Recovery components as determinants of the health-related quality of life among patients with schizophrenia: structural equation modelling analysis.
Objective: The Substance Abuse and Mental Health Services Administration (SAMHSA) National Consensus Statement on Mental Health Recovery proposed 10 recovery components as guiding principles for fostering recovery among people with severe mental illness. Although researchers have recognized a close...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 44; no. 1; pp. 71 - 85 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105291348&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105291348 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Jan2010 vid: 44 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 105291348 2010535339 10.3109/00048670903393654 NLM20073569 105291348 ppf: 71 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Recovery components as determinants of the health-related quality of life among patients with schizophrenia: structural equation modelling analysis. aug: au: Ho WWN Chiu MYL Lo WTL Yiu MGC affil: Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong sug: subj: Chinese Persons Quality of Life Recovery Schizophrenia Rehabilitation Canonical Correlation Analysis Human Outpatients Research Instruments Stigma Structural Equation Modeling Substance Abuse and Mental Health Services Administration ab: Objective: The Substance Abuse and Mental Health Services Administration (SAMHSA) National Consensus Statement on Mental Health Recovery proposed 10 recovery components as guiding principles for fostering recovery among people with severe mental illness. Although researchers have recognized a close association between patient-oriented recovery and health-related quality of life (HRQOL), the relation between the recovery components and patients' self-reported HRQOL is still unknown. The purpose of the present study was therefore to use structural equation modelling to predict HRQOL of schizophrenia outpatients from the recovery components proposed by SAMHSA. Methods: The recovery status of 201 outpatients with schizophrenia, schizophreniform, or schizoaffective disorder was measured using 12 variables that indicate the outcome of 10 recovery components. Canonical correlation analysis was applied to screen variables that are highly correlated with HRQOL. Valid variables were then used to build a structural model that predicted individuals' HRQOL as indicated by the World Health Organization Quality of Life Measure Abbreviated (WHOQOL-BREF (HK)). Results: The bestfit model was able to explain 80.7% of the variance in WHOQOL-BREF outcome. The model demonstrated significant direct and indirect effects of five recovery components on HRQOL. The effect of psychosocial symptoms on HRQOL was highest (total ß = -0.64), followed by sense of personal agency (total ß = 0.58), sense of optimism (total ß = 0.54), perceived support (total ß = 0.47), and internal stigma (total ß = -0.42). Conclusion: The recovery components proposed by the SAMHSA consensus statement provided a useful framework to explain HRQOL of outpatients with schizophrenia. The present model indicated a moderate to large effect of five major recovery components on HRQOL. It showed that patients' perceptions of support, optimism, and personal agency were influenced by psychosocial symptoms and internal stigma. This empirical study supported the use of recovery principles, such as resilience building or mastery-based intervention to improve the QOL of community dwellers with schizophrenia. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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