休闲在精神疾病康复中的作用

Y. Iwasaki, C. Coyle, J. Shank, Emily S. Messina, Heather R. Porter, M. Salzer, D. Baron, Gretchen Kishbauch, Rocio Naveiras-Cabello, Lynda Mitchell, A. Ryan, Glenn Koons
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引用次数: 46

摘要

本研究从康复、积极心理学和健康促进的观点出发,探讨了休闲在不同文化背景的精神疾病患者康复和健康中的作用。对患有精神疾病的黑人(n = 35)、西班牙裔/拉丁裔(n = 28)、白人(n = 28)和亚裔(n = 8)成年人(n = 101)进行了一对一的调查访谈。样本中有各种心理健康诊断(例如,双相情感障碍,n = 32;重度抑郁症,n = 23;精神分裂症,n = 22)。采用回归分析来估计休闲变量对康复、健康和精神症状的预测作用。研究结果强调了以下两点的重要性:(a)精神疾病患者从休闲中获得的意义(例如,联系/归属、身份、自由/自主)(即,通过休闲创造意义)和(b)对抗或减少无聊感的休闲机会(即,休闲中减少无聊感),因为这两者都是康复的重要预测因素。此外,更多的积极参与/参与的感知(即感知到的积极生活)是康复和整体身心健康的重要预测因素,并且较少出现精神症状,因此休闲可能为追求积极生活提供了关键背景。此外,利用休闲来应对压力(即通过休闲来应对压力)和减少无聊显著地预示着较少的精神症状。研究结果强调,有必要通过尊重精神疾病患者的文化多样性,考虑精神疾病患者从休闲中获得的体验、感受/情绪和意义,而不仅仅是休闲的行为形式(即休闲活动)本身。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Leisure in Recovery From Mental Illness
Conceptually supported by recovery, positive psychology, and health promotion perspectives, this study explored the role of leisure in recovery and health among culturally diverse individuals with mental illness. One-on-one survey interviews were conducted with Black (n = 35), Hispanic/Latino (n = 28), White (n = 28), and Asian (n = 8) adults (aged between 23 and 78) with mental illness (N = 101). A variety of mental health diagnoses were represented in the sample (e.g., bipolar disorder, n = 32; major depression, n = 23; schizophrenia, n = 22). Regression analyses were performed to estimate the predictive effects of leisure variables on recovery, health, and psychiatric symptoms. The findings emphasize the importance of: (a) meanings that persons with mental illness gain from leisure (e.g., connection/belonging, identity, freedom/autonomy) (i.e., meaning making via leisure) and (b) leisure opportunities to fight against or reduce perceptions of boredom (i.e., boredom reduction in leisure) as both of these were significant predictors of recovery. Also, a greater perception of being actively engaged/involved (i.e., perceived active living) was a significant predictor of recovery and overall physical and mental health and less frequent psychiatric symptoms, whereby leisure potentially provides a key context for the pursuit of active living. Furthermore, the use of leisure both for coping with stress (i.e., stress coping via leisure) and reducing boredom significantly predicted fewer psychiatric symptoms. The findings highlight the need to consider the experiences, feelings/emotions, and meanings that people with mental illness gain from leisure beyond simply behavioral forms of leisure (i.e., leisure activities) per se by respectfully appreciating the cultural diversity of people with mental illness.
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