IRCCS Istituto Centro San Giovanni Di Dio Fatebenefratelli, Brescia, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
BMC Psychiatry. 2023 Nov 13;23(1):834. doi: 10.1186/s12888-023-05307-5.
Personal recovery is associated with socio-demographic and clinical factors, and gender seems to influence the recovery process. This study aimed to investigate: i) differences in the recovery goals of men and women users of a community mental health service in Italy; ii) any differences by gender in recovery over six months using the Mental Health Recovery Star (MHRS).
Service users and staff completed the MHRS together at recruitment and six months later to agree the recovery goals they wished to focus on. Socio-demographic and clinical characteristics and ratings of symptoms (BPRS), needs (CAN), functioning (FPS), and functional autonomy (MPR) were collected at recruitment and six months follow-up. Comparisons between men and women were made using t-tests.
Ten women and 15 men completed the MHRS with 19 mental health professionals. Other than gender, men and women had similar socio-demographic, and clinical characteristics at recruitment. Women tended to choose recovery goals that focused on relationships whereas men tended to focus on work related goals. At follow-up, both men and women showed improvement in their recovery (MHRS) and women were less likely to focus on relationship related goals, perhaps because some had found romantic partners. There were also gains for both men and women in engagement with work related activities. Ratings of functional autonomy (MPR) improved for both men and women, and men also showed improvement in symptoms (BPRS) and functioning (FPS).
Our findings suggest that collaborative care planning tools such as the MHRS can assist in identifying individualized recovery goals for men and women with severe mental health problems as part of their rehabilitation.
个人康复与社会人口统计学和临床因素有关，而性别似乎影响康复过程。本研究旨在调查：i）意大利社区心理健康服务使用者中男性和女性的康复目标差异；ii）使用心理健康康复之星（MHRS）六个月后，性别对康复的任何差异。
服务使用者和工作人员在招募时以及六个月后一起完成 MHRS，以确定他们希望关注的康复目标。在招募和六个月随访时收集社会人口统计学和临床特征以及症状（BPRS）、需求（CAN）、功能（FPS）和功能自主性（MPR）的评分。使用 t 检验比较男性和女性之间的差异。
10 名女性和 15 名男性与 19 名心理健康专业人员一起完成了 MHRS。除了性别之外，男性和女性在招募时具有相似的社会人口统计学和临床特征。女性倾向于选择关注人际关系的康复目标，而男性则倾向于关注与工作相关的目标。在随访时，男性和女性的康复（MHRS）都有所改善，而女性不太可能关注与人际关系相关的目标，也许是因为有些女性找到了浪漫伴侣。男性和女性在与工作相关的活动参与方面也取得了进展。男性和女性的功能自主性（MPR）评分都有所提高，男性的症状（BPRS）和功能（FPS）也有所改善。
我们的发现表明，协作式护理计划工具，如 MHRS，可以帮助确定有严重精神健康问题的男性和女性的个体化康复目标，作为他们康复的一部分。
