A Moderated Mediation Model on Recovery for People with Mental Illness in Halfway Houses in Hong Kong

香港中途宿舍精神病康復者調節式中介模型研究

Student thesis: Doctoral Thesis

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Award date15 Nov 2022

Abstract

The study examined the positive characteristics of people with mental illness in halfway houses in Hong Kong. By integrating the self-efficacy theory and positive psychology model, this study investigated the relationship between confidence in coping, satisfaction in life, purpose in life, confidence in optimism, confidence in advocacy and recovery in the five domains: “willingness to ask for help”, “reliance on others”, “personal confidence and hope”, “goal and success orientation”, “no domination by symptoms” among people with mental illness. The study adopted a longitudinal research design with a total of 87 self-administered questionnaires collected by convenience sampling from 87 people with mental illness (male=65.52%, female=35.48%) from halfway houses in Hong Kong. All of the participants were diagnosed with at least one of the psychotic disorders including schizophrenia, schizoaffective disorder, and delusional disorder.

Analyses indicated that there are sequential mediation effects on the relationship between confidence in coping as independent variable and recovery outcomes in the five domains: “willingness to ask for help”, “reliance on others”, “personal confidence and hope”, “goal and success orientation”, “no domination by symptoms” through the mediators of satisfaction in life and purpose in life. The moderated mediation models with moderators of confidence in optimism and confidence in advocacy had been tested respectively. Results demonstrated that there were moderated mediation effects on the relationship between confidence in coping and recovery through satisfaction in life and purpose in life.

The theoretical implications of the findings provided a scientific evaluation of the integrated moderated mediation model in self-efficacy theory and positive psychology model. The integrated model of positive psychology and self-efficacy theory provided a theoretical framework in understanding the positive constructs of the recovery in mental illness. The results provided an important evidence-based theoretical framework for the development of structured and systematic intervention in people with mental illness in half way houses.