Social support and recovery in people with serious mental illnesses.
ABSTRACT This study examines the relationship between objective and subjective measures of social support with recovery from serious mental illness; recovery has been described as both an outcome state and an ongoing process. One hundred and seventy six people with serious mental illness completed the Recovery Assessment Scale, a process measure of recovery that assessed, among other factors, personal confidence, goal orientation, and non-domination by symptoms. They also were administered the Brief Psychiatric Rating Scale, a semi-structured interview that assesses psychiatric symptom and represents recovery as an outcome. Finally, research participants completed the Social Network Scale, which assessed size of the overall network plus such important subnetworks as family, friends, and health professionals. The SNS also provided measures of the perceived satisfaction with, mutuality in, and obligation towards individuals in their support network. Results showed people with larger overall network size and more network satisfaction were likely to report higher factors on the Recovery Assessment Scale. For the most part, network size and satisfaction was not significantly associated with psychiatric symptoms. Implications of these findings for better understanding the association between social support and recovery are discussed.
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ABSTRACT: Although there are extensive theoretical reviews regarding the self-experience among persons with schizophrenia, there is limited research that addresses the implications of self-clarity on the recovery of persons with schizophrenia while exploring the role of possible mediators within this process. Accordingly, the current study explored the relationship between self-clarity and recovery while examining the possible mediating role of self-stigma and sense of meaning in life. 80 persons with schizophrenia or schizoaffective disorder were administered four scales: self-concept clarity, self-stigma, meaning in life, and recovery. Results confirmed the hypothesized model in which self-clarity affects self-stigma, self-stigma affects meaning in life, and meaning in life affects recovery. No direct relationship was uncovered between self-clarity and recovery. Implications of the current study for future research and clinical practice are discussed with the emphasis on the importance of the self-experience with regard to the process of recovery.Comprehensive psychiatry 11/2013; DOI:10.1016/j.comppsych.2013.11.009 · 2.26 Impact Factor
- 09/2013; 3(3):208-243. DOI:10.1080/1936928X.2013.837417
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ABSTRACT: Research suggests that persons with schizophrenia experience deficits in the ability to synthesize complex and integrated representations of themselves and others. While impairments in these metacognitive capacities are hypothetically related to the ability to make sense of the challenges of schizophrenia, little is known about their relationship with the subjective experience of recovery from mental illness. To examine this question, this study investigated whether persons with stronger self-reported recovery had better metacognitive capacity, after controlling for severity of psychiatric symptoms. Forty-six outpatients with schizophrenia spectrum disorders who were taking part in a study of the Illness Management and Recovery program were concurrently administered the Recovery Assessment Scale, the Positive and Negative Syndrome Scale, and the Indiana Psychiatric Illness Interview which was scored using the Abbreviated Metacognitive Assessment Scale. Analysis of covariance revealed that metacognitive capabilities reflecting self-reflectivity and decentration were differentially related to several components of recovery beyond the effects of psychiatric symptoms. The metacognitive abilities to think about oneself in a sophisticated way and form integrated ideas about oneself and others within the larger world, understanding that none are the metaphorical center are present in individuals holding strong perceptions of recovery.05/2013; 209(3). DOI:10.1016/j.psychres.2013.04.014