Abstract
Context: A shift toward person-centered care has been occurring in services provided to people with mood and anxiety disorders. Recovery is recognized as encompassing personal aspects in addition to clinical ones. Guidelines now recommend supporting people's engagement in self-management as a complementary recovery avenue. Yet the literature lacks evidence on how individualized combinations of self-management strategies used by people relate to their clinical and personal recovery indicators.Objectives: The aims of this study were to identify profiles underlying mental health recovery, describe the characteristics of participants corresponding to each profile, and examine the associations of profiles with criterion variables.Method: 149 people recovering from anxiety, depressive, or bipolar disorders completed questionnaires on self-management, clinical recovery (symptom severity), personal recovery (positive mental health), and criterion variables (personal goal appraisal, social participation, self-care abilities, coping).Results: Latent profile analysis (LPA) revealed three profiles. The Floundering profile included participants who rarely used self-management strategies and had moderately severe symptoms and the lowest positive mental health. The Flourishing profile was characterized by frequent use of self-empowerment strategies, the least severe symptoms, and the highest positive mental health. Participants in the Struggling profile engaged actively in several self-management strategies focused on symptom reduction and healthy lifestyle. They concomitantly reported high symptom severity and moderately high positive mental health. The study revealed that Floundering was associated with higher probabilities of being a man, being single, and having a low income. People in the Flourishing profile had the most favorable scores on criterion variables, supporting the profiles' construct validity.Discussion: The mixed portrait of Struggling participants on recovery indicators suggests the relationship between health engagement and recovery is more intricate than anticipated. Practitioners should strive for a holistic understanding of their clients' self-management strategies and recovery indicators to provide support personalized to their profile. While people presenting risk factors would benefit from person-centered support, societal efforts are needed in the long term to reduce global health inequalities. The integration of constructs from diverse fields (patient-centered care, chronic illness, positive psychology) and the use of person-oriented analysis yielded new insights into people's engagement in their health and well-being.
Highlights
Contemporary mental health services are more person-centered1 than they used to be (Mechanic, 2007)
The aim of this study was to explore person-centered recovery profiles presented by individuals who reported having received a diagnosis of mood and anxiety disorders
With regard to the recovery indicators, positive mental health had a negative relationship with both depression and anxiety symptom severity
Summary
Contemporary mental health services are more person-centered than they used to be (Mechanic, 2007). Building on people’s engagement in their own well-being and health (Graffigna et al, 2014), supporting self-management appears to be an exemplary person-centered practice. The present study constitutes a first exploration of individual profiles underlying mental health recovery. It highlights different combinations of self-management strategies used by people in relation to recovery indicators. To this end, innovative person-oriented analyses were conducted to discern how self-management and recovery are related at the person level, in contrast to traditional variableoriented analyses that consider relationships between variables across whole groups of participants (Meyer et al, 2013).
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