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Sawab S, Yusuf A, Fitryasari R, Arifin H. Spirituality and Recovery From Severe Mental Disorders: A Systematic Review. J Psychosoc Nurs Ment Health Serv 2024; 62:11-17. [PMID: 38451117 DOI: 10.3928/02793695-20240227-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
PURPOSE The current study investigated the impact of spirituality and mental disorder recovery practices among individuals with severe mental disorders. METHOD A comprehensive search across six databases-Scopus, ScienceDirect, ProQuest, SpringerLink, PubMed, and CINAHL-was performed to identify relevant articles. A total of 651 articles were screened, and 16 met inclusion criteria. RESULTS Findings revealed that spirituality significantly contributed to the improvement of individuals with severe mental disorders by fostering the development of self-confidence, self-control, strength, and hope, thereby enhancing overall quality of life. In addition, spirituality appeared to correlate with increased self-efficacy. CONCLUSION Within the mental health recovery framework, spirituality has emerged as a crucial element in facilitating significant life improvements through the exploration of essential motivational strategies. Psychiatric-mental health nurses could play a pivotal role in helping individuals with severe mental disorders by addressing their spiritual needs, thereby promoting holistic recovery and care. [Journal of Psychosocial Nursing and Mental Health Services, 62(8), 11-17.].
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Cheng YTD, Young KWD, Carlbring P, Ng YN, Hung SLS. A Pilot Randomized Controlled Trial Among People Recovering from Mental Illness: A Tailored Mindfulness-Based Intervention versus Relaxation Training. JOURNAL OF EVIDENCE-BASED SOCIAL WORK (2019) 2024; 21:318-348. [PMID: 37982391 DOI: 10.1080/26408066.2023.2281418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
BACKGROUND This study assessed the potential effectiveness, acceptability and feasibility of a tailored mindfulness-based intervention (MBI, REMIND 2.0) for personal recovery among people with mental illness during the COVID-19 pandemic. METHODS In this pilot mixed methods randomized controlled trial, participants were assigned to either the MBI (n = 14) or the relaxation training (RT) (n = 14). Quantitative measures were used to assess primary outcomes, including personal recovery, mindfulness, self-compassion, resilience, and secondary outcomes, including depression, stress, anxiety, positive and negative moods, quality of life and general health at baseline (T0), post-intervention (T1) and one-month follow-up (T2). Quantitative interviews were conducted to explore the experiences and perceptions toward the MBI. RESULTS Results indicated significant group and time interactions for all outcomes except anxiety and stress. MBI participants showed significant improvements in all outcomes at T1, which were maintained at T2, except for positive mood. RT participants showed a significant decline in resilience but significant improvements in all secondary outcomes at T1, but all outcomes significantly declined at T2, except for anxiety and stress. MBI participants were receptive toward the programme in all aspects of personal recovery. CONCLUSIONS The tailored MBI is a potentially effective, feasible and acceptable approach to facilitate personal recovery among people with mental illness. Differences between MBI and RT are discussed.
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Affiliation(s)
- Yi Ting Daphne Cheng
- Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Kim Wan Daniel Young
- Department of Social Work, City University of Hong Kong, Kowloon Tong, Hong Kong
| | - Per Carlbring
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Yat Nam Ng
- Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong
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Polat H, Uğur K, Aslanoğlu E, Yıldız S, Yagin FH. The effect of functional remission and cognitive insight on criminal behavior in patients with schizophrenia. Arch Psychiatr Nurs 2023; 45:176-183. [PMID: 37544696 DOI: 10.1016/j.apnu.2023.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 01/11/2023] [Accepted: 06/19/2023] [Indexed: 08/08/2023]
Abstract
OBJECTıVE: This study was planned to determine the relationship of functional remission with a criminal history and determine its effect on criminal behavior in patients with schizophrenia. METHODS This cross-sectional study was conducted with 132 patients with schizophrenia (66 with and 66 without a criminal history). Data were collected between November 2020 and April 2021 using a personal information form, the Functional Remission of General Schizophrenia (FROGS), the Taylor Crime Violence Rating Scale, the Beck Cognitive Insight Scale, and the Positive and Negative Syndrome Scale (PANSS) was used to collect data. RESULTS In terms of all scale variables, there were significant differences between the groups with and without a criminal history (p < 0.05). These differences were mostly clearly observed in the FROGS-social functionality (effect size: 16.79), PANSS-positive (effect size: 2.62) and FROGS-health and treatment (effect size: 2) subscales. CONCLUSIONS In this study, it was determined that as the symptoms of the illness increased in schizophrenia, the patients' functional remission and insight decreased, and their tendency to commit crimes increased. Psychiatric nurses can plan therapeutic interventions to increase the functionality and insight levels of patients with schizophrenia.
