Dimensions of Health among Patients in Mental Health Services
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.
Place, publisher, year, edition, pages
Lund: Department of Health Sciences, Faculty of Medicine, Lund University , 2007. , 121 p.
, Lund University, Faculty of Medicine doctoral dissertation series, ISSN 1652-8220 ; 2007:79
Health, Mental health services, Nurse, Patient, Perceptions, Phenomenography, Questionnaire, Reliability, Subjective experience, Validity
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:hh:diva-16873ISBN: ISBN: 978-91-85559-57-2OAI: oai:DiVA.org:hh-16873DiVA: diva2:473982
2007-05-25, Hörsal 01, Vårdvetenskapens hus, Baravägen 3, Lund, 13:00 (Swedish)
Sandman, Per-Olof, Professor
Hansson, Lars, ProfessorSvensson, BengtArvidsson, Barbro
Medicine doktorsexamen2012-01-102012-01-082016-02-26Bibliographically approved
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