Psychiatric Rehabilitation Journal最新文献

{"title":"Prevalence of chronic physical conditions and physical multimorbidity among young adults with serious mental health conditions.","authors":"Jessica A Jonikas, Frances Aranda, Jane K Burke-Miller, Kathryn Sabella, Michelle G Mullen, Maryann Davis, Judith A Cook","doi":"10.1037/prj0000637","DOIUrl":"10.1037/prj0000637","url":null,"abstract":"<p><strong>Objective: </strong>There is minimal research on the prevalence of chronic medical conditions among young adults with mental health conditions. This exploratory study assessed the prevalence and number of chronic medical conditions and their association with mental health status.</p><p><strong>Methods: </strong>A cross-sectional, online survey was completed in March-June 2021, by 967 U.S. young adults (age 18-25 years) with self-identified serious mental health conditions, recruited nationally via social media, email, and websites. Medical conditions were assessed using items from the National Health Interview Survey and National Health and Nutrition Examination Survey; mental health was assessed with the Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 scales. Multivariable regression analysis examined associations between mental health and the six most prevalent medical conditions, as well as the number of conditions, controlling for background characteristics.</p><p><strong>Results: </strong>We found notable prevalence of obesity (18.5%), migraines (18.2%), allergies (14.8%), asthma (9.2%), and gastrointestinal disorders (9.2%). Controlling for all other factors, high levels of anxiety were associated with greater likelihood of obesity and gastrointestinal disorders, while high levels of depression were associated with lower likelihood of obesity. While 23.2% reported two or more medical conditions, anxiety but not depressive symptoms was associated with a greater number of co-occurring medical conditions.</p><p><strong>Conclusions and implications for practice: </strong>A notable prevalence of chronic conditions puts young adults with mental health conditions at significant risk of adverse physical health outcomes from a young age. Results can inform the design of tailored health promotion and self-management programs to improve outcomes among this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"89-98"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415836","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":"Participation in individual placement support: Ethnoracial differences in the supported employment demonstration.","authors":"Justin D Metcalfe, Gary R Bond, Robert E Drake","doi":"10.1037/prj0000631","DOIUrl":"10.1037/prj0000631","url":null,"abstract":"<p><strong>Objective: </strong>The Supported Employment Demonstration (SED), a large, multisite randomized controlled trial, provided evidence-based supported employment to help individuals recently denied Social Security disability benefits for reason of mental illness to gain competitive employment and avoid disability. Monthly, client-level measurement of participation in individual placement and support permitted the first detailed exploration of potential ethnoracial disparities in the IPS participation process, from enrollment to end of follow-along job supports, in a vulnerable population with ready access to the intervention.</p><p><strong>Method: </strong>Monthly participation data in a subsample of enrollees randomized to receive supported employment enabled decomposition of IPS service participation into take-up, effectiveness, and follow-along support phases, yielding times to participation duration milestones, job start, and end of follow-along supports for 614 non-Hispanic White, non-Hispanic Black, and Hispanic SED enrollees. Cox proportional hazards models provided differences in the monthly hazard of each event by race and ethnicity.</p><p><strong>Results: </strong>Black non-Hispanics (hazard ratio [HR] = 1.50) and Hispanics (HR = 1.52) were both more likely than White non-Hispanics to complete consecutive 3-month periods of supported employment participation. However, ethnoracial group was not significantly associated with either increased effectiveness, measured as the monthly likelihood of finding a job during IPS participation, or likelihood of ending follow-along job supports.