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KMID : 0614420110380010205
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Mental Health & Social Work
2011 Volume.38 No. 1 p.205 ~ p.236
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A Study of Quality of Life Based on the Recovery among People with Mental Illness
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Kim Mi-Young
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Abstract
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Based on the recovery model in mental health consumers’ perspective, this study aims to explore the subjective quality of life among people with mental illness and to test direct and indirect effects of key components of recovery on the quality of life by exploring causal relationships among those components. Therefore, this study sets symptoms, insight, social support, mental health service environments as independent variables and empowerment and social functioning as mediating variables of the key components of recovery and explores their direct and indirect effects on the quality of life among people with mental illness. Especially, this study explores whether empowerment and social functioning mediate the effects of independent variables on the quality of life. For the purpose the study, this study recruited 458 adults with mental illness, ranging 18～60 years old, who have used mental health services at least 3 months and beyond at social rehabilitation facilities. This study employed face-to-face survey method using purposive sampling method. Major findings in this study are as follows; First, of the key components of recovery, insight, social support, mental health service environment, empowerment, and social functioning had statistically significant direct effects on the quality of life whereas symptom did not. Symptom and social support had direct effects on empowerment, and symptom, insight, social support had direct effects on social functioning. Second, empowerment as internal change in recovery mediated the effects of symptom and social support on the quality of life. Social functioning as functional change in recovery also mediated the effects of insight and social support on the quality of life. Especially social functioning suppressed negative effects of insight on the quality of life in recovery. Based on the results of the study, social work implications, particularly in mental health services, were discussed.
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KEYWORD
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people with mental illness, recovery, quality of Life
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