Psychiatric Rehabilitation Journal最新文献

{"title":"\"Society really does not like people with psychosis\": A thematic analysis of the stigma and self-stigma experiences of young people at-risk for psychosis.","authors":"Zoe Waters, Yael Perry, Ashleigh Lin, Jeneva L Ohan","doi":"10.1037/prj0000645","DOIUrl":"https://doi.org/10.1037/prj0000645","url":null,"abstract":"<p><strong>Objective: </strong>Stigma and self-stigma reduce self-esteem and increase hopelessness and suicidality. While psychotic disorders are widely recognized as the most stigmatizing of all mental health disorders, there is a dearth of research investigating how stigma and self-stigma are experienced by young people at ultra-high risk (UHR) for psychosis. These experiences warrant investigation given the unique position of this population, as while they do not have a psychotic disorder, they may be exposed to stigma by virtue of the UHR label and/or symptoms.</p><p><strong>Methods: </strong>Twelve young people at UHR aged 14-25 years were recruited to participate in either an individual interview or focus group. Transcripts were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Five themes were developed including: (1) being at UHR is an inherently difficult, uncertain experience; (2) stigma is pervasive; (3) stigma becomes internalized; (4) stigma and self-stigma are painful; and (5) defending against stigma (containing three subthemes of (a) hiding one's UHR status; (b) rebutting stigma; and (c) educating self and others). Results indicated that young people at UHR for psychosis experience pervasive stigma that leads them to seek ways to protect themselves and their loved ones from stigma.</p><p><strong>Conclusions and implications for practice: </strong>Our findings affirm exposure to stigma and self-stigma in particular compound the distress experienced by young people at UHR for psychosis. The themes found in this research give further impetus to the need to develop effective interventions to reduce stigma within, and toward, young people at UHR for psychosis. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Confirmatory factor analysis of the Brief Psychiatric Rating Scale-Expanded in veterans with comorbid posttraumatic stress disorder and severe mental illness.","authors":"Wilson J Brown, Jessica A Wojtalik, Zachary A Babb, Alyssa M Zampogna, Deyu Pan, Anouk L Grubaugh","doi":"10.1037/prj0000648","DOIUrl":"https://doi.org/10.1037/prj0000648","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with posttraumatic stress disorder (PTSD) and comorbid severe mental illness (SMI) are often underserved and undertreated. Empirical validation of commonly used measures of psychiatric symptoms in clinical practice, such as the Brief Psychiatric Rating Scale-Expanded (BPRS-E), is warranted in this vulnerable population. As such, this study sought to validate the factor structure and examine the psychometric properties of the BPRS-E among Veterans with comorbid PTSD and SMI.</p><p><strong>Methods: </strong>The study sample included 126 Veterans with comorbid PTSD and SMI recruited for a larger randomized controlled trial. Confirmatory factor analysis was conducted to compare the fit of five potential factor structures. Construct validity was evaluated using Pearson correlation coefficients.</p><p><strong>Results: </strong>Confirmatory factor analysis revealed that the four-factor model with 12 core items and the five-factor model with 15 items demonstrated a satisfactory fit. Construct validity evidence was provided for the BPRS-E total score via a moderate correlation with the Hamilton Depression Rating Scale, as well as weak but significant correlations with the Beck Depression Inventory and Clinician-Administered PTSD Scale.</p><p><strong>Conclusions and implications for practice: </strong>This study is the first to examine the factor structure of the BPRS-E for individuals with PTSD and SMI. Our results support the BPRS-E as a reliable and valid assessment of psychiatric symptoms in this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between meaning in life and recovery in people with serious mental illness (SMI): A latent profile analysis.","authors":"Jin-Hee Yu, Yein Kim, Eunjeong Ko, Sungman Shin, Yongsu Song","doi":"10.1037/prj0000647","DOIUrl":"https://doi.org/10.1037/prj0000647","url":null,"abstract":"<p><strong>Objective: </strong>Meaning in life is crucial for the recovery of individuals with serious mental illness (SMI). The aim of the present study was to identify profiles of meaning in life among individuals with SMI based on the presence of meaning and search for meaning and to examine their associations with recovery.</p><p><strong>Methods: </strong>Latent profile analysis for a sample of 207 individuals with SMI in South Korea was employed to identify the latent profile of meaning in life using the presence of meaning and searching for meaning as an indicator. Next, multinomial logistic regression was used to examine the relationship between demographic variables and latent profiles. Last, categorical regression was applied to explore the association of latent profiles with recovery.