Predictors of psychosocial adaptation and mental wellbeing among people with chronic illness and disabilities in a chinese context

社会心理的 应对(心理学) 心理学 生物心理社会模型 社会支持 临床心理学 精神疾病 康复 心理弹性 心理健康 结构方程建模 发展心理学 精神科 社会心理学 统计 数学 神经科学
作者
Andrew M. H. Siu,Sunny Ho‐Wan Chan,Mandy Cheung,Caiyun Mo,Simon Lai,Daniel T. L. Shek
出处
期刊:European Psychiatry [Cambridge University Press]
卷期号:64 (S1): S792-S792
标识
DOI:10.1192/j.eurpsy.2021.2094
摘要

Introduction The process of adjustment to disability and illness among people with chronic illness and disabilities (CID) impacts on motivation for rehabilitation illness self-management, and psychological well-being. It involves a complex interplay of biopsychosocial factors, and was seldom examined in the Chinese context. Objectives Identify the predictors of mental well-being of people with from a set of variables including illness and social support, functional abilities, coping strategies, resilience. Examine how these factors interact in determining psychosocial adaptation and mental well-being by structural equations modelling (SEM). Methods We conducted a survey of people with CID, who were recruited from community-rehabilitation settings and self-help groups (N = 244). The research questionnaire collected basic demographic information, illness-related variables (e.g. pain, fatigue, functional limitations), and RIDI), social support, measures of resilience, coping, psychosocial ad as predictors, and mental well-being. Results Of General Linear Model (GLM) revealed that males have better adaptation than females. Resilience, social coping, & active problem solving are significant predictors of adaptation (Table 1), while age, breathing, pain, resilience, avoidance coping, are predictors of maladaptation (Table 2). A SEM was tested to examine the interaction among the predictors and outcome of adaptation and mental well-being (Figure 1), and the model fit was fair (CFI = 0.89; RMSEA = 0.09) Conclusions The results indicated that there are gender differences in adaptation. While all the hypothesized groups of variables contributed to mental well-being of people with CID. Resilience, illness variables, and some forms of coping are closely linked to adaptation and maladaptation. Disclosure No significant relationships.

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