Hostname: page-component-77c89778f8-7drxs Total loading time: 0 Render date: 2024-07-19T13:53:06.776Z Has data issue: false hasContentIssue false
  • English
  • Français

Influence of change expectancy and recovery processes on depression severity

Published online by Cambridge University Press:  08 July 2019

Benjamin Chu Yuan Low ,
Kokkwang Lim ,
Meiyin Wong ,
Sayleong Ooi Open the ORCID record for Sayleong Ooi [Opens in a new window]  and
Chee Khong Yap
Benjamin Chu Yuan Low
Affiliation:
School of Psychology, James Cook University, Singapore
Kokkwang Lim
Affiliation:
School of Psychology, James Cook University, Singapore
Meiyin Wong
Affiliation:
Psychology Services, National Healthcare Group Polyclinics, Singapore
Sayleong Ooi*
Affiliation:
Psychology Services, National Healthcare Group Polyclinics, Singapore
Chee Khong Yap
Affiliation:
Psychology Services, National Healthcare Group Polyclinics, Singapore
*
*Corresponding author. Email: ooisayleong@gmail.com
Get access

Abstract

Consumer recovery processes refer to social Connectedness, Hope, Identity, Meaning in life, and Empowerment (“CHIME”). This study examined if expectations of change in depression could mediate the relationship between CHIME recovery processes and depression severity. Participants were patients who consulted clinical psychologists at primary care clinics. Measures of depression change expectancy, CHIME recovery processes, and depression symptoms were administered. Change expectancy partially mediated the relationship between Hope and depression severity. The same was found for Identity, but Identity also mediated the relationship between change expectancy and depression. Thus, Hope may reduce depression by improving change expectancies, whereas Identity and change expectancy may have reciprocal influences that alter depression. Findings suggest that the CHIME recovery processes may facilitate recovery from depression.

