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Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness

회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향

  • Received : 2017.03.14
  • Accepted : 2017.07.03
  • Published : 2017.07.28

Abstract

The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

Keywords

Recovery;Illness Management and Recovery;Severe Mental Illness;Knowledge;Hope

References

  1. 보건복지부, 2014년 정신건강사업안내, 2014.
  2. 보건복지부, 정신건강 종합대책, 2016.
  3. 보건복지부, 국가 정신건강 현황 예비조사 결과보고, 2015.
  4. M. F. Hogan, "The president's new freedom commission: Recommendations to transform mental health care in America," Psychiatric Services, Vol.53, No.11, pp.1467-1474, 2003.
  5. M. P. Salyers, J. L. Godfrey, A. B. McGuire, T. Gearhart, A. L. Rollins, and C. Boyle, "Implementing the illness management and recovery program for consumers with severe mental illness," Psychiatric Services, Vol.60, No.4, pp.483-490, 2009. https://doi.org/10.1176/ps.2009.60.4.483
  6. B. G. Druss, L. Zhao, A. Silke, J. R. Bona, and L. Ficks, "The Health and Recovery Peer(HARP) program: A peer-led intervention to improve medical self-management for persons with serious mental illness," Schizophrenia Research, Vol.118, No.1-3, pp.264-270, 2010. https://doi.org/10.1016/j.schres.2010.01.026
  7. 배안, 홍창희, "정신건강회복 척도의 타당화 연구," 신경정신의학, 제49권, 제6호, pp.593-603, 2010.
  8. 임경민, 신은식, 심선화, 정윤주, "정신과 환자를 위한 한국판 회복평가척도(Recovery Assessment Scale)의 신뢰도 및 타당도 연구," 한국콘텐츠학회논문지, 제14권, 제10호, pp.628-638, 2014.
  9. 강석임, "시설거주 정신장애인의 회복태도에 영향을 미치는 요인에 관한 연구," 보건과 사회과학, 제30권, 제2호, pp.97-129, 2011.
  10. 하경희, "정신장애인 동료지지활동 프로그램이 동료지원가의 회복에 미치는 효과," 재활복지, 제18권, 제1호, pp.31-52, 2014.
  11. 금란, 김선아, "조현병 환자가 인지하는 건강기능과 회복," 정신간호학회지, 제21권, 제3권, pp.238-249, 2012.
  12. B. Schrank and M. Slade, "Recovery in psychiatry," Psychiatric Bulletin, Vol.31, No.9, pp.321-325, 2007. https://doi.org/10.1192/pb.bp.106.013425
  13. R. Andresen, L. Oades, and P. Caputi, "The experience of recovery from schizophrenia: Towards an empirically validated stage model," Australasian Psychiatry, Vol.37, No.5, pp.586-594, 2003.
  14. S. Mead and M. E. Copeland, "What recovery means to us: consumers' perspectives," Community Mental Health Journal, Vol.36, No.3, pp.315-328, 2000. https://doi.org/10.1023/A:1001917516869
  15. C. Gagne, W. White, and W. A. Anthony, "Recovery: A common vision for the fields of mental health and addictions," Psychiatric Rehabilitation Journal, Vol.31, No.1, pp.32-37, 2007. https://doi.org/10.2975/31.1.2007.32.37
  16. 전원희, 박정순, 정안순, "질환별 교육프로그램이 정신질환자의 질병인식 및 약물지식에 미치는 효과," 동서간호학연구지, 제17권, 제2호, pp.110-116, 2011.
  17. https://store.samhsa.gov/shin/.../PractitionerGuidesandHandouts
  18. https://mncamh.umn.edu/sites/mncamh.umn.edu/files/eimr_manual.pdf
  19. D. Hutchinson, M. Farkas, and C. Gagne, Vocational illness management and recovery: Wellness for work, Boston University, 2015.
