Navigating personal recovery:multinomial logistic regression analysis of schizophrenia outcomes in community-dwelling individuals

作     者：Jutharat Thongsalab Jintana Yunibhand Penpaktr Uthis Jutharat Thongsalab;Jintana Yunibhand;Penpaktr Uthis

作者机构：Boromarajonani College of NursingSurinThailand Faculty of NursingChulalongkorn UniversityBangkokThailand 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2024年第37卷第2期

页      面：254-264页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：The study received invaluable financial support from"The 90th Anniversary of the Chulalongkorn University Scholarship and the Ratchadapisek Somphot Fund(GCUGR1125652074D)." 

主　　题：schizophrenia selecting globally 

摘      要：Background Schizophrenia is a chronic mental disorder affecting individuals globally,emphasising the significance of personal recovery in mental *** the recovery stages and the associated factors can provide essential insights for targeted *** This study aimed to discern the stages of personal recovery in Thai patients with schizophrenia and elucidate the associated factors with each *** A multistage sampling technique was employed,selecting 231 patients with schizophrenia from mental health outpatient departments of general and psychiatric *** collected from March to May 2023 included screening for psychotic symptoms using the Brief Psychiatric Rating Scale and six self-report questionnaires—Stage of Recovery Scale,Beck Cognitive Insight Scale,Brief Resilience Scale,Family Support,Therapeutic Relationship-Patients Version and Social Support Questionnaire—along with personal data *** correlation and multinomial logistic regression were *** The predominant personal recovery stage among participants was stage 3,‘living with disabilities’,comprising 42.4%of the *** factors contributing to personal recovery,explaining approximately 38.4%of the variance,included resilience,family support,therapeutic alliance,hospitalisations since onset and recovery-oriented nursing service *** equations for stages 3 and 4 are as follows:stage 3(living with disability):logit=−4.44+0.74×resilience+0.07×therapeutic alliance+0.02×recovery-oriented nursing service utilisation;stage 4(living beyond disability):logit=−11.57-0.05×hospitalisation since onset+1.96×resilience+0.11×family support+0.06×therapeutic *** The findings emphasise the significance of mental health nursing *** conjunction with recovery-oriented nursing services,strengthening resilience,therapeutic alliances and family support may accelerate personal recovery and reduce hospitalisations am