Factors related to self-efficacy for social participation of people with mental illness.
ABSTRACT This study investigated factors related to self-efficacy for social participation of individuals with severe mental illness (SMI). A total of 142 people with SMI recruited from a variety of rehabilitation programs completed an anonymous self-report questionnaire that assessed self-efficacy for social participation, general self-efficacy, self-esteem, general mental health, social support, and life satisfaction. Employed participants reported significantly greater self-efficacy for social participation, general self-efficacy, and life satisfaction than those who did not work. Participants using a day service reported having significantly fewer people providing social support than those not using one. Clinical implications and future direction for research are discussed.
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ABSTRACT: Background: In the early course of schizophrenia, premorbid functioning, negative symptoms, and neurocognition have been robustly associated with several domains of daily functioning. Research with chronic schizophrenia patients suggests that attitudinal beliefs may influence daily functioning. However, these relationships have not been examined in recent-onset schizophrenia patients. Methods: The sample consisted of recent-onset schizophrenia outpatients (n = 71) who were on average 21.7 (SD = 3.3) years old, had 12.5 (SD = 1.8) years of education, and 5.9 (SD = 6.3) months since psychosis onset. Patients were assessed for premorbid adjustment, positive and negative symptoms, neurocognition, attitudinal beliefs, and daily functioning. Normal controls (n = 20) were screened for psychopathology and demographically matched to the patients. Results: Comparisons indicated that recent-onset patients had higher levels of dysfunctional attitudes and lower self-efficacy compared to healthy controls (t = 3.35, P < .01; t = -4.1, P < .01, respectively). Dysfunctional attitudes (r = -.34) and self-efficacy (r = .36) were significantly correlated with daily functioning. Negative symptoms were found to mediate the relationship between self-efficacy and daily functioning (Sobel test, P < .01), as well as between dysfunctional attitudes and daily functioning (Sobel test, P < .05). Neurocognition was a significant mediator of the relationship between self-efficacy and daily functioning (Sobel test, P < .05). Discussion: Early course schizophrenia patients have significantly more dysfunctional attitudes and lower self-efficacy than healthy subjects. Both self-efficacy and dysfunctional attitudes partially contribute to negative symptoms, which in turn influence daily functioning. In addition, self-efficacy partially contributes to neurocognition, which in turn influences daily functioning.Schizophrenia Bulletin 02/2014; · 8.61 Impact Factor
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ABSTRACT: Background Social participation is an integral part of everyday life in society; however, evidence about its association with Health-Related Quality of Life (HRQoL) in people with multiple sclerosis (MS) is lacking. Objective The aim of this study is to explore whether social participation is associated with the Physical Component Summary of HRQoL (PCS) and Mental Component Summary of HRQoL (MCS) in people with MS, controlled for age, gender, disease severity and disease duration. Methods The sample consisted of 116 consecutive people with MS (response rate: 75.8%; 72.4% women; mean age 40.3±9.8). People with MS completed the Short-Form Health Survey (SF-36) for measuring PCS and MCS and the Participation Scale, which measures the level of social participation. Disability was assessed using the Expanded Disability Status Scale (EDSS). The associations between social participation, PCS and MCS, were analysed using linear regression that controlled for sociodemographic and clinical variables. Results PCS was significantly associated with age, disease duration, EDSS and social participation. MCS did not show significant association with the studied variables. Overall, a multiple regression model explained 48% of the PCS variance, while the proportion of MCS variance explained was not significant. Conclusions Social participation was significantly associated with PCS, suggesting a possibility for intervention in this domain.27th Conference of the European Health Psychology Society, Bordeaux, France; 07/2013