，但鉴于关于识字率对健康成果的影响的文献很多，进一步的研究应审查识字率与恢复之间的关系。为了更好地支持人们在恢复过程中，重要的是，做更多的研究，以检查耻辱意识和恢复之间的复杂关系，以及了解种族差异，存在于恢复分量表。
Understanding factors that promote and hinder the recovery process for people living with serious mental illness remains of critical importance. We examine factors, including limited literacy, associated with mental health recovery among public mental health service users. This study uses data from a mixed-methods, service-user informed project focused on the impact of limited literacy in the lives of people with serious mental illness. Data from structured interviews evaluate perceptions of recovery as assessed with the Recovery Assessment Scale (RAS). Regression models examine factors related to recovery controlling for sociodemographic factors, literacy, neurocognition, mental health status, and perceived social support. Despite bivariate relationships between RAS and limited literacy, the full models suggest that other factors account for this relationship. These include mental health status, higher social support, higher self-reported community status, and higher stigma consciousness, as well as race for some models. Our findings that social support and perceptions of community status are associated with higher scores on the RAS echo prior work demonstrating the importance of social connection and context in mental health recovery. Though literacy was not a predictor of recovery, further research should examine the relationship between literacy and recovery given the deep literature on literacy on health outcomes. In order to better support people in the recovery process it is important that more research is done to examine the complex relationship between stigma consciousness and recovery as well as understand the racial disparities that exist within the recovery subscales.
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