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Affiliation(s)
- Hatice Polat
- Faculty of Health Sciences, Malatya Turgut Özal University, 44000 Malatya/Turkey.
| | - Kerim Uğur
- Department of Psychiatri, Faculty of Medicine, Malatya Turgut Özal University, 44000 Malatya, Turkey
| | - Eren Aslanoğlu
- Department of Medical Services and Techniques, Kovancilar Vocational School, Firat University, Elazig, Turkey
| | - Sevler Yıldız
- Department of Psychiatri, Faculty of Medicine, Erzincan Binali Yıldırım University, 24002 Erzincan, Turkey
| | - Fatma Hilal Yagin
- Department of Biostatistics and Medical Informatics, Inonu University Faculty of Medicine, 44280 Malatya, Turkey
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Ponce-Correa F, Caqueo-Urízar A, Berrios R, Escobar-Soler C. Defining recovery in schizophrenia: A review of outcome studies. Psychiatry Res 2023; 322:115134. [PMID: 36871410 DOI: 10.1016/j.psychres.2023.115134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 02/23/2023] [Accepted: 02/24/2023] [Indexed: 03/07/2023]
Abstract
Schizophrenia is a chronic disorder with a heterogenous course and different ways in which recovery is measured or perceived. Recovery in schizophrenia is a complex process that it can be defined either from a clinical perspective focused on sustained symptom and functional remission, or from a patient-focused one, as a self-broadening process aimed at living a meaningful life beyond mental illness. Until now, studies analysed these domains separately, without examining their mutual relations and changes over time. Therefore, this meta-analysis aimed to examine the relationship of global measures of subjective recovery with each of the components of clinical recovery such as symptom severity and functioning, in patients with schizophrenia spectrum disorders. The results showed that the association between different indicators of personal recovery and remission are weak and inverse (dIG+ = -0.18, z = -2.71, p < 0.01), however, this finding is not substantial according to the sensitivity indicators. With respect to functionality and personal recovery, there was a moderate relationship (dIG+ = 0.26, z = 7.894, p < 0.01) with adequate sensitivity indices. In addition, a low consensus exists between subjective measures that are more related to the patient's perspective and clinical measures based on experts and clinician's viewpoint.
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Affiliation(s)
- Felipe Ponce-Correa
- Programa Doctorado en Psicología, Escuela de Psicología y Filosofía, Facultad de Ciencias Sociales y Jurídicas, Universidad de Tarapacá, Avenida 18 de Septiembre N 2222, Casilla 7-D, Arica, Chile
| | | | - Raúl Berrios
- Departamento de administración, Facultad de administración y economía, Universidad de Santiago de Chile, Chile
| | - Carolang Escobar-Soler
- Programa Doctorado en Psicología, Escuela de Psicología y Filosofía, Facultad de Ciencias Sociales y Jurídicas, Universidad de Tarapacá, Avenida 18 de Septiembre N 2222, Casilla 7-D, Arica, Chile
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Gülcüoğlu M, İnci F, Özcan A. Evaluation of cognitive insight, social functionality, and coping attitudes of patients diagnosed with schizophrenia being followed-up in a community mental health center. Arch Psychiatr Nurs 2023; 43:143-149. [PMID: 37032007 DOI: 10.1016/j.apnu.2023.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 01/29/2023] [Indexed: 02/05/2023]
Abstract
AIM This study was conducted to evaluate the cognitive insight, social functionality, and coping attitudes of patients diagnosed with schizophrenia being followed-up in a Community Mental Health Center (CMHC). DESIGN AND METHODS The population of this descriptive and relationship-seeking study comprised 170 schizophrenia patients followed-up in the CMHC. Study data were collected using the Information Form, the Beck Cognitive Insight Scale (BCIS), the Social Functioning Assessment Scale (SFAS), and the Coping Orientation of Problem Experience (COPE). FINDINGS A moderately significant positive correlation between cognitive insight and social functionality was determined. It was found that participants with high cognitive insight and social functionality used more problem- and emotion-focused coping methods. APPLICATION IMPLICATIONS It is thought that practices that improve cognitive insight and social functionality will contribute to the rehabilitation of patients with schizophrenia by supporting their coping skills.
