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. 2025 May 23:16:1494493.
doi: 10.3389/fpsyt.2025.1494493. eCollection 2025.

Resilience, personal recovery, and quality of life for psychiatric in-patients prior to hospital discharge: demographic and clinical determinants

Ernest Owusu  1 , Wanying Mao  1 , Reham Shalaby  1 , Hossam Eldin Elgendy  1 , Belinda Agyapong  1 , Ejemai Eboreime  2 , Mobolaji A Lawal  1 , Nnamdi Nkire  1 , Carla T Hilario  3 , Yifeng Wei  1 , Peter Silverstone  1 , Pierre Chue  1 , Xin-Min Li  1 , Wesley Vuong  4 , Arto Ohinmaa  5 , Valerie Taylor  6 , Andrew J Greenshaw  1 , Vincent I O Agyapong  1   2
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Resilience, personal recovery, and quality of life for psychiatric in-patients prior to hospital discharge: demographic and clinical determinants

Ernest Owusu et al. Front Psychiatry. .

Abstract

Introduction: Patients with mental health challenges often see the transition from hospital to community as a test of resilience and a potential threat to recovery. Many question their ability to cope with everyday challenges. This paper examines how demographic and clinical factors predict resilience, personal recovery, and quality of life.

Methods: Data were collected from psychiatric inpatients before discharge using REDCap, an online survey platform. Resilience, recovery, and quality of life were assessed with the Brief Resilience Scale (BRS), Recovery Assessment Scale (RAS), and EQ-Visual Analogue Scale (EQ-VAS). ANCOVA was used to compare group relationships. Demographic and clinical variables such as age, gender, ethnicity, and mental health diagnosis were independent variables.

Results: Males had significantly higher resilience scores than females (Mdiff = 0.270, p<.001) and others (Mdiff = 0.470, p<.001). Self-identified Black individuals had higher quality of life scores than Caucasians (Mdiff = 8.79, p<.001) and Indigenous individuals (Mdiff = 14.50, p<.001). Participants with depression had significantly lower recovery scores compared to those with bipolar disorder (Mdiff = -10.25, p<.001), schizophrenia (Mdiff = -8.60, p<.001), and substance use disorder (Mdiff = -8.30, p<.005).

Conclusion: Results suggest that women, younger adults, Indigenous peoples, and individuals with depression struggle more with adapting to post-discharge life. Policymakers should implement programs that focus on supporting resilience in these vulnerable groups.

Keywords: mood disorders; personal recovery; resilience; schizophrenia; substance use disorder.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Illustration of the main conceptual framework for resilience, personal recovery, and quality of life as core contructs of mental health recovery.
See this image and copyright information in PMC

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