The impact of illness identity on recovery from severe mental illness: A review of the evidence

Yanos, Philip T.; DeLuca, Joseph S.; Roe, David; Lysaker, Paul H.

doi:10.1016/j.psychres.2020.112950

Cited by 98 publications

(73 citation statements)

References 119 publications

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“…In Figures 1 and 2 are described the factor loading analysis and pathway of the two theoretical models. The 27 items were positive, defined as loading in nine different first order latent factors: Personal Responsibility (10,11,23), Pity (9,22,27), Help (8,20,21), Anger (1, 4, 12), Coercion (5,14,25), Segregation (6,15,17), Dangerousness (2,13,18), Fear (3,19,24) and Avoidance (7,16,26). In the Responsibility Model, the regression weights are statistically significant except for "Personal Responsibility-Pity" and "Pity-Help"; for the Dangerousness Model, however, they are all statistically significant.…”

Section: Resultsmentioning

confidence: 99%

“…Many people with mental disorders, including schizophrenia [ 3 , 4 ], experience stigma resulting from others’ lack of knowledge (stereotypes, ignorance or misinformation), attitudes (prejudice), or behavior (discrimination) [ 5 , 6 , 7 , 8 , 9 ]. The experience of stigma can lead to social exclusion [ 10 , 11 , 12 , 13 ], a decrease in self-esteem, due to the internalization of stigma [ 7 , 13 , 14 , 15 , 16 ], and the worsening of psychopathology, e.g., suicidal behavior [ 17 ]. Clear effects on the course and outcome of mental illnesses have been documented [ 7 , 9 ]: dealing with stigma is not only a humanitarian and ethical matter, but also a well defined and mandatory clinical action.…”

Section: Introductionmentioning

confidence: 99%

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Stigma on Mental Health among High School Students: Validation of the Italian Version of the Attribution Questionnaire-27 (AQ-27-I) in a High School Student Population

Ferrari

Bressi

Busnelli

et al. 2020

IJERPH

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The purpose of this study was to describe the psychometric characteristics of the AQ-27-I in a high school student population. Students aged between 17 and 20 years and attending the fourth and fifth year of a scientific high school in Milan were approached at the school and were asked to fill in an anonymous socio-demographic form and the AQ-27-I. Cronbach’s alpha was used to estimate the instrument reliability and confirmatory factor analysis (CFA) was conducted and compared to the original English version factor structure. The AQ-27-I demonstrated acceptable internal consistency, with a Cronbach’s alpha of 0.87 and only one subscale (Personal responsibility) with an alpha lower than 0.60. Fit indices were very positive for the Dangerousness Model supporting the factor structure and paths of the original version. The Personal Responsibility Model, on the other hand, showed some weakness, concerning the process dynamics of the model. The results obtained are similar with those from other studies carried out in Italy and other countries. The questionnaire can be used for the quantitative description of stereotypes, emotions and behaviors associated with stigma in mental health in high school student populations.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stigma on Mental Health among High School Students: Validation of the Italian Version of the Attribution Questionnaire-27 (AQ-27-I) in a High School Student Population

Ferrari

Bressi

Busnelli

et al. 2020

IJERPH

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“…Так, за P.T. Yanos, J. S. DeLuca, D. Roe та їх співавторами (2020), самостигматизація у пацієнтів з ЕПЕП впливає на надію та самооцінку, а згодом призводить до «каскаду негативних наслідків для результатів, пов'язаних із одужанням…» [32]. Також було доведено, що патоперсонологічна симптоматика не є однорідною і може бути як незворотною (саме цей різновид охоплювався терміном «дефіцитарна») та зворотною (що нівелюється під впливом психофармакотерапії, психотерапії, соціально-реабілітаційних заходів або самовільно без спрямованих зовнішніх впливів) [32].…”

Section: резюмеunclassified

Modern Scientific Views on the Clinic, Systematics, Diagnosis and Pathopersonalogy of Endogenous Psychosis With Episodic Course (Literature Riview)