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Affiliation(s)
| | - Figen İnci
- Niğde Ömer Halisdemir University, Zübeyde Hanım Faculty of Health Sciences, Psychiatric Nursing Department, Niğde/ Türkiye
| | - Ayşegül Özcan
- Nevşehir Hacı Bektaş Veli University, Semra ve Vefa Küçük Faculty of Health Sciences, Public Health Nursing Department, Nevşehir/Türkiye
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Jun WH, Na H. The Mediating Role of Positive Thinking on the Relationship Between Depression and Functional Recovery in Community-Dwelling People With Schizophrenia. J Psychosoc Nurs Ment Health Serv 2023; 61:44-52. [PMID: 36322868 DOI: 10.3928/02793695-20221027-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Functional recovery as a consumer-centered approach is critical to recovery for community-dwelling people with schizophrenia. The current study investigated the mediating role of positive thinking in the relationship between depression and functional recovery in community-dwelling people with schizophrenia in South Korea. Depression, positive thinking, and functional recovery measures were completed by 158 people with schizophrenia in the community with self-reported questionnaires. Depression had a significantly negative influence on functional recovery. Positive thinking fully mediated the relationship between depression and functional recovery. An effective intervention strategy for functional recovery in this population may reinforce positive thinking and depression management. [Journal of Psychosocial Nursing and Mental Health Services, 61(2), 44-52.].
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ŞAHİN ALTUN Ö, ÖZER D, OKANLİ A, ASİ KARAKAŞ S, ÖZTÜRK Z, KAYAOĞLU K. Validity and Reliability of Turkish version of the Schizophrenia Hope Scale. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2022. [DOI: 10.18863/pgy.1168790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
This study aimed to evaluate the validity and reliability of the Turkish version of the Schizophrenia Hope Scale (SHS). This methodological study was carried out with 214 participants diagnosed with schizophrenia who were followed up in the psychiatry outpatient clinics of a university hospital between August 2021 and August 2022. Data were collected using an Information Form and the Schizophrenia Hope Scale (SHS). Language and content validity, exploratory and confirmatory factor analyses, item-total correlation, Cronbach alpha coefficient, and test-retest reliability methods were used in the validity and reliability analysis of the scale. As a result of the exploratory factor analysis, no item was excluded from the scale and it was determined that the scale has nine items and a single-factor structure. The single-factor structure of the scale was confirmed with the confirmatory factor analysis. The Cronbach Alpha coefficient of the scale was 0.901 and the factor loads ranged between 0.70 and 1.0. The test-retest correlation coefficient was r=0.959. The Turkish version of the scale was found to be valid and reliable. SCH is important since it represents the subjective meaning of hope from schizophrenic patients’ perspective and allows an easier measurement of the level of hope in this population. Mental health professionals can use SHS to determine or increase the level of hope of schizophrenia patients in their studies.
