Abstract

Personal recovery is a process of developing new meaning and purpose in life beyond the catastrophic effects of mental illness. Benefit finding (BF) is conceptualized as finding positive changes or benefits through experiences in adversity. Sense of coherence (SOC) focuses on how people can stay healthy and maintain well-being, even in adversity. This study aimed to examine the relationships among the initial levels and longitudinal changes in personal recovery, BF, and SOC among people with chronic mental illness in Japan. In this longitudinal study, a two-wave self-report questionnaire survey was conducted for service users aged 20 or older with mental illness using convenience sampling method in 2014 and 2015. We applied the Latent Change Score approach. Model fit was evaluated according to the CFI and RMSEA. Among 373 eligible participants at baseline, valid responses in both T1 and T2 from 195 respondents were included in the study (valid response rate = 52.3%). Among them, 65.6% were male, with average age of 45.6. The model of the three constructs at the two time points had good to reasonable fit to the data. The initial levels and changes in personal recovery, BF, and SOC were significantly and positively related to each other.

摘要

个人康复是超越精神疾病的灾难性后果，在生活中发展新的意义和目标的过程。收益发现（BF）的概念是通过在逆境中寻找积极的变化或收益。连贯感（SOC）着重于人们即使在逆境中也能保持健康并保持幸福的方法。这项研究旨在研究日本慢性精神病患者的初始水平与个人恢复，BF和SOC的纵向变化之间的关系。在这项纵向研究中，我们于2014年和2015年采用便利抽样方法对20岁或20岁以上患有精神疾病的服务使用者进行了两波自我报告问卷调查。我们采用了潜在变化得分法。根据CFI和RMSEA评估模型拟合。在基线的373名合格参与者中，该研究包括了195名受访者在T1和T2中的有效应答（有效应答率= 52.3％）。其中男性占65.6％，平均年龄为45.6岁。这两个时间点的三个构造的模型对数据的拟合良好。个人恢复，BF和SOC的初始水平和变化之间存在显着正相关。