Keywords

Change expectancyCHIMEdepressionprimary carerecovery
Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 25 , Issue 1 , July 2019 , pp. 36 - 44
Copyright
© The Author(s) 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahmed, M. & Westra, H. A. (2009). Impact of a treatment rationale on expectancy and engagement in cognitive behavioral therapy for social anxiety. Cognitive Therapy and Research, 33, 314–322.CrossRefGoogle Scholar
Andresen, R., Caputi, P., & Oades, L. G. (2010). Do clinical outcome measures assess consumer-defined recovery? Psychiatry Research, 177, 309–317.CrossRefGoogle ScholarPubMed
Anthony, B. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23.CrossRefGoogle Scholar
Bird, V., Leamy, M., Tew, J., Le Boutillier, C., Williams, J., & Slade, M. (2014). Fit for purpose? Validation of a conceptual framework for personal recovery with current mental health consumers. Australian & New Zealand Journal of Psychiatry, 48(7), 644–653.CrossRefGoogle ScholarPubMed
Cameron, I. M., Crawford, J. R., Lawton, K., & Reid, I. C. (2008). Psychometric comparison of PHQ-9 and HADS for measuring depression in primary care. British Journal of General Practice, 58, 32–36.CrossRefGoogle ScholarPubMed
Chambless, D. L., Tran, G. Q., & Glass, C. R. (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders, 11, 221–240.CrossRefGoogle ScholarPubMed
Clarke, J., Proudfoot, J., Birch, M., Whitton, A. E., Parker, G., Manicavasgar, V., … Hadzi-Pavlovic, D. (2014). Effects of mental health self-efficacy on outcomes of a mobile phone and web intervention for mild-to- moderate depression, anxiety, and stress: Secondary analysis of a randomised controlled trial. BMC Psychiatry, 14, 272–282.CrossRefGoogle ScholarPubMed
Dew, S. & Bickman, L. (2005). Client expectancies about therapy. Mental Health Services Research, 7, 21–33.CrossRefGoogle ScholarPubMed
Eddington, K. M., Burgin, C. J., & Majestic, C. (2016). Individual differences in expectancies for change in depression: Associations with goal pursuit and daily experiences. Journal of Social and Clinical Psychology, 25(8), 629–642.CrossRefGoogle Scholar
Eddington, K. M., Dozois, D. J., & Backs-Dermott, B. J. (2014). Evaluation of the internal consistency, factor structure, and validity of the Depression Change Expectancy Scale. Assessment, 21(5), 607–617.CrossRefGoogle ScholarPubMed
Hardan-Khalil, K., & Mayo, A. M. (2015). Psychometric properties of the multidimensional scale of perceived social support. Clinical Nurse Specialist, 29(5), 258–261.CrossRefGoogle ScholarPubMed
Hayes, A. F. (2013a). Introduction to mediation, moderation, and conditional process analysis. New York, NY: The Guilford Press.Google Scholar
Hayes, A. F. (2013b). PROCESS for SPSS (Version 2. 10) [Software]. Retrieved from www.afhayes.com.Google Scholar
Howland, R. H. (2008). Understanding the placebo effect part 2: Underlying psychological & neurobiological processes. Journal of Psychosocial Nursing & Mental Health Services, 46, 15–18.Google ScholarPubMed
Ingram, R. & Goldstein, B. (1978). Role of expectancy factors in behavioral self-control therapies: An experimental inquiry. Psychological Reports, 42, 535–542.CrossRefGoogle Scholar
Kroenke, K., Spitzer, R., & Williams, W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–616.CrossRefGoogle ScholarPubMed
Leamy, M., Bird, V., Boutillier, C. L., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. British Journal of Psychiatry, 199, 445–454.CrossRefGoogle ScholarPubMed
Low, B., Lim, K., Wong, M., Ooi, S., Oades, L. G., & Yap, C. (2018). The relationship between consumer-defined recovery, psychosocial functioning, and depressive symptoms. Manuscript submitted for publication.Google Scholar
Macdonald, A. (2011). Solution-focused therapy: Theory, research & practice. London, UK: SAGE.Google Scholar
McCay, E. A. & Seeman, M. V. (1998). A scale to measure the impact of a schizophrenic illness on an individual’s self-concept. Archives of Psychiatric Nursing, 12(1), 41–49.CrossRefGoogle ScholarPubMed
McFarlane, T. L., Olmsted, M. P., & Goldbloom, D. S. (2005). Beliefs and expectations regarding etiology, treatment and outcome in bulimia nervosa. Eating and Weight Disorders, 10, 187–192.CrossRefGoogle ScholarPubMed
Mental Health Commission [Ireland]. (2005). A vision for a recovery model in Irish Mental Health Services. Retrieved from http://www.mhcirl.ie/file/discpapvforarecmod.pdf.Google Scholar
Petros, R., Solomon, P., Linz, S., DeCesaris, M., & Hanrahan, N. P. (2016). Autovideography: The lived experience of recovery for adults with serious mental illness. Psychiatric Quarterly, 87(3), 417–426.CrossRefGoogle ScholarPubMed
Price, M., Anderson, P., Henrich, C. C., & Rothbaum, B. O. (2008). Greater expectations: Using hierarchical linear modeling to examine expectancy for treatment outcome as a predictor of treatment response. Behavior Therapy, 39, 398–405.CrossRefGoogle Scholar
Roberts, G., & Wolfson, P. (2004). The rediscovery of recovery: Open to all. Advances in Psychiatric Treatment, 10, 37–49.CrossRefGoogle Scholar
Safren, S. A., Heimberg, R. G., & Juster, H. R. (1997). Clients’ expectancies and their relationship to pretreatment symptomatology and outcome of cognitive-behavioral group treatment for social phobia. Journal of Consulting and Clinical Psychology, 65, 694–698.CrossRefGoogle ScholarPubMed
Scheier, M. F., Wrosch, C., Baum, A., Cohen, S., Martire, L. M., Matthews, K. A. … Zdaniuk, B. (2006). The life engagement test: Assessing purpose in life. Journal of Behavioural Medicine, 29(3), 291–298.CrossRefGoogle ScholarPubMed
Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996). Development and validation of the state hope scale. Journal of Personality and Social Psychology, 70(2), 321–335.CrossRefGoogle ScholarPubMed
Stuart, S. R., Tansey, L., & Quayle, E. (2017). What we talk about when we talk about recovery: A systematic review and best-fit framework synthesis of qualitative literature. Journal of Mental Health, 26(3), 291–304.CrossRefGoogle ScholarPubMed
Sung, S. C., Low, C. C. H., Fung, D. S. S., & Chan, Y. H. (2013). Screening for major and minor depression in a multiethnic sample of Asian primary care patients: A comparison of the nine-item Patient Health Questionnaire (PHQ-9) and the 16-item Quick Inventory of Depressive Symptomatology– Self-Report (QIDS- SR16). Asia-Pacific Psychiatry, 5, 249–258.CrossRefGoogle Scholar
Vaingankar, J. A., Abdin, E., & Chong, S. A. (2012). Exploratory and confirmatory factor analyses of the Multidimensional Scale of Perceived Social Support in patients with schizophrenia. Comprehensive Psychiatry, 53, 286–291.CrossRefGoogle ScholarPubMed
Vining, D. & Robinson, J. C. (2016). Concept analysis of illness engulfment in schizophrenia. Archives of Psychiatric Nursing, 30, 370–374.CrossRefGoogle Scholar
Wenzel, A., Jeglic, E. L., Levy-Mack, H. J., Beck, A. T., & Brown, G. K. (2008). Treatment attitude and therapy outcome in patients with borderline personality disorder. Journal of Cognitive Psychotherapy, 22, 250–257.CrossRefGoogle Scholar
Westra, H. A., Arkowitz, H., & Dozois, D. J. A. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117.CrossRefGoogle ScholarPubMed
Whitley, R., Palmer, V., & Gunn, J. (2015). Recovery from severe mental illness. Canadian Medical Association Journal, 187(13), 951–952.CrossRefGoogle ScholarPubMed
World Health Organization. (2003). What are the arguments for community-based mental health care? Retrieved from www.euro.who.int/__data/assets/pdf_file/0019/74710/E82976.pdf.Google Scholar
World Health Organization. (2008). Integrating mental health into primary care: A global perspective. Retrieved from http://www.who.int/mental_health/resources/mentalhealth_PHC_2008.pdf.Google Scholar
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.CrossRefGoogle Scholar