Study About the Stages of Recovery with Patients Hospitalized in Psychiatric Clinic According to Sociodemographic and Clinical Factors

Yıl 2024, Cilt: 14 Sayı: 3, 657 - 666, 30.09.2024

Mehmet Karakaş , Nermin Gürhan , Zehra Arıkan , Ayşegül Koç , Hülya Ensari

https://doi.org/10.33808/clinexphealthsci.1276776

Öz

Objective: This study aims to describe the stages of recovery and the effect of sociodemographic and clinical factors on the recovery stages of individuals with mental illness under inpatient treatment.
Methods: 171 patients who received inpatient treatment between April 2021 and June 2021 were taken to the study. Data were collected by using the Introductory Information Form and the Stages of Recovery Instrument from participants.
Results: According to the nurse, awareness was the highest level of the recovery stages and, according to the patient, growth was the highest level of the recovery stages. The average of the subscales of stages of recovery scale was found as 12.57±7.54 for moratorium, 19.26±5.84 for awareness, 19.22±6.40 for preparation, 19.52±7.03 for rebuilding and 20.03±7.73 for growth. Social support was found effective in all stages of recovery except moratorium stage; income level was found effective in preparation, rebuilding, and growth stages; diagnosis of the illness was found effective in the awareness stage; going to the Community Mental Health Center (CMHC) was found effective in preparation stage and child presence was found effective in rebuilding stage of recovery.
Conclusion: Our findings are important for identifying the effects of situations that can be changed by intervention, such as level of social support, income level, and going to CMHC, on improvement, and for drawing attention to actions that legislators should take regarding to collaboration between mental health professionals and institutions.