</p><p><strong>Results: </strong>Latent profile analysis revealed three distinctive profiles: meaning diffusion (10.1%), meaning moratorium (27.5%), and meaning achievement (62.3%). Among demographic variables, only age had a negative effect. Compared with meaning moratorium (reference group), meaning achievement positively predicted recovery, whereas meaning diffusion negatively predicted recovery.</p><p><strong>Conclusions and implications for practice: </strong>The finding could help psychiatric rehabilitation practitioners focus on helping individuals with SMI in promoting meaning in life for their recovery journey. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why we need to screen to intervene as part of cognitive rehabilitation in mental health settings.","authors":"Shayden Bryce, Alexandra Stainton, Kelly Allott","doi":"10.1037/prj0000644","DOIUrl":"https://doi.org/10.1037/prj0000644","url":null,"abstract":"<p><p>This letter discusses the need to screen to intervene as part of cognitive rehabilitation in mental health settings. It is noted that cognitive impairment is a prominent transdiagnostic feature of many psychiatric disorders that is highly prevalent, persistent, and minimally responsive to medication and predicts functional disability. The prevalence and impact of cognitive impairment provides impetus for routinely conducting cognitive evaluations in psychiatric disorders. It remains somewhat puzzling, then, that cognitive screening-one pathway for triaging cognitive assessment referrals or briefly assessing functioning- does not occur routinely in clinical practice. Cognitive screening may help with identifying people who could benefit from evidence-based treatments recommended in practice guidelines. Screening may also encourage conversations about subjective concerns, which can influence consumer decisions to participate in evidence-based treatments or uptake health-promoting resources. The future of psychiatric rehabilitation must include the greater use of cognitive screening in clinical practice, either as a method of detecting impairment, identifying areas of preserved functioning, or both. Consumers with mental illness want mental health care services to support them with addressing cognitive deficits and identifying strengths. There are known barriers that can hinder cognitive screening implementation, however, recent research has shown that building workforce capability, opportunity, and motivation within a clinical and organizational context that supports the need for and use of screening can result in meaningful practice change. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital travel using virtual reality in inpatient psychiatric care: Focus group exploration of perspectives from individuals with lived experience.","authors":"Logane Dupont, Delphine Raucher-Chéné, Novembre Mercier, Gabriel Demers, Michelle Wang, Philippe Beauchamp, Martin Lepage, Elisabeth Thibaudeau","doi":"10.1037/prj0000646","DOIUrl":"https://doi.org/10.1037/prj0000646","url":null,"abstract":"<p><strong>Objective: </strong>Hospitalization in psychiatry is a challenging experience associated with increased levels of distress, anxiety, and loneliness. Novel technologies are being developed to help alleviate these symptoms and support the treatment and rehabilitation of these individuals. This study aims to explore the perspectives of individuals with lived experience of a complex mood disorder on the proposal of an immersive virtual reality (VR) travel-in-nature application with a social feature being an available service in a psychiatric inpatient unit.</p><p><strong>Methods: </strong>A thematic analysis was performed with data acquired from two focus group semistructured interviews conducted by a patient partner with individuals currently hospitalized in a short-term inpatient unit dedicated to complex mood disorders.</p><p><strong>Results: </strong>Three themes were generated from the thematic analysis: (a) factors enhancing acceptability, (b) barriers, and (c) envisioning the future of the application and VR in inpatient mental health.</p><p><strong>Conclusions: </strong>Participants were largely positive regarding the potential of the application and VR in psychiatric inpatient care. They viewed it as a promising rehabilitation tool for relaxation and positive escapism. Concerns regarding suitability, potential risks associated with the technology, and technical barriers were raised and warrant further investigation.</p><p><strong>Implications for practice: </strong>This study's preliminary findings offer relevant information for designing the implementation process of VR in psychiatric inpatient units, with the intent of tailoring services to the needs and realities of their intended users. