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社区居住精神残疾者的康复及其相关因素。

Recovery of people with psychiatric disabilities living in the community and associated factors.

机构信息

Department of Healthcare Administration, I-Shou University, 8 Yida Road,Yanchao District, Kaohsiung City, Taiwan.

出版信息

Psychiatr Rehabil J. 2013 Jun;36(2):80-5. doi: 10.1037/h0094975. Epub 2013 May 6.

Abstract

OBJECTIVE

Consumer-oriented recovery has been discussed for more than two decades in the mental health field. Although there some qualitative recovery studies have shown important findings, few quantitative studies of this concept currently exist. This study examined the relationship between recovery and associated social-environmental and individual factors.

METHOD

A total of 159 people with psychiatric disabilities receiving services from a large community mental health agency participated in the study. Participants completed a self-report survey that assessed individual recovery status, social support, perceived recovery-oriented service quality, psychiatric symptoms, and demographics. One hundred twenty-four surveys were analyzed. Hierarchical multiple regression analysis was conducted to examine the relationship between recovery and associated factors.

RESULTS

Social support and perceived recovery-oriented service quality had significant positive relationships with recovery; psychiatric symptoms had a significant negative relationship with recovery. The final regression model accounted for 58% of the variance in recovery, F(9, 114) = 17.72, p < .001.

CONCLUSION AND IMPLICATIONS FOR PRACTICE

Social-environmental factors play an important role in people's recovery, even after taking into account psychiatric symptoms. Namely, people with psychiatric disabilities can pursue recovery with symptoms as long as they receive appropriate support and services. Mental health professionals should provide services adhering to recovery principles in order to help their clients achieve personal recovery.

摘要

目的

消费者导向的康复在心理健康领域已经讨论了二十多年。尽管一些定性的康复研究已经显示出重要的发现,但目前关于这一概念的定量研究很少。本研究考察了康复与相关社会环境和个体因素之间的关系。

方法

共有 159 名在大型社区心理健康机构接受服务的精神残疾人士参与了这项研究。参与者完成了一份自我报告调查,评估了个人的康复状况、社会支持、感知的康复导向服务质量、精神症状和人口统计学特征。对 124 份问卷进行了分析。采用分层多元回归分析来检验康复与相关因素之间的关系。

结果

社会支持和感知的康复导向服务质量与康复呈显著正相关;精神症状与康复呈显著负相关。最终的回归模型解释了康复方差的 58%,F(9, 114)=17.72,p<.001。

结论和对实践的启示

社会环境因素在人们的康复中起着重要作用,即使考虑到精神症状也是如此。也就是说,只要精神残疾人士得到适当的支持和服务,他们就可以在有症状的情况下追求康复。心理健康专业人员应该提供符合康复原则的服务,以帮助他们的客户实现个人康复。

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