Grealish Annmarie, Tai Sara, Hunter Andrew, Emsley Richard, Murrells Trevor, Morrison Anthony P
Florence Nightingale Faculty of Nursing and Midwifery, King's College London, UK.
School of Psychological Sciences, University of Manchester, UK.
Psychol Psychother. 2017 Sep;90(3):314-335. doi: 10.1111/papt.12111. Epub 2016 Dec 30.
There is consensus that empowerment is key to recovery from mental health problems, enabling a person to take charge of their life and make informed choices and decisions about their life. However, little is known about the mechanisms through which empowerment affects mental health in young people. The current study involved young people aged 16-29 years and examined empowerment as a potential mediator of the relationship between psychological factors (psychosocial, cognition, coping, and control) and mental health, well-being, and recovery from personal problems.
A cross-sectional, Internet-based questionnaire study recruited 423 young people aged between 16 and 29 attending universities in England (n = 336) and Ireland (n = 87). Psychological factors, mental well-being, empowerment, and recovery from personal problems were measured using self-report measures.
Mediation analysis in both the single and one over-arching mediator models revealed that empowerment mediates the relationship between psychological factors (psychosocial, self-efficacy, thinking style, coping, and control) and mental health, well-being, and recovery from general life problems.
This study demonstrates the importance of empowerment, showing that it mediates the relationship between psychological processes and mental health, well-being, and recovery in young people. Clinical implications for working with young people within mental health services, and facilitating their empowerment are discussed.
Empowerment is currently a poorly defined concept. This study demonstrates how empowerment mediates the relationship between psychological processes and mental health, well-being, and recovery in young people. Clinicians working with young people might benefit from a structured means of understanding and assessing the different ways in which individuals manage their thinking styles. Empowerment in young people is influenced by the manner in which clinicians facilitate them in establishing social networks in support of employment, education, family/social relations and to encourage young people to take an assertive role in their own care.
人们普遍认为，赋权是从心理健康问题中恢复的关键，它能使一个人掌控自己的生活，并对自己的生活做出明智的选择和决定。然而，对于赋权影响年轻人心理健康的机制，我们知之甚少。当前的研究涉及16至29岁的年轻人，并将赋权作为心理因素（社会心理、认知、应对和控制）与心理健康、幸福感以及从个人问题中恢复之间关系的潜在中介因素进行了研究。
一项基于网络的横断面问卷调查研究招募了423名年龄在16至29岁之间、就读于英格兰（n = 336）和爱尔兰（n = 87）大学的年轻人。使用自我报告量表测量心理因素、心理健康、赋权以及从个人问题中恢复的情况。
单中介模型和总体中介模型的中介分析均显示，赋权在心理因素（社会心理、自我效能感、思维方式、应对和控制）与心理健康、幸福感以及从一般生活问题中恢复之间起中介作用。
本研究证明了赋权的重要性，表明它在年轻人的心理过程与心理健康、幸福感以及恢复之间起中介作用。讨论了在心理健康服务中与年轻人合作并促进他们赋权的临床意义。
赋权目前是一个定义不明确的概念。本研究展示了赋权如何在年轻人的心理过程与心理健康、幸福感以及恢复之间起中介作用。与年轻人打交道的临床医生可能会从一种结构化的方式中受益，这种方式有助于理解和评估个体管理其思维方式的不同方式。年轻人的赋权受到临床医生帮助他们建立支持就业、教育、家庭/社会关系的社会网络的方式的影响，并鼓励年轻人在自己的护理中发挥积极作用。
