Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
권호 표지
DOI QR코드

DOI QR Code

Mediating Effect of Therapeutic Relationship with Mental Health Professionals in the Relation between Hope and Recovery of Community Dwelling Patients with a Mental Illness

지역사회에 있는 정신장애인의 희망과 회복: 치료자와의 치료적 관계의 매개효과

  • Received : 2014.06.30
  • Accepted : 2014.09.26
  • Published : 2014.09.30
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to examine the association among therapeutic relationship with mental health professionals, hope, and recovery, and to explore the mediation of therapeutic relationship with mental health professionals in the relation between hope and recovery in South Korean patients with a mental illness. Methods: A cross-sectional study design was employed. Eligible participants were 99 people with a mental illness who were enrolled as members at two Community Mental Health Centers in Gyeonggi Province. Data were collected from October, 4 to 14, 2011. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple regression analysis. Results: Hope was positively correlated with recovery, and therapeutic relationship with mental health professionals was also positively associated with recovery. The mediating effect of therapeutic relationship with mental health professionals was found in the relation between hope and recovery. Conclusion: The results suggest that therapeutic relationship with mental health professionals plays an important role in promoting recovery of the patients with a mental illness. Therefore, mental health professionals should focus on developing a therapeutic relationship with their clients and also consider these recovery-related factors for persons who have a mental illness.

