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Title: Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery.
Authors: Chiu, M.Y.-L. 
Davidson, L.
Lo, W.T.-L.
Yiu, M.G.-C.
Ho, W.W.-N.
Issue Date: Oct-2013
Source: Chiu, M.Y.-L., Davidson, L., Lo, W.T.-L., Yiu, M.G.-C., Ho, W.W.-N. (2013-10). Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery.. Psychopathology 46 (6) : 413-420. ScholarBank@NUS Repository.
Abstract: Background: Self-agency - the awareness of one's own capacity to make decisions and to engage in deliberate action - is often interfered with or lost during the course of severe mental illness. Most existing literature on self-agency is either of experimental or qualitative nature, and empirical evidence is scanty. Sampling and Methods: This paper draws on a subset of empirical data from a larger recovery study that involved 204 people with schizophrenia in the community. Structural equation models are built to contrast the models with and without the contribution of self-agency. Results: The self-agency factor loads significantly on variables from five major areas of recovery (hope, empowerment, resilience, self-responsibility and self-mastery). Structural equation models show that the incorporation of this self-agency construct has vastly improved the modeling of the adverse effect of stigma on the quality of life of these subjects. The model with self-agency fitted the criteria better, and explained more total variance (increased from 56 to 80%) for the quality of life of these subjects. Conclusions: Cross-sectional empirical findings appear to support the claim that self-agency is an important construct that cuts through many dimensions of recovery. Initial discussions are made on the nature and function of self-agency, and its relations with recovery concepts and components. Copyright © 2013 S. Karger AG, Basel.
Source Title: Psychopathology
ISSN: 02544962
DOI: 10.1159/000345834
Appears in Collections:Staff Publications

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