Department of Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Department of Psychiatry, Osaki Citizen Hospital, Osaki, Miyagi, Japan.
BMC Psychiatry. 2021 Jul 8;21(1):340. doi: 10.1186/s12888-021-03347-3.
This study aimed to investigate whether personal recovery indices in individuals with psychotic disorders would change through hospitalisation in a psychiatric ward and to identify factors associated with these changes.
Participants underwent assessments for personal recovery using the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery Part A and B; clinical symptoms using the Positive And Negative Syndrome Scale; self-efficacy using the General Self-Efficacy Scale; and self-esteem using the Rosenberg Self-Esteem Scale at baseline and before hospital discharge. Wilcoxon signed-rank tests were administered for longitudinal comparisons between baseline and follow-up. Spearman's rank correlation tests were conducted to assess correlations of longitudinal changes in personal recovery with baseline values of personal recovery as well as baseline values or changes in the Positive And Negative Syndrome Scale, General Self-Efficacy Scale, and Rosenberg Self-Esteem Scale.
Thirty-four individuals with psychotic disorders completed the assessments. The average duration of the current hospitalisation was 81.9 days (SD, 15.3; median, 85.0; range, 51-128 days). No significant changes were observed in personal recovery, self-efficacy, and self-esteem, although clinical symptoms significantly improved. Significant correlations were found between positive changes in the Recovery Assessment Scale and improvements in negative symptoms; between positive changes in the General Self-Efficacy Scale and those in personal recovery assessed with the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery part A; and between positive changes in the Rosenberg Self-Esteem Scale and those in the Self-Identified Stage of Recovery part B.
This study revealed longitudinal relationships between changes in personal recovery and amelioration of negative symptoms or enhancement of self-efficacy and self-esteem through moderate length of hospitalisation in individuals with psychotic disorders. Considering the small sample size in this study, further studies with a larger sample size are needed to confirm the present finding.
The protocol of this study is registered in the UMIN Clinical Trials Registry (UMIN-CTR; ID: UMIN000035131 ).
本研究旨在探讨精神病患者在精神科病房住院期间个人康复指标是否会发生变化，并确定与这些变化相关的因素。
参与者在基线和出院前使用康复过程问卷、康复评估量表、自我识别康复阶段 A 和 B、阳性和阴性症状量表、一般自我效能感量表和罗森伯格自尊量表进行个人康复评估；采用正负症状量表、一般自我效能感量表和罗森伯格自尊量表对临床症状、自我效能感和自尊进行评估。采用 Wilcoxon 符号秩检验对基线和随访之间的纵向比较进行分析。采用 Spearman 秩相关检验评估个人康复的纵向变化与个人康复的基线值以及正负症状量表、一般自我效能感量表和罗森伯格自尊量表的基线值或变化之间的相关性。
34 名精神病患者完成了评估。本次住院的平均时间为 81.9 天（标准差 15.3；中位数 85.0；范围 51-128 天）。虽然临床症状明显改善，但个人康复、自我效能感和自尊均未发生显著变化。康复评估量表的阳性变化与阴性症状的改善之间、一般自我效能感量表的阳性变化与康复过程问卷、康复评估量表和自我识别康复阶段 A 的个人康复评估之间、罗森伯格自尊量表的阳性变化与自我识别康复阶段 B 之间均存在显著相关性。
本研究揭示了精神病患者个人康复变化与负面症状改善或自我效能和自尊增强之间的纵向关系，这是通过中度住院时间实现的。考虑到本研究样本量较小，需要进一步进行更大样本量的研究来证实本研究结果。
本研究方案在日本临床试验注册中心（UMIN-CTR；注册号：UMIN000035131）注册。
