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Happiness in severe mental illness: Exploring subjective wellbeing of individuals with psychosis and encouraging socially inclusive multidisciplinary practice

机译：严重精神疾病中的幸福：探索精神病患者的主观幸福感，并鼓励具有社会包容性的多学科实践

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Purpose-This paper seeks to extend the focus of positive psychology research to individuals with severe mental illness (SMI) to address an aspect of social exclusion experienced by this disadvantaged client group. Design/methodology/approach-The article summarises and builds on the outcomes of an earlier subjective wellbeing in psychosis study and arrives at original implications to challenge socially exclusive assumptions about limited emotional capabilities of those with SMI. The authors make suggestions for enhancing the wellbeing of people with SMI from the perspective of social inclusion. Data were gathered through validated self-report rating scales and analysed statistically. Findings-The levels of subjective wellbeing within the sample were shown to approximate those established in the general population. Depression was demonstrated to mediate the effects that the experience of psychosis had on participants' life satisfaction. Psychosis did not appear to prevent individuals from experiencing happiness, although when associated with depression, life satisfaction was lowered. Research limitations/implications- Because of the focus on subjective aspects of wellbeing, external indicators of objective quality of life were not explored. Individual appraisals of experiences of psychosis were not investigated. Originality/value-The study demonstrates that individuals with psychosis are capable of experiencing happiness. Thus, it challenges an aspect of a widespread socially exclusive assumption about limited internal capabilities of those with SMI. It also highlights that those with combined symptoms of psychosis and depression are in particular need of multidisciplinary support to enhance their wellbeing.
机译：目的-本文旨在将积极心理学研究的重点扩展到患有严重精神疾病（SMI）的个人，以解决此弱势客户群体所经历的社会排斥的一个方面。设计/方法论/方法-本文总结并建立了较早的精神病学主观幸福感的结果，并得出了最初的含义，可以挑战有关SMI者情感能力有限的社会排他性假设。作者从社会包容性的角度提出建议，以改善SMI患者的福祉。通过有效的自我报告评级量表收集数据并进行统计分析。调查结果-样本中的主观幸福感水平接近于一般人群中确定的水平。抑郁症被证明可以调解精神病的经历对参与者的生活满意度的影响。精神病似乎并未阻止个人经历幸福，尽管与抑郁症相关联时，生活满意度会降低。研究的局限性/意义-由于关注健康的主观方面，因此未探索客观生活质量的外部指标。没有对精神病经历的个人评估进行调查。独创性/价值-研究表明，患有精神病的人能够体验幸福。因此，它挑战了有关SMI人员内部能力有限的广泛社会排斥假设的一个方面。它还强调指出，那些患有精神病和抑郁综合症状的人尤其需要多学科的支持来改善他们的健康。

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