  20. K. T. Mueser, P. S. Meyer, D. L. Penn, R. Clancy, and D. M. Clancy, "The illness management and recovery program: Rationale, development, and preliminary findings," Schizophrenia Bulletin, Vol.32, No.S1, pp.S32-S43, 2006. https://doi.org/10.1093/schbul/sbl022
  21. R. Fardig, T. Lewander, L. Melin, F. Folke, and A. Fredriksson, "A randomized controlled trial of the illness management and recovery program for persons with schizophrenia," Psychiatric Services, Vol.62, No.6, pp.606-612, 2011. https://doi.org/10.1176/ps.62.6.pss6206_0606
  22. I. Hasson-Ohayon, D. Roe, and S. Kravetz, "A randomized controlled trial of the effectiveness of the illness management and recovery program," Psychiatric Service, Vol.58, No.11, pp.1461-1466, 2007. https://doi.org/10.1176/ps.2007.58.11.1461
  23. M. P. Salyers, A. L. Rollins, D. Clendenning, A. B. McGuire, and E. Kim, "Impact of illness management and recovery programs on hospital and emergency room use by medicaid enrollees," Psychiatric Service, Vol.62, No.5, pp.509-515, 2001.
  24. A. J. Levitt, K. T. Mueser, J. DeGenova, D. B-Watt, A. Barbosa, M. Karlin, and M. Chernick, "Randomized controlled trial of illness management and recovery in multiple-unit supportive housing," Psychiatric Services, Vol.60, No.12, pp.1629-1636, 2009. https://doi.org/10.1176/ps.2009.60.12.1629
  25. E. Fujita, D. Kato, E. Kuno, Y. Suzuki, and S. Uchiayma, "Implementing the illness management and recovery in Japan," Psychiatric Services, Vol.61, No.11, pp.1157-1161, 2010. https://doi.org/10.1176/ps.2010.61.11.1157
  26. E. C. Lin, C. H. Chan, W. C. Shao, M. F. Lin, S. Shiau, K. T. Mueser, S. C. Huang, and H. S. Wang, "A randomized controlled trial of an adapted illness management and recovery program for people with schizophrenia awaiting discharge from a psychiatric hospital," Psychiatric Rehabilitation Journal, Vol.36, No.4, pp.243-249, 2013. https://doi.org/10.1037/prj0000013
  27. S. L. Young and W. A. Bullock, The mental health recovery measure, University of Toledo, Department of Psychology, 2003.
  28. 홍창희, 배안, "정신건강회복 척도의 타당화 연구," 신경정신의학, 제49권, 제6호, pp.593-603, 2010.
  29. 임영미, 안양희, "정신분열병 환자 가족간호자의 지식과 대처," 정신간호학회지, 제9권, 제2호, pp.195-208, 2000.
  30. C. R. Synder, "Conceptualizing, measuring, and nurturing hope," Journal of Counseling and Development, Vol.73, pp.355-360, 1995. https://doi.org/10.1002/j.1556-6676.1995.tb01764.x
  31. 최유희, 이희경, 이동귀, "Snyder의 희망척도 한국번역판의 타당화 연구," 한국심리학회지:임상, 제22권, 제2호, pp.1-16, 2008.
  32. M. Salyers, J. L. Godfrey, A. B. McGuire, T. Gearhart, A. L. Rollins, and C. Boyle, "Implementing the illness management and recovery program for consumers with severe mental illness," Psychiatric Services, Vol.60, No.4, pp.483-490, 2009. https://doi.org/10.1176/ps.2009.60.4.483
  33. R. Whitley, S. Gingerich, W. J. Lutz, and K. T. Mueser, "Implementing the illness management and recovery program in community mental health setting: Facilitators and barriers," Psychiatric Services, Vol.60, No.2, pp.202-209, 2009. https://doi.org/10.1176/ps.2009.60.2.202
  34. 이정숙, 이선영, "정신장애인의 삶의 질과 회복에 대한 연구," 디지털융복합연구, 제12권, 제6호, pp.457-465, 2014.