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希望在精神分裂症患者抑郁与康复关系中的中介作用

Mediating Effect of Hope on the Relationship Between Depression and Recovery in Persons With Schizophrenia.

作者信息

Sari Sri Padma, Agustin Murti, Wijayanti Diyan Yuli, Sarjana Widodo, Afrikhah Umi, Choe Kwisoon

机构信息

Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.

Department of Nursing, Chung-Ang University, Seoul, South Korea.

出版信息

Front Psychiatry. 2021 Feb 9;12:627588. doi: 10.3389/fpsyt.2021.627588. eCollection 2021.

Abstract

Depression and hope are considered pivotal variables in the recovery process of people with schizophrenia. This study examined the moderating effect of depression on the relationship between hope and recovery, and the mediating effect of hope on the relationship between depression and recovery in persons with schizophrenia. The model was tested empirically using the data of 115 persons with schizophrenia from Central Java Province, Indonesia. The Calgary Depression Scale for Schizophrenia, Schizophrenia Hope Scale-9, and Recovery Assessment Scale were used to measure participants' depression, hope, and recovery, respectively. The findings supported the hypothesis that depression moderates the relationship between hope and recovery, and hope mediates the relationship between depression and recovery. The findings suggest that mental health professionals need to focus on instilling hope and reducing depression to help improve the recovery of persons with schizophrenia. Furthermore, mental health professionals should actively develop and implement programs to instill hope and continuously evaluate the effectiveness of the interventions, particularly in community-based and in-patient mental health settings.

摘要

抑郁和希望被视为精神分裂症患者康复过程中的关键变量。本研究考察了抑郁在希望与康复关系中的调节作用,以及希望在抑郁与精神分裂症患者康复关系中的中介作用。该模型使用来自印度尼西亚中爪哇省115名精神分裂症患者的数据进行了实证检验。分别使用精神分裂症卡尔加里抑郁量表、精神分裂症希望量表-9和康复评估量表来测量参与者的抑郁、希望和康复情况。研究结果支持了以下假设:抑郁调节希望与康复之间的关系,且希望中介抑郁与康复之间的关系。研究结果表明,心理健康专业人员需要专注于灌输希望和减轻抑郁,以帮助改善精神分裂症患者的康复情况。此外,心理健康专业人员应积极制定并实施灌输希望的方案,并持续评估干预措施的有效性,特别是在社区和住院心理健康环境中。

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