Department of Psychology, University of Limerick.
Psychiatr Rehabil J. 2019 Jun;42(2):147-157. doi: 10.1037/prj0000350. Epub 2019 Feb 7.
Recovery is the process through which one learns to overcome, manage, or live with the negative consequences of physical illness, mental illness, alcohol or drug misuse, or trauma. Homeless individuals endure many, or all, of these experiences. Previous research has shown that characteristics of homeless services, particularly the amount of choice they afford to service users, can influence recovery experiences, potentially by increasing a sense of mastery. The purpose of this study was to test the hypothesis that choice in housing and services would predict recovery in a number of domains, and that these relationships would be mediated by mastery.
Using survey data collected from a sample of homeless services users (n = 160) in Ireland, we conducted a series of cross-sectional mediation analyses to predict recovery in domains of physical health, psychiatric symptoms, alcohol and drug use, and community integration.
We observed the hypothesized mediational relationship for each recovery domain except alcohol use. That is, personal mastery mediated the relationship of perceived choice to self-appraised physical health, psychiatric symptoms, drug use, and physical and psychological aspects of community integration, but not alcohol use.
Findings add further support to the growing body of evidence that suggests choice is centrally important to recovery experiences among individuals in homelessness. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
康复是一个人学习克服、管理或适应身体疾病、精神疾病、酒精或药物滥用或创伤等负面后果的过程。无家可归者会经历其中的许多或全部经历。先前的研究表明，无家可归者服务的特点，特别是为服务使用者提供的选择数量，可以影响康复体验，可能会增加掌控感。本研究的目的是检验这样一个假设，即住房和服务选择将预测多个领域的康复，而这些关系将通过掌握感来调节。
我们使用从爱尔兰一组无家可归者服务使用者（n=160）中收集的调查数据，进行了一系列横断面中介分析，以预测身体健康、精神症状、酒精和药物使用以及社区融合等领域的康复。
我们观察到除了酒精使用之外，每个康复领域都存在假设的中介关系。也就是说，个人掌握感调节了感知选择与自我评估的身体健康、精神症状、药物使用以及身体和心理方面的社区融合之间的关系，但与酒精使用无关。
研究结果进一步支持了越来越多的证据，即选择对于无家可归者的康复体验至关重要。
