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BMC Psychiatry

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Open Access 01-12-2021 | Research

Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders

Authors: Patricia Penas, Jose-Juan Uriarte, Susana Gorbeña, Mike Slade, María-Concepción Moreno-Calvete, Ioseba Iraurgi

Published in: BMC Psychiatry | Issue 1/2021

Abstract

Background

Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment.

Methods

Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program.

Results

Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ² = 6.72, p = .394; GFI = .99, SRMR = .03) identified how positive discrepancies were associated with a higher presence of recovery markers (β = .12, p = .05), which in turn were negatively related to the derived symptomatology index (β = −.33, p < .001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma.

Conclusions

An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.

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Title: Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders
Authors: Patricia Penas
Jose-Juan Uriarte
Susana Gorbeña
Mike Slade
María-Concepción Moreno-Calvete
Ioseba Iraurgi
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03287-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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