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NITEO: A qualitative study of a supported education program for students experiencing disruptions to their college education because of a mental health condition.","authors":"E Sally Rogers, David Braverman, Courtney Joly-Lowdermilk, Lisa Augustine, Pamela Rothpletz-Puglia","doi":"10.1037/prj0000642","DOIUrl":"https://doi.org/10.1037/prj0000642","url":null,"abstract":"<p><strong>Objective: </strong>The rates and severity of mental health conditions among young adults are troublesome. Mental health conditions among college students impact educational attainment, future employment and earnings, as well as quality of life. Our objective was to assess students' experience and perceptions of the core components of NITEO, a college reentry program designed to assist young adults who have dropped out of or taken a leave of absence from college.</p><p><strong>Methods: </strong>We conducted a qualitative study of the core components of NITEO, employing an applied interpretive approach and conducting semistructured interviews with 31 former NITEO students. Data were examined using thematic analysis.</p><p><strong>Results: </strong>Analyses revealed four themes: (a) NITEO catalyzes personal growth and connection, (b) coaching builds skills and promotes accountability, (c) peer mentors are supportive role models, and (d) other students in the program impact the program experience. These findings suggest that the different components of NITEO foster skills and resilience while providing a supportive community.</p><p><strong>Conclusions and implications for practice: </strong>Our study illuminates the potential of programs such as NITEO to facilitate recovery and return to college for students on leave or who have dropped out due to mental health conditions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three perspectives on a clubhouse startup: Members, staff, and community partners.","authors":"Mary Stone, Liam McGlynn, Kiana Pathirana, Noah Brown, Amy Baric, Anna Sifneos, Rachel Mondora, Anna Dolidze","doi":"10.1037/prj0000643","DOIUrl":"https://doi.org/10.1037/prj0000643","url":null,"abstract":"<p><strong>Objective: </strong>Clubhouses are nonclinical community-based recovery programs for adults with serious mental illness. This case study investigated the perceived impact and value of a Clubhouse startup from the perspectives of its inaugural members and staff, and potential referral sources.</p><p><strong>Methods: </strong>Participatory mixed-methods research practices were used to engage Clubhouse members and staff as partners in all stages of the research process. A convergent parallel design integrated quantitative and qualitative data from three groups of participants: Clubhouse members, Clubhouse staff, and community referral sources. Redacted records for the first 43 members were used to gather demographic information and identify the functional needs of the startup's initial members. Three participatory exercises were conducted to gather and analyze qualitative data with Clubhouse members (<i>n</i> = 12) and staff (<i>n</i> = 2). Potential community referral sources completed anonymous online surveys (<i>n</i> = 41) or participated in an interview (<i>n</i> = 3).</p><p><strong>Results: </strong>Quantitative and qualitative findings from members and staff support previous literature regarding the functional (housing and employment) and psychosocial needs (community, structure, growth, identity, and reactions to stigma) of Clubhouse members and are the first to report them in the context of a Clubhouse startup. Quantitative and qualitative findings from community referral sources suggest that the startup's initial outreach efforts with their local network of providers that serve adults with serious mental illness have yielded a positive and generally accurate impression of the startup's value.</p><p><strong>Conclusions and implications for practice: </strong>Implications of findings for Clubhouse practice and research are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A shared commitment to recovery for persons with psychiatric disabilities.","authors":"Kristen M Abraham","doi":"10.1037/prj0000641","DOIUrl":"10.1037/prj0000641","url":null,"abstract":"<p><p>Although a number of established practices are known to promote good outcomes for persons with psychiatric disabilities, significant challenges remain. As scholars and practitioners, we must work to ensure that psychiatric rehabilitative services are culturally relevant, accessible to the people who need them, and reflective of the needs and lived experiences of persons with psychiatric disabilities in today's context. Facilitating access to culturally relevant services involves conducting foundational research on the effectiveness and efficacy of established practices in diverse samples; tailoring existing services and developing new services to better meet the needs of diverse populations; and delivering such services in a manner that reduces health care disparities. Promoting service accessibility entails putting research findings into practice; ensuring that a trained workforce is available to provide services; and aligning policies and funding. Enhancing the relevance and impact of psychiatric rehabilitation services requires incorporating the perspectives of persons with lived experience across all phases of research and program delivery. The author's goal is for the research published in <i>Psychiatric Rehabilitation Journal</i> (<i>PRJ)</i> to address these critical issues. