Impact of follow-up by peer support workers on mental health service users’ global functioning and self-stigmatisation

IF 1.2 4区 医学 Q4 NEUROSCIENCES
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引用次数: 0

Abstract

Objectives

The introduction of the first French professional peer support workers training program. (« Médiateurs de santé pairs en santé mentale ») led to a series of evaluations. After a number of qualitative studies demonstrating benefits of peer support for all stakeholders, our objective was to evaluate its direct effects for users by focusing on repeated quantitative measures: global functioning and self-stigma scores. The hypothesis was that peer support would improve the former and decrease the latter.

Method

The procedure was based on a one-year follow-up of two groups of mental health service users. Both groups received usual care, either with or without additional peer support. All of them were asked to respond to three questionnaires at the beginning of the study and 6 and 12 months later: a sociodemographic and clinical questionnaire, a global functioning scale and a self-stigmatization scale. Samples included 85/64/35 participants at the three stages for the PHM group, and 205/157/105 for the control group.

Results

Peer support improved global functioning. Nevertheless, it had no impact on self-stigmatization scores which remained rather low throughout the observational period.

Conclusions

Despite difficulties concerning follow-up of service users during the course of the study and the reluctance to integrate a new profession based on experiential knowledge, it appears that the hope of recovery can improve global functioning of people with mental disorders. The reasons for low self-stigmatization and its stability over time remain to be explored.

同伴支持工作者的后续行动对精神卫生服务使用者的整体功能和自我污名化的影响。
目标:引进法国首个专业同伴支持工作者培训项目。(《关于桑达尔夫妇和桑达尔人的心理健康状况的报告》)导致了一系列评价。在一系列定性研究证明了同伴支持对所有利益相关者的好处之后,我们的目标是通过关注重复的定量测量来评估其对用户的直接影响:全球功能和自我耻辱得分。假设同伴支持会提高前者,降低后者。方法:对两组心理健康服务使用者进行为期一年的随访。两组都接受了常规护理,有或没有额外的同伴支持。所有人都被要求在研究开始时以及6个月和12个月后回答三份问卷:社会人口统计和临床问卷,全球功能量表和自我污名化量表。在三个阶段,PHM组有85/64/35名参与者,对照组有205/157/105名参与者。结果:同伴支持改善了整体功能。然而,它对自我污名化得分没有影响,在整个观察期间,自我污名化得分仍然很低。结论:尽管在研究过程中服务使用者的随访存在困难,并且不愿意基于经验知识融入新的职业,但似乎希望康复可以改善精神障碍患者的整体功能。低自我污名化的原因及其随时间的稳定性仍有待探索。
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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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