Examinando por Autor "Penas, Patricia"

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    Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders
    (BioMed Central Ltd, 2021-12) Penas, Patricia; Uriarte, José Juan; Gorbeña, Susana; Slade, Mike; Moreno-Calvete, María Concepción; Iraurgi Castillo, Ioseba
    Background: Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment. Methods: Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program. Results: Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ2 = 6.72, p =.394; GFI =.99, SRMR =.03) identified how positive discrepancies were associated with a higher presence of recovery markers (β =.12, p =.05), which in turn were negatively related to the derived symptomatology index (β = −.33, p <.001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma. Conclusions: An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.
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    The effects of an intervention to improve mental health during the COVID-19 quarantine: comparison with a COVID control group, and a pre-COVID intervention group
    (Routledge, 2022) Gorbeña, Susana; Gómez Marroquín, Ignacio; Govillard Garmendia, Leila; Sarrionandia Vadillo, Sare; Macía Guerrero, Patricia; Penas, Patricia; Iraurgi Castillo, Ioseba
    ObjectiveThe COVID-19 pandemic has constituted an unprecedented challenge to society and science and it has provided an unexpected opportunity to explore the effects of a positive intervention in times of adversity and confinement. The goal was to evaluate the effects of a theory driven group intervention to cultivate mental health and flourishing. Design: A pre post design with three groups (151 individuals) was conducted, including an experimental group that received the intervention during the pandemic, a pre-COVID intervention group, and a COVID control group. Main Outcome Measures: Based on Keyes’ concept of positive mental health, measures of subjective, psychological and social well-being were obtained, as well as an indicator of psychological distress (GHQ12). Results: Intervention groups showed an increase in well-being and the COVID control group a decrease. Change scores revealed significant differences. Overall percentage of individuals at risk of ill health in baseline was 25.2%, but after the intervention, the COVID control group reached 64.1%. Conclusions: Despite the limitations, the present findings suggest that interventions to sustain and improve mental health in times of crisis and adversity can be an effective approach.
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    The role of personal recovery and internalised stigma on the expression of symptomatology in severe mental disorders: mediating and moderating effects
    (Elsevier Ltd, 2024-9-1) Penas, Patricia; Uriarte, José Juan; Álvarez, Alexander; Moreno-Calvete, María Concepción; Garay, María Asunción; Iraurgi Castillo, Ioseba
    Objective: Given the relevance of internalised stigma in people suffering from a mental disorder, in the present study, the possible mediating and moderating role of self-stigma in the relationship between personal recovery and symptomatology has been studied. Method: 265 participants with severe mental disorder completed the following instruments: ISMI (self-stigma), REE (personal recovery) and HoNOS, CGI, GAF and EuroQol (symptomatology). Results: both the mediation and moderation analyses show significant results, which would indicate that internalised stigma has an effect on the relationship between personal recovery and symptomatology. Also, people with lower level of personal recovery and greater self-stigma have greater symptomatology than those who are in more advanced personal recovery processes and have a lower perception of internalised stigma. Discussion: the findings of this study suggest that self-stigma has an effect, and the improvement at personal recovery and symptomatology is accentuated when people with a severe mental disorder have a better management of internalised stigma. Therefore, it may be interesting to include this variable in recovery interventions.