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Affiliation(s)
- Özlem ŞAHİN ALTUN
- ., Ataturk University, Faculty of Nursing, Department of Psychiatric Nursing, Erzurum, Turkey
| | - Duygu ÖZER
- Sağlık Bilimleri Üniversitesi, Sultan Abdülhamid Han Eğitim ve Araştırma Hastanesi, İstanbul
| | | | - Sibel ASİ KARAKAŞ
- ., Ataturk University, Faculty of Nursing, Department of Psychiatric Nursing, Erzurum, Turkey
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Üşenmez TY, Budak FK, Ayhan MO. The Effect of Psychological Resilience on Hope in Individuals With Schizophrenia. Psychiatr Ann 2022. [DOI: 10.3928/00485713-20220919-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Barnes S, Carson J, Gournay K. Enhanced supported living for people with severe and persistent mental health problems: A qualitative investigation. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e4293-e4302. [PMID: 35524392 PMCID: PMC10084301 DOI: 10.1111/hsc.13822] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 03/21/2022] [Accepted: 04/12/2022] [Indexed: 06/14/2023]
Abstract
Supported living has been shown to improve functioning and social inclusion in people with severe and persistent mental health problems, reduce hospitalisation and provide secure accommodation in a population where housing needs are often unmet. Conversely, living in supported accommodation has been depicted by some as depersonalising, marginalising and an ordeal to survive. Discussions regarding housing and support often lack a thorough consideration of individual experiences, with a reliance on quantitative surveys. The question remains how to assure that supported accommodations actually are supportive of the residents' ongoing recovery process. The present study sought to shed light on the experiences of residents in an enhanced supported living service in the United Kingdom. Semi-structured interviews were conducted with nine residents of the service between July 2020 and February 2021. Transcripts were analysed using thematic analysis and indicated three superordinate themes of experiences considered valuable to residents: (1) support from care staff which was readily available; (2), a sense of community and daily activity offered by the residence and on-site activities; and (3) the experience of supported living as a stepping-stone in an ongoing recovery process. Findings indicate the power of comprehensive care with supportive staff, peer-relations, autonomy and fostering hope in empowering individuals in their ongoing recovery.
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Affiliation(s)
| | | | - Kevin Gournay
- Institute of Psychiatry, Psychology and NeuroscienceKings College LondonLondonUK
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Şahin Altun Ö, Özer D, Bulut R, Şahin F. Investigation of the relationship between the negative automatic thoughts of patients with schizophrenia and their levels of social functionality. Perspect Psychiatr Care 2022; 58:1819-1825. [PMID: 34897683 DOI: 10.1111/ppc.12994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 11/29/2021] [Accepted: 11/30/2021] [Indexed: 11/28/2022] Open
Abstract
AIM This study was carried out to investigate the relationship between the negative automatic thoughts of patients with schizophrenia and their levels of social functionality. DESIGN AND METHODS This cross-sectional study was conducted 142 patients with schizophrenia. The data were collected using the Personal Information Form, Negative Automatic Thoughts Questionnaire (NATQ) and Social Functioning Assessment Scale (SFAS). FINDINGS There was a strong negative correlation between the mean scores obtained from the overall NATQ and SFAS. In addition, negative automatic thoughts of the patients with schizophrenia had a negative effect of 47.2% on their social functionality. PRACTICE IMPLICATIONS It was found that the patients had moderate levels negative automatic thoughts and social functionality; and that their negative automatic thoughts affected their social functionality negatively.