Keywords

Acknowledgement

Supported by : Ajou University Medical Center

References

  1. Ministry of Health and Welfare. Ministry of health and welfare statistical yearbook 2012. Seoul: Ministry of Health and Welfare; 2012 December. Report No. 58.
  2. Han KS, Park YH, Im HS, Ju GY, Bae MH, Kang HC. Hope, depression, and suicidal ideation in chronic mental illness patients. J Korean Acad Psychiatr Ment Health Nurs. 2010;19(2): 205-11. https://doi.org/10.12934/jkpmhn.2010.19.2.205
  3. Kim HJ. Meaning of recovery from mental illness: findings of a qualitative study. J Korean Acad Psychiatr Ment Health Nurs. 2009;18(4):379-89.
  4. Robert G, Wolfson P. The rediscovery of recovery: open to all. Adv Psychiatr Treat. 2004;10(1):37-49. http://dx.doi.org/10.1192/apt.10.1.37
  5. Irish Mental Health Commission. A vision for a recovery model in Irish mental health services. Dublin: Irish Mental Health Commission; 2005.
  6. Higgins A, Mcbennett P. The petals of recovery in a mental health context. Br J Nurs. 2007;16(14):852-6. https://doi.org/10.12968/bjon.2007.16.14.24322
  7. Liberman RP, Kopelowicz A. recovery from schizophrenia: a concept in search of research. Psychiatr Serv. 2005;56(6):735-42. http://dx.doi.org/10.1176/appi.ps.56.6.735
  8. Liberman RP, Kopelowicz A, Ventura J, Gutkind D. Operational criteria and factors related to recovery from schizophrenia. Int Rev Psychiatry. 2002;14(4):256-72. http://dx.doi.org/10.1080/0954026021000016905
  9. Smith MK. Recovery from a severe psychiatric disability: findings of a qualitative study. Psychiatr Rehabil J. 2000;24(2):149-58. https://doi.org/10.1037/h0095105
  10. Ahern L, Fisher D. Recovery at your at your own PACE (personal assistance in community existence). J Psychosoc Nurs Ment Health Serv. 2001;39(4):22-31.
  11. Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust N Z J Psychiatry. 2003;37(5):586-94. http://dx.doi.org/10.1046/j.1440-1614.2003.01234.x
  12. McCabe R, Priebe S. The therapeutic relationship in the treatment of severe mental illness: a review of methods and findings. Int J Soc Psychiatry. 2004;50(2):115-28. http://dx.doi.org/10.1177/0020764004040959
  13. Russinova Z, Rogers ES, Ellison ML, Lyass A. Recovery-promoting professional competencies: perspectives of mental health consumers, consumer-providers and providers. Psychiatr Rehabil J. 2011;34(3):177-85. http://dx.doi.org/10.2975/34.3.2011.177.185
  14. Kim HJ. Validation study of the recovery-promotion relationship scale (RPRS) for Korean with mental illness. J Korean Acad Psychiatr Ment Health Nurs. 2010;19(3):288-98. https://doi.org/10.12934/jkpmhn.2010.19.3.288
  15. Tunner T, Salzer MS. Consumer perspectives on quality of care in the treatment of schizophrenia. Adm Policy Ment Health & Ment Health Serv Res. 2006;33(6):674-81. http://dx.doi.org/10.1007/s10488-006-0050-6
  16. Priebe S. Ensuring and improving quality in community mental health care. Int Rev Psychiatry. 2000;12(3):226-32. https://doi.org/10.1080/irp.12.3.226.232
  17. Ragins M. Should the CATIE study be a wake-up call? Psychiatr Serv. 2005;56(12):1489. http://dx.doi.org/10.1176/appi.ps.56.12.1489
  18. Hwang SY. The perception of recovery: perspectives from people with mental illness. Mental Health & Social Work. 2007;27:28-63.
  19. Kim JY. Recovery experience of people with schizophrenia: the process of reconstructing life [dissertation]. [Seoul]: Ewha Womans University; 2002. 168 p.
  20. Choi YJ, Choi SS. A study on the recovery attitude and factors affecting the recovery attitude in mentally disabled. Mental Health & Social Work. 2007;26:111-43.
  21. Ha KH. A study on the factors affecting social adjustment of the mentally disabled [master's thesis]. [Seoul]: Seoul National University; 2000. 74 p.
  22. Kim NR, Kim MS, Kwon JH. A study on the recovery of Korean chronic schizophrenics. Korean J Clin Psychol. 2005;24(4):739-54.
  23. Synder CR, Sympson SC, Ybasco FC, Border TF, Babyak MA, Higgins RL. Development and validation of the state hope scale. J Pers and Soc Psychol. 1996;70(2):321-35. http://dx.doi.org/10.1037/0022-3514.70.2.321
  24. Kim TH, Kim JH. The effects of hope and meaning of life on adolescents' resilience. Korean J Couns Psychol. 2004;16(3):465-90.
  25. Corrigan PW, Giffort D, Rashid F, Leary M, Okeke I. Recovery as a psychological construct. Community Ment Health J. 1999;35(3):231-9. https://doi.org/10.1023/A:1018741302682
  26. Russinoza Z, Rogers ES, Ellison MI. RPRS (recovery-promoting relationship scale) Manual. [Internet]. 2006 [cited 2013 Aug 31]; 1-23. Available from: http://ispraisrael.org.il/Items/00601/FRAP-RPRSManual.pdf
  27. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173-82. https://doi.org/10.1037/0022-3514.51.6.1173
  28. Kim NH. The effects of hope, social support, and coping strategies on psychological well-being [master's thesis]. [Seoul]: The Catholic University of Korea; 2006. 61 p.
  29. McGuire-Snieckus R, McCabe R, Catty J, Hansson L, Priebe S. A new scale to assess the therapeutic relationship in community mental health care: STAR. Psychol Med. 2007;37(1):85-95. http://dx.doi.org/10.1017/S0033291706009299
  30. Borg M, Kristiansen K. Recovery-oriented professionals: helping relationships in mental health services. J Ment Health. 2004;13(5):493-505. http://dx.doi.org/10.1080/09638230400006809

Cited by

  1. 숲산책 프로그램이 폐쇄병동 조현병 환자의 입원스트레스와 회복에 미치는 효과 vol.23, pp.1, 2014, https://doi.org/10.14370/jewnr.2017.23.1.86
  2. 지역사회 정신장애인의 임파워먼트와 회복 : 치료적 관계의 매개효과 vol.19, pp.4, 2014, https://doi.org/10.5762/kais.2018.19.4.211
  3. 지역사회 정신장애인의 전반적 사회기능과 정신건강 회복 간의 관계에서 희망과 치료적 관계의 매개효과 vol.30, pp.1, 2014, https://doi.org/10.12799/jkachn.2019.30.1.69