Psychiatric symptoms moderate the effects of mental illness self-management in a randomized controlled trial
| Autor: | Susan A. Pickett, Dennis D. Grey, Pamela J. Steigman, Patricia Shipley, Anthony Fox, Judith A. Cook, Sita Diehl |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Behavioral Symptoms Anxiety law.invention Randomized controlled trial Patient Education as Topic law Intervention (counseling) Outpatients medicine Humans Disease management (health) Psychiatry Empowerment Depression (differential diagnoses) media_common Self-management business.industry Depression Mental Disorders Disease Management Middle Aged Mental illness medicine.disease Tennessee Psychotherapy Self Care Psychiatry and Mental health Treatment Outcome Female medicine.symptom Power Psychological business Clinical psychology |
| Zdroj: | The Journal of nervous and mental disease. 202(3) |
| ISSN: | 1539-736X |
| Popis: | Depression has been shown to moderate the effects of physical illness self-management (ISM) programs. We attempted to replicate these findings for a mental ISM intervention. Outpatients with serious mental illness (N = 428) from eight Tennessee communities were randomly assigned to receive a peer-led self-management intervention called Building Recovery of Individual Dreams and Goals Through Education and Support or services as usual. Psychiatric symptoms were assessed with the Brief Symptom Inventory; the outcome of personal empowerment was measured by the Empowerment Scale. Intent-to-treat analysis using mixed-effects random regression found significant interaction effects between study condition and three moderating symptom profiles. Empowerment was greater for the intervention participants with high levels of depressive symptoms, anxiety symptoms, and general symptom distress than for the experimental participants with low symptom levels and the control subjects with high or low levels of symptoms. These results shed light on how mental ISM programs operate and ways these can be improved. |
| Databáze: | OpenAIRE |
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