Mastery in patients with schizophrenia living in the community: relationship to sociodemographic and clinical characteristics, needs for care and support, and social network
Abstract
In line with user involvement and empowerment in individuals who suffer from a severe mental illness, the sense of mastery is important. Few studies have investigated factors that contribute to mastery in individuals with schizophrenia. The aims of the present 18‐month follow‐up study were to investigate associations between mastery and clinical and sociodemographic factors, needs for care and support and social network, and to investigate whether changes in mastery were related to changes with regard to these aspects in a group of patients (n = 120) with schizophrenia living in the community. Structural interviews were performed at baseline and after 18 months. Pearlin's mastery scale, the Camberwell Assessment of Needs (CAN), the Interview Schedule for Social Interaction (ISSI), and the Brief Psychiatric Rating Scale (BPRS) were used on both interview occasions. A stepwise regression analysis showed a negative relationship between psychopathology, especially affective and negative symptoms, and mastery. Stronger mastery was associated with younger age and less severe basic needs. In total psychopathology, age and basic needs explained 50.7% of the variance in mastery. Changes in mastery were positively correlated to changes in access to social contact but negatively correlated to changes in affective symptoms. In order to target mastery in individuals with schizophrenia, the community‐based nursing services need to develop, implement, and evaluate interventions that are effective for psychiatric symptoms, social skills performance, and needs for care and support in areas of living, nutrition, and daytime activities.
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Self-mastery has been emphasized as a factor of importance for health-related aspects, empowerment and recovery, and a high activity level among people with PD.
“Self-mastery has also been emphasized as a factor of importance for health-related aspects (22), empowerment and recovery (24) and a high activity level (35) among people with PD.”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [22]
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Social Support, Personal Control, and Psychological Functioning Among Individuals with Heart Failure
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- Authors
- BENGTSSON‐TOPS, A.
- Affiliations
- Malmö University (SE)
- Corresponding author
- BENGTSSON‐TOPS, A.
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2004-05-13
- Volume
- 11
- Issue
- 3
- Pages
- 298-304
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W1999166825
- Cited by
- 84
- References
- 37
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 7
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Lunds Universitet
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- mastery, schizophrenia, community-dwelling patients, social networks, social contact, psychopathology, affective symptoms, negative symptoms, sociodemographic factors, age, basic needs, empowerment, social skills
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Attitude to Health, Community Mental Health Services, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nurse-Patient Relations, Psychiatric Nursing, Quality of Life, Surveys and Questionnaires, Regression Analysis, Schizophrenia, Schizophrenic Psychology, Self Concept, Severity of Illness Index, Social Behavior, Social Support, Sweden, Self Efficacy
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