Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery

Chiu, Min‐Sen; Davidson, Larry; Lo, William Tak‐Lam; Yiu, Michael Gar Chung; Ho, Winnie W. N.

doi:10.1159/000345834

Cited by 16 publications

(8 citation statements)

References 59 publications

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“…This would be consistent with work suggesting a relationship between self-experience and hope (Lysaker et al, 2006). Further, a body of literature suggests individuals with schizophrenia have diminished or distorted self-agency and that recovery of self-agency is associated with greater hope (Chiu et al, 2013). If this interpretation is correct, interventions to improve sense of self-agency may also foster total and pathways hope.…”

Section: Discussionsupporting

confidence: 81%

Language and hope in schizophrenia-spectrum disorders

Bonfils

Luther

Firmin

et al. 2016

Psychiatry Research

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Highlights Hope is integral to recovery in schizophrenia, but its relation to speech is unknown  Lexical analysis of transcribed life narratives were examined  Total hope, agency hope, and pathways hope correlated with lexical variables  Anger words most strongly predicted total and pathways hope Abstract Hope is integral to recovery for those with schizophrenia. Considering recent advancements in the examination of clients' lexical qualities, we were interested in how clients' words reflect hope. Using computerized lexical analysis, we examined social, emotion, and future words' relations to hope and its pathways and agency components. Forty-five clients provided detailed narratives about their life and mental illness. Transcripts were analyzed using the Linguistic Inquiry and Word Count program (LIWC), which assigns words to categories (e.g., "anxiety") based on a pre-existing dictionary. Correlations and linear multiple regression were used to examine relationships between lexical qualities and hope. Hope and its subcomponents had significant or trending bivariate correlations in expected directions with several emotion-related word categories (anger and sadness) but were not associated with expected categories such as social words, positive emotions, optimism, achievement, and future words. In linear multiple regressions, no LIWC variable significantly predicted hope agency, but anger words significantly predicted both total hope and hope pathways. Our findings indicate lexical analysis tools can be used to investigate recovery-oriented concepts such as hope, and results may inform clinical practice. Future research should aim to replicate our findings in larger samples.

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Section: Discussionsupporting

confidence: 81%

Language and hope in schizophrenia-spectrum disorders

Bonfils

Luther

Firmin

et al. 2016

Psychiatry Research

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“…As an important predictor of QOL, even among remitted patients, the predictive effect of resilience on QOL is still significant [19]. Hope and resilience, as two major areas of consumer-based recovery, are significantly correlated in patients with schizophrenia [20]. These correlated relationships between hope and resilience have also been explored in other studies and shown to play an important role in QOL improvement [7,21,22].…”

Section: Introductionmentioning

confidence: 99%

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

et al. 2020

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Background: The underlying mechanism between hope and quality of life is as yet unknown. We aim to examine the potential mediating effect of depression and resilience and the moderated effect of sex in this well-established association. Methods: Two hundred seven patients diagnosed with schizophrenia were administered a questionnaire battery that measured hope, depression, resilience and QOL. A multiple mediation model was used to examine the mediating effect of resilience and depression on the association between hope and QOL. A subgroup analysis was performed and a moderated mediation model was examined to find and test the moderated effect of sex on the mediation model. We used Mplus to perform moderation and mediation analyses so that the mediators and moderator could function together in the same model. Result: Sex was the moderator on the direct path between hope and QOL. The relationship between hope and QOL was mediated by resilience and depression in both sexes. When compared with female patients, the effect of hope on QOL was completely mediated by resilience and depression in males. In female patients, the model was partially mediated, and the direct effect of hope on QOL was significantly negatively correlated with the level of hope. Conclusion: We present a conceptual model containing the mediated effects of resilience and depression and the moderated effect of sex between hope and QOL, which we believe facilitates the understanding of these associations. This model should be useful in the formulation of strategies to improve QOL.

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“…Increased agency appeared in participants’ stories before their mental health improved, and this was likened to participants putting out a new version of their story and living their way into it. In a further example, the link between agency and self-mastery in mental health is illustrated in a quantitative study that involved 204 people with schizophrenia (Chiu, Davidson, Lo, Yiu, & Ho, 2013). Using structural equation modeling, they found that agency was linked to improvements in the recovery indicators of hope, empowerment, resilience, self-responsibility, and self-mastery.…”

Section: Discussionmentioning

confidence: 99%

A Complexity Perspective on Narrative Identity Reconstruction in Mental Health Recovery

2019

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The issue of complex nonlinear change processes is one of the least understood aspects of recovery and one of the most difficult to apply in recovery-oriented health care. The purpose of this article is to explore the recovery stories of 17 mental health peer support workers to understand their narrative identity reconstruction in recovery using a complexity perspective. Using the Life Story Model of Identity (LSMI), a narrative thematic analysis of interviews suggests that self-mastery as part of personal agency is an important component of participants’ narrative identity reconstruction. Self-mastery is particularly evident in redemptive story turning points (positive outcome follows negative experience). A complexity perspective suggests that participants realized their adaptive capacity in relation to self-mastery as part of recovery and that its use at story turning points critically influenced their recovery journey. Further exploring self-mastery as adaptive growth in narrative identity reconstruction appears to be a fruitful research direction.

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Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery

Cited by 16 publications

References 59 publications

Language and hope in schizophrenia-spectrum disorders

Language and hope in schizophrenia-spectrum disorders

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

A Complexity Perspective on Narrative Identity Reconstruction in Mental Health Recovery

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