Recovery profiles and disability acceptance among individuals with serious mental illness: A latent profile analysis.

IF 1.9 4区 医学 Q3 PSYCHOLOGY, CLINICAL
Yongsu Song, Sang Qin, EunJeong Ko, Deyu Pan, Kaiqi Zhou
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Abstract

Purpose/objective: The recovery experiences of individuals with serious mental illness (SMI) involve a complex interaction between intrapersonal and interpersonal factors through which they continue to pursue life goals and enhance their psychosocial adaptation. Among these outcomes, disability acceptance is an important aspect but remains underexplored in this context. This study aimed to identify recovery patterns among individuals with SMI using a latent profile approach and explore how these patterns relate to disability acceptance.

Research method/design: We analyzed responses from participants with SMI (N = 268) and employed latent profile analysis to uncover distinct recovery profiles based on key indicators: resilience, self-efficacy, coping, social support, and perceived social stigma. Each profile was then examined in relation to levels of disability acceptance. The participant sample had a relatively higher employment rate and was more educated compared to "typical" populations with SMI.

Results: Latent profile analysis revealed three subgroups: recovery-initiating, recovery-developing, and recovery-sustained. Over half of the participants were classified in the recovery-developing group, while approximately one-third were included in the recovery-sustained group. High levels of resilience, self-efficacy, coping, and social support-along with low levels of perceived social stigma-increased the likelihood of being classified in the recovery-sustained group. This group also demonstrated the highest levels of disability acceptance.

Conclusions/implications: The identification of distinct recovery patterns suggests the importance of enhancing resilience, self-efficacy, coping strategies, and social support, as well as managing perceived social stigma when working with individuals with SMI. Considerations for tailored interventions to promote recovery and disability acceptance among individuals with SMI are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

严重精神疾病患者的康复概况和残疾接受度:一项潜在概况分析。
目的/目的:重度精神疾病患者的康复经历是一种复杂的人际和内在因素相互作用的过程,患者通过这种过程继续追求人生目标,增强心理社会适应能力。在这些结果中,残疾接受是一个重要方面,但在此背景下仍未得到充分探讨。本研究旨在利用潜在特征分析方法确定重度精神障碍患者的康复模式,并探讨这些模式与残疾接受度之间的关系。研究方法/设计:我们分析了268名重度精神分裂症患者的反应,并采用潜在特征分析来揭示基于关键指标的不同恢复特征:恢复力、自我效能、应对、社会支持和感知社会耻辱。然后检查每个档案与残疾接受程度的关系。与“典型”重度精神障碍人群相比,参与者样本的就业率相对较高,受教育程度也更高。结果:潜在剖面分析显示了三个亚组:开始恢复、发展恢复和持续恢复。超过一半的参与者被归类为恢复发展组,而大约三分之一的参与者被包括在恢复持续组。高水平的恢复力、自我效能、应对能力和社会支持,以及低水平的社会耻辱感,增加了被归类为持续恢复组的可能性。这一群体对残疾的接受程度也最高。结论/启示:不同恢复模式的识别表明,在与重度精神分裂症患者一起工作时,增强韧性、自我效能、应对策略和社会支持以及管理感知到的社会耻辱感的重要性。考虑量身定制的干预措施,以促进康复和残疾接受的个体重度精神障碍进行了讨论。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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