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":"48 1","pages":"1-2"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating changes in recovery in people living with severe and persistent mental illness after psychiatric rehabilitation services at Moi Teaching and Referral Hospital, Eldoret, Kenya.","authors":"Matthew Turissini, Angela L Rollins, Allan Kimaina, Florence Jaguga, Julius Barasa, Lily Okeyo, Mercy Kimaiyo, Richard Matundura, Gilliane Kosgei, Naomi Kipkorir, Neal Patel, Edith Kamaru Kwobah","doi":"10.1037/prj0000634","DOIUrl":"10.1037/prj0000634","url":null,"abstract":"<p><strong>Objective: </strong>People living with severe and persistent mental illness (SPMI) in Kenya lack access to recovery-based services. In this study, we assessed changes in recovery in people living with SPMI in Kenya 6 months after receiving services at the Moi Teaching and Referral Hospital Nawiri Recovery and Skills Centre (Nawiri).</p><p><strong>Methods: </strong>A retrospective evaluation was conducted using a pretest/posttest design analyzing Nawiri care program data collected on admission and 6 months after discharge for recovery metrics.</p><p><strong>Results: </strong>Thirty patients, with an average age of 33 years and of whom 57% are female, met criteria for the study, with the most common mental diagnoses being schizophrenia (60%) and bipolar mood disorder (30%); 76% of participants met the definition of extreme poverty and had a median of two psychiatric admissions in the 12 months before admission. Patients improved significantly on recovery outcomes 6 months after receiving care at Nawiri, including decreased psychiatric hospitalizations (from 1.33 to 0.07), improved rates of independence in life skills (75.9%-96.7%), improved engagement in income generating activities (23.3%-63.3%), improved food security (69.0%-96.7%), decreased days of functional impairment from symptoms (3.7 to 1.7 days in past week), decreased substance use (53.3%-13.8%), and improved engagement in outpatient mental health care (50.0%-93.3%).</p><p><strong>Conclusions and implications for practice: </strong>People living with SPMI had improved recovery 6 months after receiving residential psychiatric rehabilitation services in western Kenya. A more robust evaluation of program effectiveness and implementation is recommended to help explore generalizability and scalability to other resource limited settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"32-41"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between personal recovery, clinical symptoms, and psychosocial functioning over time among service users with psychosis.","authors":"Regina Skar-Fröding, Hanne Clausen, Torleif Ruud, Jurate Šaltyte Benth, Mina Veland, Kristin S Heiervang","doi":"10.1037/prj0000635","DOIUrl":"10.1037/prj0000635","url":null,"abstract":"<p><strong>Objective: </strong>Longitudinal investigation of associations between personal and clinical recovery is important to understand how the relationship unfolds over time. This prospective study investigated associations between personal recovery and clinical symptoms, and personal recovery and psychosocial functioning, at baseline and 18-month follow-up, among service users with psychosis.</p><p><strong>Method: </strong>Data were collected from 318 service users with psychosis and their clinicians from 32 clinical sites across Norway at baseline and after 18 months. Personal recovery was measured using the Questionnaire About the Process of Recovery. Linear mixed models with random intercepts for units were estimated to test the association between personal recovery and clinical symptoms, and personal recovery and psychosocial functioning.</p><p><strong>Results: </strong>Greater severity of symptoms and lower level of functioning were associated with lower personal recovery assessed at both baseline and follow-up. Greater severity of symptoms and lower level of functioning measured at baseline predicted lower personal recovery at follow-up. In addition, personal recovery decreased over time for those with a greater severity of symptoms but increased over time for those with a high level of functioning.</p><p><strong>Conclusions and implications for practice: </strong>Overall, this study confirms the relationship between clinical recovery and personal recovery. Both clinical symptoms and level of functioning were associated with personal recovery, indicating that both aspects are important for personal recovery. These findings suggest that it might be beneficial to support both clinical and personal recovery in the treatment of people with psychosis. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"23-31"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}