J Korean Acad Psychiatr Ment Health Nurs.  2018 Dec;27(4):303-312. 10.12934/jkpmhn.2018.27.4.303.

Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community

• Kwak YB
• Kim JY
• Lee MH

• KMID: 2430256
• DOI: http://doi.org/10.12934/jkpmhn.2018.27.4.303

Abstract

PURPOSE
The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community.
METHODS
Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with Scheffé test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program.
RESULTS
Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery.
CONCLUSION
These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

Keyword

Mental disorders; Self efficacy; Attitude to health; Healthy lifestyle; Mental health recovery

MeSH Terms

Attitude to Health*
Education
Health Promotion
Life Style*
Mental Disorders*
Mental Health
Mental Health Services
Self Efficacy

Reference

1. Lee C. 2017 National mental health status 3rd preliminary report. National mental health statistics pilot study. Seoul: National Center for Mental Health;2017. 12. Report No. 979-11-86322-51-2.

2. Organization for Economic Co-operation and Development. Health care utilisation: hospital average length of stay by diagnostic categories [Internet]. 2017. cited 2018 July 19. Available from: https://stats.oecd.org/index.aspx?queryid=30165.

3. Jeon JA, Lee NH, Kim JH. Recent changes in mental health policy in Korea. Health and Welfare Policy Forum. 2017; 246:51–63.

4. Davidson L, Schmutte T, Dinzeo T, Andres-Hyman R. Remission and recovery in schizophrenia: practitioner and patient perspectives. Schizophrenia Bulletin. 2008; 34(1):5–8. DOI: 10.1093/schbul/sbm122.

5. Kim MY. A study of quality of life based on the recovery among people with mental illness. Mental Health and Social Work. 2011; 38:205–236.

6. Whitley R, Drake RE. Recovery: a dimensional approach. Psychiatric Services. 2010; 61(12):1248–1250. DOI: 10.1176/ps.2010.61.12.1248.

7. Gordon SE, Ellis PM, Siegert RJ, Walkey FH. Core dimensions of recovery: a psychometric analysis. Administration and Policy in Mental Health and Mental Health Services Research. 2014; 41(4):535–542. DOI: 10.1007/s10488-013-0489-1.

8. Keum R, Kim SA. Perceived functional health patterns and recovery in people with schizophrenia spectrum disorders. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012; 21(3):238–249. DOI: 10.12934/jkpmhn.2012.21.3.238.

9. Derya KE, Neslihan PG. Determination of physical health status and healthy lifestyle behaviors of individuals with mental illness. Perspectives in Psychiatric Care. 2018; 54(3):371–379. DOI: 10.1111/ppc.12261.

10. White J, Gray R, Jones M. The development of the serious mental illness physical health improvement profile. Journal of Psychiatric and Mental Health Nursing. 2009; 16(5):493–498. DOI: 10.1111/j.1365-2850.2009.01375.x.

11. Kim HR. The effects of the factors influencing the physical health behaviors on people with mental illness based on the theory of triadic influence [dissertation]. [Seoul]: Ewha Womans University;2016. 142.

12. Torabi MR, Jeng I. Health attitude scale construction: importance of psychometric evidence. American Journal of Health Behavior. 2001; 25(3):290–298. DOI: 10.5993/AJHB.25.3.17.

13. Kang SI. A Study on the levels of recovery attitudes and factors affecting the recovery attitude of the chronically mentally ill living in the institutions. Health and Social Science. 2011; 30:97–129.

14. Thomas EC, Muralidharan A, Medoff D, Drapalski AL. Self-efficacy as a mediator of the relationship between social support and recovery in serious mental illness. Psychiatric Rehabilitation Journal. 2016; 39(4):352–360. DOI: 10.1037/prj0000199.

15. Zechner MR, Gill KJ. Predictors of physical activity in persons with mental illness: testing a social cognitive model. Psychiatric Rehabilitation Journal. 2016; 39(4):321–327. DOI: 10.1037/prj0000191.

16. Song GO. Validation of the Korean version of the mental health recovery measure. Mental Health and Social Work. 2010; 34:154–188.

17. Oh IS. General self-efficacy: the concept, measurement issues, and implications for HRM. Korean Journal of Industrial and Organizational Psychology. 2002; 15(3):49–72.

18. Kim JH, Yun SN. Occupational stress of the workers in a electronic manufacturing factory. Journal of Korean Community Nursing. 2001; 12(1):239–246.

19. Ahn HC, Kim MA. Effects of self-determination on recovery of persons with mental illness living in mental health care facilities: the moderating effect of social support. Mental Health and Social Work. 2017; 45(4):53–82. DOI: 10.24301/MHSW.2017.12.45.4.53.

20. Bae EK, An HJ. The influences of recovery on mentally disabled persons' behavior and symptom in the community. Journal of Social Science. 2016; 42(1):231–251.

21. Kim DY. A study on the factors affecting the recovery of persons with mental illness [master's thesis]. [Gwangju]: Honam University;2016. 78.

22. Park YM, Shin G, Kim J. Factors influencing health-promoting behaviors in people living with HIV. Korean Journal of Adult Nursing. 2014; 26(2):234–243. DOI: 10.7475/kjan.2014.26.2.234.

23. Küçükberber N, Ozdilli K, Yorulmaz H. Evaluation of factors affecting healthy life style behaviors and quality of life in patients with heart disease. The Anatolian Journal of Cardiology. 2011; 11(7):619–626. DOI: 10.5152/akd.2011.166.

24. Kumsar AK, Pakyuz SC. Determining the healthy lifestyle behaviors and related factors on women with metabolic syndrome. Journal of Education and Research in Nursing. 2015; 12(1):19–24. DOI: 10.5222/HEAD.2015.019.

25. Yun DH. The elders attitude for their health and the mediated effect in social capital related to health-enhancement relationship [dissertation]. [Gwangju]: Chosun University;2017. 87.

26. Kang JS, Kang HS, Jeong YH. A web-based health promotion program for patients with metabolic syndrome. Asian Nursing Research. 2014; 8(1):82–89. DOI: 10.1016/j.anr.2014.03.002.

27. Kim MG. A study on the effects of empowering social interaction on social behaviors of people with psychiatric disability. Mental Health and Social Work. 2009; 33:5–35.