New endeavors, risk taking, and personal growth in the recovery process: findings from the STARS study.
New endeavors, risk taking, and personal growth in the recovery process: findings from the STARS study.
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恢复过程中的新努力、冒险和个人成长：STARS 研究的结果。
DOI：
10.1176/ps.2008.59.12.1430
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Estroff,SueE
中科院分区：
文献类型：
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作者：
Young,AndrewT;Green,CarlaA;Estroff,SueE
这项研究调查了消费者对个人成长相关风险在恢复过程中的作用以及临床医生在患者决定采取新活动和机会时的作用的看法。引用的患者作为最有帮助的临床方法，使显着的变化也identified.MethodsA共177名成员的一个非营利性的健康计划（93名妇女和85名男子），年龄从16岁到84岁不等，参加了一个混合方法的探索性研究中的个人与严重的精神疾病（精神分裂症，双相情感障碍，情感性精神病）的恢复。参与者在24个月内完成了四次深入的半结构化访谈;访谈由研究人员逐字转录并编码。数据进行了分析，使用修改后的扎根理论approach.ResultsThe最有帮助的讨论有关新的努力发生在健康，协作，相互信任的临床医生与患者的关系的背景下。当临床医生认真倾听，了解患者的能力和兴趣，并以患者舒适的速度轻轻推动时，建议被接受。临床医生在与患者的良好关系的背景下获得的知识为接近微妙的平衡提供了坚实的基础，这种平衡提供了有益的支持和鼓励水平，而不会使消费者过于努力，从而造成困难。这将有助于减少或减轻责任，并增加以促进而不是危害复苏的方式规划和开展新活动和新机会的可能性。（精神病学服务59：1430-1436，2008）
ObjectiveThis study examined consumers’ perspectives on the role of personal growth–related risk taking in the recovery process and on clinicians’ roles in patients’ decisions to take on new activities and opportunities. Clinical approaches cited by patients as most helpful in making significant changes were also identified.MethodsA total of 177 members of a nonprofit health plan (93 women and 85 men), ranging in age from 16 to 84 years, participated in a mixed-methods exploratory study of recovery among individuals with serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder, and affective psychosis). Participants completed four in-depth semistructured interviews over 24 months; interviews were transcribed verbatim and coded for content by study staff. Data were analyzed using a modified grounded theory approach.ResultsThe most helpful discussions about new endeavors occurred in the context of healthy, collaborative, mutually trusting clinician-patient relationships. Advice was accepted when clinicians listened well, knew patients’ capabilities and interests, and pushed gently at a pace that was comfortable for patients. Knowledge gained by clinicians in the context of good relationships with patients provided a firm grounding for approaching the delicate balance of providing helpful levels of support and encouragement without pushing consumers so hard that it caused difficulties.ConclusionsEnduring, strong, collaborative relationships provide a healthy framework for discussions between patients and clinicians about taking on new activities, roles, or responsibilities and increase the likelihood that new activities and opportunities will be planned and carried out in ways that promote, rather than endanger, recovery.(Psychiatric Services 59: 1430–1436, 2008)