Yeliz Karaçar, Seher Kaşlı, Kerime Bademli, Gönül Yavuz Çoşğun
{"title":"自我管理和主观康复对精神分裂症患者社会功能的影响：基于社区精神卫生中心的横断面研究","authors":"Yeliz Karaçar, Seher Kaşlı, Kerime Bademli, Gönül Yavuz Çoşğun","doi":"10.1177/00207640251357076","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a mental illness that can affect an individual's social functioning in various ways.</p><p><strong>Aims: </strong>This study aimed to determine the self-management and subjective recovery levels of individuals with schizophrenia and to examine the effects of these variables on their level of social functioning.</p><p><strong>Methods: </strong>The study was conducted on individuals with schizophrenia who were followed up at a community mental health centre. Data were collected using the 'Chronic Illness Self-Management Scale', 'Social Functionality Assessment Scale' and 'Subjective Recovery Assessment Scale'. Descriptive statistics, Pearson's correlation analysis, and a stepwise multiple regression model were used.</p><p><strong>Results: </strong>The subjective recovery of the participants was 52.56 (<i>SD</i> 19.95), social functioning 39.18 (<i>SD</i> 7.76), self-stigmatisation 2.49 (<i>SD</i> 0.93), coping with stigmatisation 2.95 (<i>SD</i> 0.70), health care effectiveness 3.22 (<i>SD</i> 0.93), and adherence to treatment 3.90 (<i>SD</i> 0.93). According to the Pearson correlation test, a statistically significant moderate positive correlation was found between self-management, subjective recovery and social functioning (<i>r</i> = .595 and .525, <i>p</i> ⩽ .001). Subjective recovery, self-stigmatisation, and healthcare effectiveness levels explained 44.7% of the total variance in social functioning.</p><p><strong>Conclusion: </strong>In this study, the most important predictors of social functioning were subjective recovery, self-stigmatisation, and health care effectiveness self-management. To improve social functioning in schizophrenia, the development of self-management strategies that increase subjective recovery and promote social integration is recommended.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251357076"},"PeriodicalIF":2.7000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of self-management and subjective recovery on social functioning in people with schizophrenia: A cross-sectional study based on a community mental health centre.\",\"authors\":\"Yeliz Karaçar, Seher Kaşlı, Kerime Bademli, Gönül Yavuz Çoşğun\",\"doi\":\"10.1177/00207640251357076\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Schizophrenia is a mental illness that can affect an individual's social functioning in various ways.</p><p><strong>Aims: </strong>This study aimed to determine the self-management and subjective recovery levels of individuals with schizophrenia and to examine the effects of these variables on their level of social functioning.</p><p><strong>Methods: </strong>The study was conducted on individuals with schizophrenia who were followed up at a community mental health centre. Data were collected using the 'Chronic Illness Self-Management Scale', 'Social Functionality Assessment Scale' and 'Subjective Recovery Assessment Scale'. Descriptive statistics, Pearson's correlation analysis, and a stepwise multiple regression model were used.</p><p><strong>Results: </strong>The subjective recovery of the participants was 52.56 (<i>SD</i> 19.95), social functioning 39.18 (<i>SD</i> 7.76), self-stigmatisation 2.49 (<i>SD</i> 0.93), coping with stigmatisation 2.95 (<i>SD</i> 0.70), health care effectiveness 3.22 (<i>SD</i> 0.93), and adherence to treatment 3.90 (<i>SD</i> 0.93). According to the Pearson correlation test, a statistically significant moderate positive correlation was found between self-management, subjective recovery and social functioning (<i>r</i> = .595 and .525, <i>p</i> ⩽ .001). Subjective recovery, self-stigmatisation, and healthcare effectiveness levels explained 44.7% of the total variance in social functioning.</p><p><strong>Conclusion: </strong>In this study, the most important predictors of social functioning were subjective recovery, self-stigmatisation, and health care effectiveness self-management. To improve social functioning in schizophrenia, the development of self-management strategies that increase subjective recovery and promote social integration is recommended.</p>\",\"PeriodicalId\":14304,\"journal\":{\"name\":\"International Journal of Social Psychiatry\",\"volume\":\" \",\"pages\":\"207640251357076\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Social Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00207640251357076\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Social Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00207640251357076","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
The effect of self-management and subjective recovery on social functioning in people with schizophrenia: A cross-sectional study based on a community mental health centre.
Background: Schizophrenia is a mental illness that can affect an individual's social functioning in various ways.
Aims: This study aimed to determine the self-management and subjective recovery levels of individuals with schizophrenia and to examine the effects of these variables on their level of social functioning.
Methods: The study was conducted on individuals with schizophrenia who were followed up at a community mental health centre. Data were collected using the 'Chronic Illness Self-Management Scale', 'Social Functionality Assessment Scale' and 'Subjective Recovery Assessment Scale'. Descriptive statistics, Pearson's correlation analysis, and a stepwise multiple regression model were used.
Results: The subjective recovery of the participants was 52.56 (SD 19.95), social functioning 39.18 (SD 7.76), self-stigmatisation 2.49 (SD 0.93), coping with stigmatisation 2.95 (SD 0.70), health care effectiveness 3.22 (SD 0.93), and adherence to treatment 3.90 (SD 0.93). According to the Pearson correlation test, a statistically significant moderate positive correlation was found between self-management, subjective recovery and social functioning (r = .595 and .525, p ⩽ .001). Subjective recovery, self-stigmatisation, and healthcare effectiveness levels explained 44.7% of the total variance in social functioning.
Conclusion: In this study, the most important predictors of social functioning were subjective recovery, self-stigmatisation, and health care effectiveness self-management. To improve social functioning in schizophrenia, the development of self-management strategies that increase subjective recovery and promote social integration is recommended.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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