Rasmus Paweł, Lipert Anna, Pękala Krzysztof, Timler Małgorzata, Kozłowska Elżbieta, Robaczyńska Katarzyna, Sobów Tomasz, Kozłowski Remigiusz, Marczak Michał, Timler Dariusz
Department of Medical Psychology, Medical University of Lodz, 90-419 Lodz, Poland.
Department of Sports Medicine, Medical University of Lodz, 90-419 Lodz, Poland.
Int J Environ Res Public Health. 2021 Apr 19;18(8):4319. doi: 10.3390/ijerph18084319.
: To examine (a) the amount of health-related behavior, (b) the level of generalized optimism, (c) the belief about patients' abilities to cope with difficult situations and obstacles and (d) the subjective sense of social exclusion at baseline and at follow-up among patients with chronic mental health issues participating in a psychosocial rehabilitation program in a community mental health setting. : This prospective study involved 52 participants aged 18-43 years and diagnosed with mental illness who participated in a 6-month psychosocial rehabilitation program, organized within a special community setting. Different questionnaires were used: the Health-Related Behavior Questionnaire, the Revised Life Orientation Test, the General Self-Efficacy Scale, the Personal Competence Scale and a self-made questionnaire concerning social exclusion problems. : Statistical analysis of the questionnaire results taken at the beginning and end of the six-month course, running from November 2015 to May 2016, revealed significant increases in health-related behavior ( = 0.006) and general self-efficacy ( = 0.01). Psychosocial rehabilitation programs offered by community mental health settings might serve as an easy, accessible strategy to deal with different interpersonal and intrapersonal problems and as a potential way to improve health behavior. Further research is required to evaluate other psychosocial rehabilitation programs in different community mental health settings in Lodz Voivodeship, Poland.
研究参与社区心理健康环境下心理社会康复项目的慢性心理健康问题患者在基线和随访时（a）与健康相关行为的数量、（b）总体乐观水平、（c）对患者应对困难情况和障碍能力的信念以及（d）社会排斥的主观感受。
这项前瞻性研究纳入了52名年龄在18 - 43岁之间且被诊断患有精神疾病的参与者，他们参与了在一个特殊社区环境中组织的为期6个月的心理社会康复项目。使用了不同的问卷：与健康相关行为问卷、修订后的生活取向测试、一般自我效能量表、个人能力量表以及一份关于社会排斥问题的自制问卷。
对2015年11月至2016年5月这六个月课程开始和结束时所采集的问卷结果进行统计分析，结果显示与健康相关行为（p = 0.006）和一般自我效能（p = 0.01）有显著增加。社区心理健康环境提供的心理社会康复项目可能是应对不同人际和个人问题的一种简便、易获取的策略，也是改善健康行为的一种潜在方式。需要进一步研究以评估波兰罗兹省不同社区心理健康环境中的其他心理社会康复项目。
