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严重精神疾病患者的社区参与、康复与生活质量关系的实证研究

An Empirical Study of the Relationship Between Community Participation, Recovery, and Quality of Life of Individuals with Serious Mental Illnesses.

作者信息

Burns-Lynch Bill, Brusilovskiy Eugene, Salzer Mark S

机构信息

Department of Rehabilitation Sciences, Temple University, Philadelphia, Pennsylvania, U.S.A.

出版信息

Isr J Psychiatry Relat Sci. 2016;53(1):46-54.

Abstract

BACKGROUND

Recovery and quality of life are key outcomes emphasized in mental health systems around the world. This study explores the extent to which efforts to facilitate community participation may enhance these outcomes.

METHODS

Six hundred and six individuals with serious mental illnesses completed measures of participation, recovery and quality of life.

RESULTS

Small, but statistically significant positive relationships between community participation and recovery and quality of life were found. Additional analyses identified specific participation areas that, if they are important and done sufficiently from the perspective of the respondent, resulted in higher levels of recovery and quality of life.

LIMITATIONS

Correlational analyses do not allow for causal explanations.

CONCLUSIONS

Results suggest that a greater emphasis on community participation, especially in specific areas that are important to the person and done sufficiently, may facilitate recovery and quality of life in community mental health systems. Implications and possible directions for policies and practices, especially within the context of Psychiatric Rehabilitation services, are offered.

摘要

背景

康复和生活质量是全球心理健康系统所强调的关键成果。本研究探讨了促进社区参与的努力在多大程度上可能提升这些成果。

方法

606名患有严重精神疾病的个体完成了关于参与度、康复和生活质量的测量。

结果

发现社区参与与康复及生活质量之间存在虽小但在统计学上显著的正相关关系。进一步分析确定了特定的参与领域,从受访者的角度来看,如果这些领域重要且参与充分,则会带来更高水平的康复和生活质量。

局限性

相关分析无法进行因果解释。

结论

结果表明,更加强调社区参与,尤其是在对个人重要且参与充分的特定领域,可能会促进社区心理健康系统中的康复和生活质量。文中还提供了对政策和实践的启示以及可能的方向,特别是在精神康复服务背景下。

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