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Affiliation(s)
- Özlem Şahin Altun
- Department of Psychiatric Nursing, Faculty of Nursing, Ataturk University, Erzurum, Turkey
| | - Duygu Özer
- Department of Psychiatry, Sultan II. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Rabia Bulut
- Recep Tayyip Erdogan Training and Research Hospital, Rize, Turkey
| | - Fatih Şahin
- Department of Nursing, Faculty of Health Sciences, Mus Alparslan University, Muş, Turkey
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Changes in social functioning over the course of psychotic disorders-A meta-analysis. Schizophr Res 2022; 239:55-82. [PMID: 34844096 DOI: 10.1016/j.schres.2021.11.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 10/15/2021] [Accepted: 11/08/2021] [Indexed: 11/23/2022]
Abstract
In this meta-analysis we investigated changes in social functioning and its moderators in patients with a psychotic disorder but different durations of illness at baseline. We included longitudinal studies assessing the course of five domains of social functioning in patients with a psychotic disorder. Effect sizes of change between baseline and follow-up within these domains were analyzed in four subgroups based on durations of psychotic disorder at baseline: less than 2 years, between 2 and 5 years, between 5 and 10 years, and more than 10 years. The influence of baseline confounders was analyzed using meta-regression and sensitivity analysis. We included 84 studies analyzing 33,456 participants. We found a medium improvement (d = 0.60) in overall social functioning over time, with a greater improvement for studies investigating patients with a duration of illness of less than 5 years. We found minor improvement in specific domains of social functioning, such as vocational functioning (d = 0.31), prosocial behavior (d = 0.36), activities (d = 0.15), and independence (d = 0.25). Improvement in social functioning was associated with lower baseline levels of negative symptoms, higher baseline levels of quality of life, and, specifically, improved vocational functioning, with rehabilitation and combined treatment. Social functioning in patients with psychotic disorders improves over time, especially for patients with shorter illness durations. Reduction of negative symptoms and improving quality of life might reinforce improvement of social functioning.
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Budak FK, Yildirim T, Özdemir A. The effect of negative automatic thoughts on hope in patients with schizophrenia. Perspect Psychiatr Care 2020; 57:936-940. [PMID: 33090516 DOI: 10.1111/ppc.12637] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 09/25/2020] [Accepted: 09/28/2020] [Indexed: 01/17/2023] Open
Abstract
PURPOSE The purpose of this study is to determine the effect of negative automatic thoughts on hope in patients with schizophrenia. DESIGN AND METHODS The sample size of the study was calculated to be 94 patients through the power analysis. The study was completed with 115 patients who met the inclusion criteria. "descriptive characteristics form," "automatic thoughts questionnaire-negative," and "dispositional hope scale" were used to collect the data. FINDINGS In the study, it was found that there was a negative strong correlation between negative automatic thoughts and hope levels. In addition, the negative automatic thoughts of the patients had a statistical significance in accounting for hope (p < .05) and the negative automatic thoughts predicted the hope by 66%. PRACTICE IMPLICATIONS In the study, it was found that the patients had high negative automatic thoughts and moderate level of hopes. As negative automatic thoughts increased, hope decreased.
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Affiliation(s)
- Funda Kavak Budak
- Department of Psychiatric Nursing, Inonu Unıversıty, Malatya, Turkey
| | - Tülay Yildirim
- Department of Psychiatric Nursing, Dıcle Unıversıty, Diyarbakır, Turkey
| | - Aysel Özdemir
- Department of Psychiatric Nursing, Fırat Unıversıty, Elazığ, Turkey
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Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia. NURSE MEDIA JOURNAL OF NURSING 2020. [DOI: 10.14710/nmjn.v10i2.28775] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.
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Ertekin Pinar S, Sabanciogullari S. The relationship between functional recovery and quality of life in patients affected by schizophrenia and treated at a community mental health center in Turkey. Perspect Psychiatr Care 2020; 56:448-454. [PMID: 31746001 DOI: 10.1111/ppc.12454] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Revised: 10/12/2019] [Accepted: 11/12/2019] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The study was conducted to determine the levels of functional recovery and quality of life (QOL) among a group of patients suffering from schizophrenia treated at a Community Mental Health Center (CMHC) and to evaluate the relationship between these two treatment outcomes. DESIGN AND METHODS This observational study was implemented among 132 patients affected by schizophrenia treated at a CMHC in Turkey. FINDINGS A statistically significant positive correlation was found between the general and subscale mean scores of the functional remission of general schizophrenia scale and the mean score of all domains of the World Health Organization QOL (r = 0.63-0.33; P < .001). PRACTICE IMPLICATIONS QOL increases as the functional recovery levels increase. Nursing practices should be planned to improve functional recovery levels of patients.