Підлубний

Хоміцький

2020

UJMH

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The aim of the study. To study the literature in order to identify modern scientific views on the clinic, systematics, diagnosis and pathopersonalogy of endogenous psychoses with episodic course. Results. The analysis of the literature shows that the diagnostic and classification approaches of endogenous psychoses with episodic course, are focused on polymorphic and variable symptoms of exacerbation of the disease. This leads to diagnostic mistakes, errors in the appointment of maintenance therapy, deterioration of compliance and further deepening of social maladaptation of patients. Refusal to develop the mechanisms of pathogenesis on the basis of the nosological approach will inevitably lead to a regression of the level of treatment and rehabilitation approaches - from ethiopathogenetic to symptomatic. Conclusions. Thus, at present, the importance of diagnostic techniques aimed at assessing and differentiating persistent symptoms of the disease in the period of remission of endogenous psychoses and relate to pathopersonalogical transformations. Research and correct diagnostic assessment of this multicomponent cluster of psychopathological symptoms allows to assess the nosological affiliation of a particular clinical case and to determine the necessary pharmacological and social rehabilitation effects in order to correct existing pathopersonalogical transformations and prevent exacerbation of endogenous psychosis.

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“…In their illness identity model, Yanos et al (15) describe the impact a unidimensional and illness-dominated identity can have upon multiple recovery outcomes (e.g., hope, vocational outcomes, and even symptoms severity), particularly if combined with good clinical insight. In a recent review, Yanos et al (30) demonstrated that in the past decade several articles have confirmed various components of their illness identity model, particularly the relationships between self-stigma and diminished self-esteem, hope, and impaired social relationships. However, this review also showed that studies specifically investigating (illness) identity are scarce, both in young adults in the early stages of mental illness, where identity development is still in full swing, and in service users in later stages of SMI.…”

Section: Introductionmentioning

confidence: 99%

Targeting Personal Recovery of People With Complex Mental Health Needs: The Development of a Psychosocial Intervention Through User-Centered Design

Meer

Jonker

Wadman³

et al. 2021

Front. Psychiatry

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Long-term admissions in psychiatric facilities often result in a gradual erosion of the identity of people diagnosed with severe mental illnesses (SMIs) into merely “patient.” Moreover, experiences of loss often reduced people's sense of purpose. Although regaining a multidimensional identity and a sense of purpose are essential for personal recovery, few interventions specifically address this, while at the same time take people's often considerable cognitive and communicative disabilities into consideration. This study describes the development process of a new intervention through user-centered design (UCD). UCD is an iterative process in which a product (in this case, an intervention) is developed in close cooperation with future users, such that the final product matches their needs. The design process included three phases: an analysis, design, and evaluation phase. In the analysis phase, the “problem” was defined, users' needs were identified, and design criteria were established. In the design phase, the collected information served as input to create a testable prototype using a process of design and redesign, in close collaboration with service users and other stakeholders. This resulted in an intervention entitled “This is Me” (TiM) in which service users, together with a self-chosen teammate, actively engage in new experiences on which they are prompted to reflect. Finally, in the evaluation phase, TiM was implemented and evaluated in a real-life setting. In a small feasibility pilot, we found indications that some people indeed demonstrated increased reflection on their identity during the intervention. Furthermore, TiM seemed to benefit the relationship between the service users and the mental health professionals with whom they underwent the experiences. The pilot also revealed some aspects of the (implementation of) TiM that can be improved. Overall, we conclude that UCD is a useful method for the development of a new psychosocial intervention. The method additionally increased our knowledge about necessary factors in targeting personal recovery for people with complex mental health needs. Moreover, we conclude that TiM is a promising tool for supporting people with SMI in redeveloping a multidimensional identity and a renewed sense of purpose.

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The impact of illness identity on recovery from severe mental illness: A review of the evidence

Cited by 98 publications

References 119 publications

Stigma on Mental Health among High School Students: Validation of the Italian Version of the Attribution Questionnaire-27 (AQ-27-I) in a High School Student Population

Stigma on Mental Health among High School Students: Validation of the Italian Version of the Attribution Questionnaire-27 (AQ-27-I) in a High School Student Population

Modern Scientific Views on the Clinic, Systematics, Diagnosis and Pathopersonalogy of Endogenous Psychosis With Episodic Course (Literature Riview)

Targeting Personal Recovery of People With Complex Mental Health Needs: The Development of a Psychosocial Intervention Through User-Centered Design

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