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Recovery model among Chinese people with schizophrenia.

机译：中国精神分裂症患者的康复模式。

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摘要

This study addressed a gap in the research literature on the feasibility of Mental Health Recovery Model in Chinese Community. A sample of 207 Chinese outpatients diagnosed with Schizophrenia, Schizoaffective or schizophreniform disorder was recruited for this study. Participants were invited to complete a survey on health-related quality of life appraisal and the perceived outcome of twelve recovery components. The basic conceptual framework for this investigation was derived from the United States National Consensus Statement on Mental Health Recovery recently released in year 2006. To explore the relationship between multiple recovery components and quality of life domains measured by WHOQOL-BREF (HK), canonical correlation analysis (CCA) and structural equation modeling (SEM) analysis were used. A final canonical correlation score reflected the recovery progress of participants was analyzed by hierarchical regression using eighteen predictors representing the socio-demographic characteristics and clinical history of patients. The results suggested that all recovery components, except peer-support, were associated with the holistic appraisal in quality of life. The final structural model was able to predict 79.4% of variance in the WHOQOL construct, as well as 48% to 86% of variance in individual quality of life domains. As for prediction of prediction of recovery progress, only 31.5% of variance in recovery progress was accountable by the socio-demographic and clinical predictors. Recovery progress was significantly predicted by increasing age, being single, shorter duration of untreated psychosis, higher number of confidants, engaging in competitive job, self-identified home-maker, retiree or full time student, participation in vocational service and engagement in residential rehabilitation services. The results indicated that gender interacts with patients' marital status to influence the trajectory of recovery in people with schizophrenia.;As the first empirical study of the recovery model in a Chinese population, this investigation not only provided preliminary evidence for feasibility of the use of recovery theories in Chinese community, but also validated a theoretical framework for further studies that aims to unfold the nature of mental health recovery in Chinese people with severe mental illness.;Keywords: Recovery, Chinese, Schizophrenia, Quality of life, Structural equation modeling
机译：本研究解决了关于华人社区心理健康恢复模式可行性的研究文献中的空白。本研究招募了207名被诊断为精神分裂症，精神分裂症或精神分裂症患者的中国门诊患者。邀请参与者完成与健康相关的生活质量评估和12个康复组成部分的预期结果的调查。这项研究的基本概念框架来自于2006年最近发布的美国《关于精神健康恢复的国家共识声明》。探讨WHOQOL-BREF（HK）衡量的多种恢复成分与生活质量之间的关系，典型相关性分析（CCA）和结构方程模型（SEM）分析被使用。通过使用代表社会人口学特征和患者临床病史的十八种预测因子的分层回归分析，最终反映出参与者康复进度的典型规范性相关评分。结果表明，除同伴支持外，所有康复成分均与生活质量的整体评估有关。最终的结构模型能够预测WHOQOL构建体中79.4％的变异，以及单个生活质量域中48％至86％的变异。至于预测恢复进展的预测，社会人口统计学和临床​​预测因素仅占恢复进展方差的31.5％。年龄增加，单身，未接受治疗的精神病持续时间短，知己人数增加，从事有竞争性的工作，自认家庭主妇，退休人员或全日制学生，参与职业服务以及参与住宅康复等，可显着预测康复的进展服务。结果表明，性别与患者的婚姻状况相互作用会影响精神分裂症患者的康复轨迹。;作为对中国人群康复模型的首次实证研究，这项研究不仅为使用精神分裂症提供了初步证据。华人社区的康复理论，但也验证了进一步研究的理论框架，旨在揭示中国重度精神疾病患者心理健康康复的本质。关键词：康复，中国人，精神分裂症，生活质量，结构方程模型

著录项

  • 作者

    Ho, Wing Nan Winnie.;

  • 作者单位

    Hong Kong Baptist University (Hong Kong).;

  • 授予单位 Hong Kong Baptist University (Hong Kong).;
  • 学科 Health Sciences Mental Health.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 242 p.
  • 总页数 242
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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