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Affiliation(s)
| | - Selma Sabanciogullari
- Department of Psychiatric Nursing, School of Susehri Health High, Cumhuriyet University, Sivas, Turkey
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Langlois S, Pauselli L, Anderson S, Ashekun O, Ellis S, Graves J, Zern A, Gaffney E, Shim RS, Compton MT. Effects of perceived social status and discrimination on hope and empowerment among individuals with serious mental illnesses. Psychiatry Res 2020; 286:112855. [PMID: 32092596 PMCID: PMC7775621 DOI: 10.1016/j.psychres.2020.112855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 02/06/2020] [Accepted: 02/06/2020] [Indexed: 10/25/2022]
Abstract
Hope and empowerment are key elements of recovery in the context of serious mental illnesses (SMI). We examined predictors of hope among individuals with SMI and tested a hypothesized path model in which perceived social status and perceived discrimination adversely impact hope, directly and through their impacts on depressive symptoms. Data from 232 individuals with SMI receiving care in public-sector settings were used in both a multiple linear regression (predicting Herth Hope Scale scores), and in path analyses examining both direct and indirect effects of perceived social status (Social Status Ladder) and perceived discrimination (Everyday Discrimination Scale). Depressive symptoms, perceived social status, and perceived discrimination were predictive of hope. Path analyses revealed that perceived social status has a direct effect on hope and empowerment but also impacts hope through its effects on depression. Similarly, perceived everyday discrimination affects hope and empowerment, though this effect is mediated through its effects on depression. Two alternative models and a trimmed hypothesized model did not fit the data or improve fit. These social determinants of mental health should provoke program and policy change to improve mental health and enhance recovery among persons with SMI.
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Affiliation(s)
| | - Luca Pauselli
- Icahn School of Medicine at Mount Sinai, St. Luke's/West Hospital Center, Department of Psychiatry, 1 Gustave L. Levy Place, New York, NY, USA
| | - Simone Anderson
- Gateway Behavioral Health Services, 800 E 70th St, Savannah, GA, USA
| | | | - Samantha Ellis
- Gateway Behavioral Health Services, 800 E 70th St, Savannah, GA, USA
| | - JaShala Graves
- Gateway Behavioral Health Services, 800 E 70th St, Savannah, GA, USA
| | - Adria Zern
- Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, 722 W. 168(th) Street, New York, NY, USA
| | - Ebony Gaffney
- Gateway Behavioral Health Services, 800 E 70th St, Savannah, GA, USA
| | - Ruth S Shim
- University of California, Davis, Department of Psychiatry and Behavioral Sciences, 2230 Stockton Blvd, Sacramento, CA, USA
| | - Michael T Compton
- Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, 722 W. 168(th) Street, New York, NY, USA.
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Çapar M, Kavak F. Effect of internalized stigma on functional recovery in patients with schizophrenia. Perspect Psychiatr Care 2019; 55:103-111. [PMID: 30019336 DOI: 10.1111/ppc.12309] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 05/05/2018] [Accepted: 06/20/2018] [Indexed: 11/30/2022] Open
Abstract
PURPOSE This cross-sectional study was conducted to determine the effect of internalized stigma on functional recovery in patients with schizophrenia. DESİGN AND METHODS: As a result of the power analysis performed, the sample size of the study that reflect population was determined to be 250 patients. Patient Information Form, Functional Recovery Scale in Schizophrenia (FROGS), and Internalized Stigma of Mental Illness Scale (ISMIS) were used for data collection. FINDINGS It was determined that the mean FROGS subscale and total scores of the patients participating in the study were low. The mean ISMIS subscale and total scores of the patients were high. PRACTICE IMPLICATIONS It was found that the level of internalized stigma was high and the level of functional recovery was low patients with schizophrenia.
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Affiliation(s)
- Meltem Çapar
- Department of Psychıatric Nursing, Inonu Unıversıty, Malatya, Turkey
| | - Funda Kavak
- Department of Psychıatric Nursing, Inonu Unıversıty, Malatya, Turkey
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