</p><p><strong>Conclusions and implications for practice: </strong>Potential clients' race and ethnicity are associated with a differential willingness to engage IPS services. For this reason, ethnoracial differences in IPS penetration may persist even when structural barriers to IPS access are removed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"115-122"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819766","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":"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":"131-139"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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":"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":"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":"106-114"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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":"Consent to voluntary antipsychotic drug treatment-Is it free and informed?","authors":"Refael Yonatan-Leus, Nili Karako-Eyal","doi":"10.1037/prj0000627","DOIUrl":"10.1037/prj0000627","url":null,"abstract":"<p><strong>Objective: </strong>The present research investigates the dynamics of consent in the context of antipsychotic drug therapy, with a particular emphasis on the essential attributes that constitute free and informed consent within medical treatment scenarios.</p><p><strong>Method: </strong>Twenty individuals treated with antipsychotic drugs with consent underwent semistructured interviews.</p><p><strong>Results: </strong>The following major themes were identified: (a) lack or total absence of information regarding the treatment, emphasizing side effects, risks, chances of success, and treatment alternatives. (b) A subjective experience of the lack of free choice that was sometimes also accompanied by the conditioning of psychiatric rehabilitation services or receiving treatment in an open ward by taking antipsychotic medication.</p><p><strong>Conclusions and implications for practice: </strong>The research findings may indicate a problem in obtaining informed consent for antipsychotic treatment that should be addressed. The themes highlight the need to examine the interface between rehabilitation services and psychiatric treatment from the legal and ethical perspective of the autonomy of individuals receiving care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"123-130"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298732","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":"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":"148-149"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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":"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":1.2,"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":1.2,"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":"Psychosis and the self: How spontaneous discussions of subjective experiences compare in the clinical high-risk and first-episode psychosis populations.","authors":"Sophia Shuster, Yunlai Gui, Alessia McGowan, Matthew Cotter, Isaac J Wert, Alexandria Selloni, Shreya Vaidya, Olivia Neu, Cansu Sarac, Melanie Formica, Kate Gwyther, Marija Krcmar, Jessica Spark, Patrick McGorry, Barnaby Nelson, Shaynna N Herrera, Cheryl M Corcoran","doi":"10.1037/prj0000629","DOIUrl":"10.1037/prj0000629","url":null,"abstract":"<p><strong>Objective: </strong>Prior qualitative studies show that individuals with psychoticlike experiences express difficulties concerning their identity. However, previous work has studied individuals at clinical high risk for psychosis (CHR) and individuals with first-episode psychosis (FEP) separately. Here, we compare the experiences of individuals at CHR, individuals with FEP, and healthy individuals.</p><p><strong>Methods: </strong>Participants included 70 individuals at CHR (57% female, <i>M</i>_age = 19.2 ± 3.0), 50 individuals with FEP (56% female, <i>M</i>_age = 20.4 ± 2.9), and 70 healthy individuals (67% female, <i>M</i>_age = 21.1 ± 2.8). Participants completed 30-45-min open-ended interviews. Trained research staff reviewed interview transcripts and conducted an iterative thematic analysis to identify major themes.</p><p><strong>Results: </strong>Themes related to distress, social difficulties, trauma, gratitude, and communication were spontaneously described by both individuals at CHR and individuals with FEP, with individuals at CHR describing suspiciousness more than individuals with FEP (42% vs. 22%), <i>χ</i>²(1, 120) = 4.95, <i>p</i> = .03, and individuals with FEP discussing adaptive integration of mental health struggles into their identity more than individuals at CHR (56% vs. 36%), <i>χ</i>²(1, 120) = 4.87, <i>p</i> = .03. Healthy individuals endorsed future orientation more than individuals at CHR (69% vs. 49%), <i>χ</i>²(1, 140) = 5.77, <i>p</i> = .02, and individuals with FEP (69% vs. 48%) <i>χ</i>²(1, 120) = 5.14, <i>p</i> = .02. All groups endorsed essentialist beliefs: CHR (31%), FEP (43%), and healthy controls (44%).</p><p><strong>Conclusions and implications for practice: </strong>Individuals at CHR and with FEP spontaneously discuss issues related to their identities in ways that are informed and shaped by the social milieu. The bidirectional nature of these struggles reinforces a need for integrated care through psychiatric rehabilitation, with a specific focus on identity development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"42-53"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773731","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":1.2,"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}