Anahtar Kelimeler

Mental illness, recovery, hospitalized, sociodemographic factors

Proje Numarası

yok

Kaynakça

• Slade M, Longden E. Empirical evidence about recovery and mental health. BMC Psychiatry 2015; 15(1): 1-14. DOI:10.1186/s12888.015.0678-4
• Chan RC, Mak WW, Chio FH, Tong AC. Flourishing with psychosis: A prospective examination on the interactions between clinical, functional, and personal recovery processes on well-being among individuals with schizophrenia spectrum disorders. Schizophrenia Bulletin 2018; 44(4): 778-786. DOI:10.1093/schbul/sbx120
• Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal 1993; 16(4):11.
• Deegan PE. Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal 1988; 11(4): 54-59.
• Andresen R, Caputi P, Oades L. Development of a short measure of psychological recovery in serious mental illness: The STORI-30. Australasian Psychiatry 2013; 21(3): 267-270.DOI: 10.1177/103.985.6213476352
• Price-Robertson R, Obradovic A, Morgan B. Relational recovery: Beyond individualism in the recovery approach. Advances in Mental Health 2017; 15(2): 108-120. DOI:10.1080/18387.357.2016.1243014
• Leamy M, Bird V, Boutillier C, Williams J, Slade M. Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. British Journal of Psychiatry 2011; 199(6): 445-452. DOI:10.1192/bjp.bp.110.083733
• Cleary M, Horsfall J, O’Hara‐Aarons M, Hunt GE. Mental health nurses’ views of recovery within an acute setting. International Journal of Mental Health Nursing 2013; 22(3): 205-212. DOI:10.1111/j.1447-0349.2012.00867.x
• McCabe R, Whittington R, Cramond L, Perkins E. Contested understandings of recovery in mental health. Journal of Mental Health 2018; 27(5):475-481. DOI:10.1080/09638.237.2018.1466037
• Ellison ML, Belanger LK, Niles BL, Evans LC, Bauer MS. Explication and definition of mental health recovery: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research 2018; 45(1): 91-102.DOI: 10.1007/s10488.016.0767-9
• Nişancı A. Recovery approach in mental health field and psychiatric social work. Society and Social Work 2019;30(1):231-59. DOI: 10.33417/tsh.516844 (Turkish)
• American Nurses Association. Psychiatric-Mental Health Nursing: Scope and Standards of Practice. 2nd Edition. Maryland: Silver Spring, 2014. pp.1-42,62.
• Macpherson R, Pesola F, Leamy M, Bird V, Le Boutillier C, Williams J, Slade M. The relationship between clinical and recovery dimensions of outcome in mental health. Schizophrenia Research 2016; 175(1-3): 142-147. DOI:10.1016/j.schres.2015.10.031
• Andresen R, Caputi P, Oades LG. Do clinical outcome measures assess consumer-defined recovery? Psychiatry Research 2010; 177(3): 309-317. DOI: 10.1016/j.psychres.2010.02.013
• Lloyd C, King R, Moore L. Subjective and objective indicators of recovery in severe mental illness: A cross-sectional study. International Journal of Social Psychiatry 2010; 56(3): 220-229. DOI: 10.1177/002.076.4009105703
• Gandotra A, Mehrotra S, Bharath S. Psychological recovery and its correlates in adults seeking outpatient psychiatric services: An exploratory study from an Indian tertiary care setting. Asian Journal of Psychiatry 2017; 29:77-82. DOI: 10.1016/j.ajp.2017.04.020
• Leith J, Stein CH. Stage and process models of consumer oriented recovery among adults with serious mental illness: The role of personal loss and internalized stigma. American Journal of Orthopsychiatry 2020; 90(6):653–666. DOI:10.1037/ort0000493
• Singla N, Avasthi A, Grover S. Recovery and its correlates in patients with schizophrenia. Asian Journal of Psychiatry 2020; 52:102162. DOI: 10.1016/j.ajp.2020.102162
• Saiz J, Chen-Chen X, Mills PJ. Religiosity and spirituality in the stages of recovery from persistent mental disorders. The Journal of Nervous and Mental Disease 2021; 209(2):106-113.DOI: 10.1097/NMD.000.000.0000001271
• Karakaş M, Gürhan N. Validity and reliability study of the stages of recovery instrument in individuals with mental illness. Value in Health Sciences 2022; 12(2): 292-300. DOI:10.33631/sabd.1115218 (Turkish)
• Reupert A, Price-Robertson R, Maybery D. Parenting as a focus of recovery: A systematic review of current practice. Psychiatric Rehabilitation Journal 2017; 40(4): 361. DOI:10.1037/prj0000240
• Ward B, Reupert A, McCormick F, Waller S, Kidd S. Familyfocused practice within a recovery framework: practitioners’ qualitative perspectives. BMC Health Services Research 2017; 17(1): 1-8. DOI: 10.1186/s12913.017.2146-y
• Topor A, Ljungqvist I, Strandberg EL. The costs of friendship: Severe mental illness, poverty and social isolation. Psychosis 2016; 8(4):336-345. DOI: 10.1080/17522.439.2016.1167947
• Ljungqvist I, Topor A, Forssell H, Svensson I, Davidson L. Money and mental illness: A study of the relationship between poverty and serious psychological problems. Community Mental Health Journal 2016; 52(7): 842-850. DOI: 10.1007/s10597.015.9950-9
• Fıstıkçı N, Keyvan A, Cesur E. The concept of insight in psychiatric disorders: A review. Neuropsychiatric Investigation 2016; 54(2): 25-29. DOI: 10.5455/NYS.201604015 (Turkish)
• Roe D, Mashiach-Eizenberg M, Lysaker PH. The relation between objective and subjective domains of recovery among persons with schizophrenia-related disorders. Schizophrenia Research 2011; 131(1-3):133-138. DOI:10.1016/j.schres.2011.05.023
• Shah R, Grover S, Kulhara P. Coping in residual schizophrenia: Re-analysis of ways of coping checklist. The Indian Journal of Medical Research 2017; 145(6):786. DOI: 10.4103/ijmr.IJMR_1927_14
• Soundy A, Stubbs B, Roskell C, Williams SE, Fox A, Vancampfort D. Identifying the facilitators and processes which influence recovery in individuals with schizophrenia: A systematic review and thematic synthesis. Journal of Mental Health 2015;24(2):103-110. DOI: 10.3109/09638.237.2014.998811
• Şahin Ş, Elboğa G. Functioning, quality of life, treatment adherence and insight among patients who received community mental health center services. Cukurova Medical Journal 2019; 44(2):431-438. DOI: 10.17826/cumj. 461779(Turkish)
• Çoker F, Yalçınkaya A, Çelik M, Uzun A. The effect of community mental health center services on the frequency of hospital admission, severity of disease symptoms, functional recovery, and insight in patients with schizophrenia. J Psychiatric Nurs. 2021; 12(3):181-187. DOI: 10.14744/phd.2021.18199
• Kurt A, Erşan EE, Savaş İ. Comparison of self-stigma and subjective recovery status of patients receiving Community Mental Health Service and outpatient psychiatry policlinic. J Psy Nurs. 2021; 12(2):103-112. DOI:10.14744/phd.2020.73383
• Çapar M, Kavak F. Effect of internalized stigma on functional recovery in patients with schizophrenia. Perspectives in Psychiatric Care 2019; 55(1):103-111. DOI: 10.1111/ppc.12309
• Çakmak S, Süt H, Öztürk S, Tamam L, Bal U. The Effects of occupational therapy and psychosocial interventions on interpersonal functioning and personal and social performance levels of corresponding patients. Arch Neuropsychiatry 2016;53(3): 234-240. DOI: 10.5152/npa.2015.10130
• O’Shea A, Salzer MS. Examining the relationship between educational attainment and recovery of adults with serious mental illnesses. Psychiatric Rehabilitation Journal 2019; 42(1):79–87. DOI: 10.1037/prj0000328
• Franck N, Bon L, Dekerle M, Plasse J, Massoubre C, Pommier R., Dubreucq J. Satisfaction and needs in serious mental illness and autism spectrum disorder: The REHABase psychosocial rehabilitation project. Psychiatric Services 2019; 70(4):316-323. DOI: 10.1176/appi.ps.201800420