| Abstract | Polazeći od suvremenog pristupa dvojnog modela kontinuuma mentalnog zdravlja i mentalne
bolesti (eng. dual continua model) sveukupno mentalno zdravlje je više od samog odsustva
mentalnog poremećaja ili bolesti. Prema ovom modelu osobe koje boluju od psihičke bolesti mogu
imati dobro mentalno zdravlje i dobar oporavak i tokom iskustva s dijagnozom psihičke bolesti.
Stoga je svrha ovog istraživanja produbiti spoznaju o oporavku i pojavnosti dimenzija pozitivnog
mentalnog zdravlja kod osoba koje boluju od psihičke bolesti. Cilj istraživanja bio je ispitati ulogu
određenih čimbenika rizika i zaštite za oporavak i pozitivno mentalno zdravlje osoba s psihičkim
oboljenjem. Ispitao se doprinos obilježja psihičke bolesti, materijalne deprivacije, izloženosti
stresu, kvalitete života, socijalne podrške i zadovoljstva pružanim uslugama. U istraživanju je
sudjelovalo 200 osoba koje boluju od psihičke bolesti, od čega 28,5% s dijagnozom shizofrenije,
43% sudionika s poremećajima raspoloženja i 28,5% sudionika s anksioznim poremećajima.
Rezultati istraživanja pokazali su da korisnici usluga izvanbolničke psihijatrijske skrbi koji boluju
od shizofrenije iskazuju višu razinu materijalne deprivacije i percipiraju nižu razinu socijalne
podrške u odnosu na korisnike s depresivnim i bipolarno afektivnim poremećajem i korisnike s
anksioznim i opsesivno-kompulzivnim poremećajem. Prediktorski skup koji obuhvaća varijable
dva prediktora: Uznemirenost i Kvaliteta kao komponente stresa u posljednjem koraku modela
objašnjava 52,7% varijance procjene oporavka. Rezultati istraživanja ukazali su na to da kvaliteta
života i niska razina uznemirenosti, kao komponenta stresa, značajno doprinose oporavku osoba
koje boluju od psihičke bolesti. Prediktorski skup koji obuhvaća varijable Uznemirenost i Kontrolu
kao komponente stresa, Kvalitetu života i Socijalnu podršku od strane značajni drugih objašnjava
se 51,2% varijance kriterija pozitivnog mentalnog zdravlja. Rezultati su ukazali na to da veća
učestalost doživljavanja uznemirenosti i kontrole kao izvora stresnog događaja će predviđat nižu
razinu pozitivnog mentalnog zdravlja, Nadalje, veća razina subjektivne kvalitete života i veća
razina podrške od značajnih drugih predviđat će veću razinu pozitivnog mentalnog zdravlja.
Rezultati ovoga istraživanja ukazuju na potrebu unapređenja procesa prevencije mentalnog
zdravlja orijentiranog na oporavak kroz poboljšavanje uvjeta kvalitete života osoba koje boluju od
psihičke bolesti, osnaživanja mreža socijalne podrške i prevenciji izloženosti stresnim životnim
događajima |
| Abstract (english) | ABSTRACT:
Introduction:
The topic of the quality of life of people with mental illness is relatively well covered in research,
but the aspect of their positive mental health and recovery is a significantly less researched
phenomenon. According to the dual continuum model of mental health and mental illness, overall
mental health is more than just the absence of mental illnesses and disorders. According to this
model, a person can have high personal well-being, that is, good mental health even during the
experience with a diagnosis of mental illness. Therefore, the goal of the research was to gain insight
into the recovery and incidence of positive mental health in people suffering from mental illness,
and to examine the prediction of certain risk and protection factors for the recovery and mental
health of people with mental illness. The contribution of the characteristics of mental illness,
material deprivation, exposure to stress, quality of life, social support and satisfaction with the
services provided was also examined.
Participants:
A total of 200 adults suffering from mental illness from Tuzla Canton, Federation of Bosnia and
Herzegovina were included in the research. Of which 28.5% (n=57) were diagnosed with
schizophrenia (F20), 43% of participants (n=86) with mood disorders (depressive disorder F32
and bipolar affective disorder F31) and 28.5% (n=57) of participants with anxiety disorders
(anxiety F40, F41 and obsessive-compulsive disorder F42). People older than 18 years were
included in the research, and the average age of the participants was 54 years.
Instruments:
Questionnaire consisting of several scales related to sociodemographic data, material deprivation,
exposure to stress, quality of life, social support, satisfaction with services provided, recovery and
positive mental health was used for the purposes of this research. The measuring instruments used
in the research are: Questionnaire of socio-demographic characteristics - constructed for the needs
of this research; Croatian version of the mental health questionnaire (The Mental Health
Continuum-Short Form (MHC-SF) Scoring System) (Vuletić et al., 2018); The Recovery
Assessment Scale (RAS 24) (Corrigan et al., 2008); Material deprivation questionnaire
(Ajduković, Družič Ljubotina and Kletečki Radović 2016); Perceived Stress Scale (PSS) (Cohen,
Kamarck and Mermestein, 1983); Manchester Short Assessment of Quality of Life Scale
(MANSA) (Priebe et al., 1999); The Multidimensional Scale of Perceived Social Support
(MSPSS) (Zimet et al., 1988); Instrument for measuring user satisfaction with treatment (Client
Satisfaction Questionnaire - CSQ-18) (Attkisson and Zwick, 1982). The measuring instruments
used in the research are: Questionnaire of socio-demographic characteristics - constructed for the
needs of this research; Croatian version of the mental health questionnaire (The Mental Health
Continuum-Short Form (MHC-SF) Scoring System) (Vuletić et al., 2018); The Recovery
Assessment Scale (RAS 24) (Corrigan et al., 2008); Material deprivation questionnaire
(Ajduković, Družič Ljubotina and Kletečki Radović 2016); Perceived Stress Scale (PSS) (Cohen,
Kamarck and Mermestein, 1983); Manchester Short Assessment of Quality of Life Scale
(MANSA) (Priebe et al., 1999); The Multidimensional Scale of Perceived Social Support
(MSPSS) (Zimet et al., 1988); Instrument for measuring user satisfaction with treatment (Client
Satisfaction Questionnaire - CSQ-18) (Attkisson and Zwick, 1982).
Results:
The results showed that people with schizophrenia have significantly higher levels of material
deprivation and a lower level of social support, unlike people with depression and anxiety
disorders. The predictor set that includes the Distress variable as a stress component and the
Quality of Life assessment explains 52.7% of the variance of the recovery criteria.
The set of predictors that includes the variables Distress and Control as components of stress, and
the assessment of Quality of Life and Social Support - significant others explains 51.2% of the
variance of the criterion of positive mental health.
Conclusion:
There are statistically significant differences between persons suffering from schizophrenia and
persons suffering from depressive and anxiety disorders in the level of material deprivation and
social support. The obtained differences indicate that people suffering from schizophrenia show a
higher level of material deprivation and perceive a lower level of social support compared to
people with depression and anxiety disorders. as a component of stress and Quality of life, explain
a high percentage of the variance in the recovery of people suffering from mental illness (52.7%).
Distress and Control as components of stress, Quality of life and Social support from significant
others are predictors that explain a high percentage of the variance of the criterion of positive
mental health of persons suffering from mental illness (51.2%). The above indicates a greater need
for the development of social services and interventions aimed at increasing the quality of life of
a person suffering from a mental illness, sources of social support and developing skills for dealing
with stressful life events in an organized outpatient psychiatric care system |
