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成人在寻求门诊精神科服务中的心理康复及其相关性:来自印度三级保健机构的探索性研究。

Psychological recovery and its correlates in adults seeking outpatient psychiatric services: An exploratory study from an Indian tertiary care setting.

机构信息

Department of Clinical Psychology, NIMHANS, Bangalore, India.

Department of Clinical Psychology, NIMHANS, Bangalore, India.

出版信息

Asian J Psychiatr. 2017 Oct;29:77-82. doi: 10.1016/j.ajp.2017.04.020. Epub 2017 Apr 29.

DOI:10.1016/j.ajp.2017.04.020
PMID:29061433
Abstract

The study was designed to explore psychological recovery and its correlates in adults receiving outpatient mental health services for psychiatric disorders. It specifically aimed at examining the association of psychological recovery with symptomatic and functional recovery and with selected illness and treatment variables. The relationship of psychological recovery with perceived social support was also the focus of inquiry. The study utilized a cross sectional survey design with a sample of 90 participants diagnosed with severe and common mental illness who had been seeking outpatient psychiatric follow up services. The data was collected with the help of both clinician rated and self-rated measures. The study findings suggested that symptomatic, functional and psychological recovery are significantly correlated but not completely overlapping constructs. Nearly 40% of the sampled participants were at the lower stages of psychological recovery, despite the fact that a majority of them were rated by clinicians as having mild or lower severity of symptoms. With respect to socio-demographic variables, a significant association was found between higher levels of education and psychological recovery. The participants with common mental illness were significantly lower on self-reported improvement and higher on moratorium subscale of psychological recovery (as compared to those with severe mental illness), indicating their struggle in dealing with a sense of loss and despair. Findings also suggested that higher levels of overall perceived social support is likely to facilitate psychological recovery.

摘要

本研究旨在探讨接受精神科门诊治疗的成年人的心理康复及其相关因素。具体来说,它旨在研究心理康复与症状和功能康复以及选定的疾病和治疗变量之间的关联。心理康复与感知社会支持之间的关系也是研究的重点。该研究采用横断面调查设计,样本为 90 名被诊断患有严重和常见精神疾病的参与者,他们一直在接受门诊精神病随访服务。数据是通过临床医生评定和自我评定的措施收集的。研究结果表明,症状、功能和心理康复是显著相关的,但不是完全重叠的概念。尽管大多数参与者被临床医生评定为症状轻微或较低,但近 40%的抽样参与者处于心理康复的较低阶段。就社会人口统计学变量而言,较高的教育水平与心理康复呈显著相关。与患有严重精神疾病的参与者相比,患有常见精神疾病的参与者在自我报告的改善方面得分较低,而在心理康复的暂停亚量表上得分较高,这表明他们在应对失落和绝望感方面存在困难。研究结果还表明,较高的整体感知社会支持可能有助于心理康复。

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