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以康复为导向的实践中信念的力量:来自STIGMAPRO调查的简要报告

The Power of Beliefs in Recovery-Oriented Practice: A Brief Report from the STIGMAPRO Survey.

作者信息

Valery Kevin-Marc, Felix Simon, Caiada Meryl, Fournier Thomas, Guionnet Sarah, Seguela Adrien, Tison Emma, Violeau Louis, Prouteau Antoinette

机构信息

Univ. Bordeaux, LabPsy, UR 4139, 33000, Bordeaux, France.

proSpairs Association, 33400, Talence, France.

出版信息

Community Ment Health J. 2025 Jan 7. doi: 10.1007/s10597-024-01437-6.

DOI:10.1007/s10597-024-01437-6
PMID:39775431
Abstract

Despite the international incentives and the worldwide development of recovery-oriented policies, it has proven challenging to establish recovery-oriented mental health services that take into account users' subjectivity and perspectives (Slade et al., World Psychiatry 13(1):12-20, 2014. https://doi.org/10.1002/wps.20084 ). The objective of this study was to identify individual beliefs that are correlated with six recovery-oriented practices in schizophrenia among mental health professionals. Seven individual beliefs were examined for their association with each of the aforementioned practices: belief in recovery possibilities, biological beliefs, desire for social distance, perceived similarities, professional utility beliefs, continuum beliefs, and categorical beliefs. The results indicated that belief in the possibility of recovery from schizophrenia and professional efficacy beliefs were the most strongly associated with the six recovery-oriented practices examined. Conversely, there was a negative association between stigma score (desire for social distance) and the six recovery-oriented practices. The remaining four beliefs-biological, perceived similarity, categorical, and continuum-were found to be more weakly associated with recovery-oriented practices. In light of these findings, it is evident that mental health professionals' individual beliefs warrant further consideration in research endeavors aimed at fostering and facilitating the implementation of recovery-oriented practices.

摘要

尽管有国际层面的激励措施以及以康复为导向的政策在全球范围内的发展,但事实证明,要建立考虑到使用者主观性和观点的以康复为导向的心理健康服务具有挑战性(斯莱德等人,《世界精神病学》13(1):12 - 20,2014年。https://doi.org/10.1002/wps.20084 )。本研究的目的是确定心理健康专业人员中与精神分裂症的六种以康复为导向的实践相关的个人信念。研究了七种个人信念与上述每种实践的关联:对康复可能性的信念、生物学信念、社交距离渴望、感知到的相似性、专业效用信念、连续体信念和分类信念。结果表明,对精神分裂症康复可能性的信念和专业效能信念与所研究的六种以康复为导向的实践关联最为紧密。相反,污名得分(社交距离渴望)与六种以康复为导向的实践之间存在负相关。其余四种信念——生物学信念、感知到的相似性、分类信念和连续体信念——与以康复为导向的实践的关联较弱。鉴于这些发现,很明显,在旨在促进和推动以康复为导向的实践实施的研究工作中,心理健康专业人员的个人信念值得进一步考虑。

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本文引用的文献

1
How continuum beliefs can reduce stigma of schizophrenia: The role of perceived similarities.连续统信念如何减少精神分裂症的污名化:感知相似性的作用。
Schizophr Res. 2020 Jun;220:46-53. doi: 10.1016/j.schres.2020.04.014. Epub 2020 Apr 27.
2
A Systematic Review and Meta-analysis of Recovery Educational Interventions for Mental Health Professionals.一项针对心理健康专业人员的康复教育干预的系统评价和荟萃分析。
Adm Policy Ment Health. 2019 Nov;46(6):724-752. doi: 10.1007/s10488-019-00956-9.
3
Exploring the relationships among personality traits, burnout dimensions and stigma in a sample of mental health professionals.
探讨心理健康专业人员样本中人格特质、倦怠维度和污名之间的关系。
Psychiatry Res. 2018 Jun;264:327-333. doi: 10.1016/j.psychres.2018.03.076. Epub 2018 Apr 7.
4
Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems.利用和滥用康复:在精神卫生系统中实施以康复为导向的实践。
World Psychiatry. 2014 Feb;13(1):12-20. doi: 10.1002/wps.20084.
5
Fit for purpose? Validation of a conceptual framework for personal recovery with current mental health consumers.是否适用?对当前心理健康服务使用者个人康复概念框架的验证
Aust N Z J Psychiatry. 2014 Jul;48(7):644-53. doi: 10.1177/0004867413520046. Epub 2014 Jan 10.
6
What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance.在实践中,康复意味着什么?对国际康复导向实践指南的定性分析。
Psychiatr Serv. 2011 Dec;62(12):1470-6. doi: 10.1176/appi.ps.001312011.