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Subjective and objective indicators of recovery in severe mental illness: a cross-sectional study.

机译:严重精神疾病康复的主观和客观指标:一项横断面研究。

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BACKGROUND: This study aimed to determine whether subjective dimensions of recovery such as empowerment are associated with self-report of more objective indicators such as level of participation in the community and income from employment. A secondary aim was to investigate the extent to which diagnosis or other consumer characteristics mediated any relationship between these variables. METHODS: The Community Integration Measure, the Empowerment Scale, the Recovery Assessment Scale, and the Camberwell Assessment of Needs Short Appraisal Schedule were administered to a convenience sample of 161 consumers with severe mental illness. RESULTS: The majority of participants had a primary diagnosis of schizophreniform, anxiety/depression or bipolar affective disorder. The Empowerment Scale was quite strongly correlated with the Recovery Assessment Scale and the Community Integration Measure. Participants with a diagnosis of bipolar affective disorder had significantly higher recovery and empowerment scores than participants with schizophrenia or depression. Both empowerment and recovery scores were significantly higher for people engaged in paid employment than for those receiving social security benefits. CONCLUSIONS: The measurement of subjective dimensions of recovery such as empowerment has validity in evaluation of global recovery for people with severe mental illness. A diagnosis of bipolar disorder is associated with higher scores on subjective and objective indicators of recovery.
机译:背景:本研究旨在确定恢复的主观方面(例如赋权)是否与更客观的指标(例如社区参与程度和就业收入)的自我报告相关联。第二个目的是调查诊断或其他消费者特征介导这些变量之间的任何关系的程度。方法:对161名患有严重精神疾病的消费者进行了便利抽样,对他们进行了社区融合测量,赋权量表,恢复评估量表和坎伯韦尔需求短期评估表。结果:大多数参与者具有精神分裂症,焦虑/抑郁或双相情感障碍的初步诊断。赋权量表与恢复评估量表和社区融合测度有很强的相关性。与患有精神分裂症或抑郁症的参与者相比,诊断为双相情感障碍的参与者的康复和赋能得分明显更高。从事有偿工作的人的赋权和恢复分数均显着高于获得社会保障福利的人。结论:恢复等主观方面的测量,如赋权,对于评估严重精神疾病患者的总体恢复具有有效性。双相情感障碍的诊断与主观和客观恢复指标得分较高有关。

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