Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery

• Published in: Psychopathology Vol. 46; no. 6; pp. 413 - 420
• Main Authors: Chiu, Marcus Yu-Lung, Davidson, Larry, Lo, William Tak-Lam, Yiu, Michael Gar-Chung, Ho, Winnie Wing-Nan
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.10.2013; S. Karger AG
• Subjects: Adult and adolescent clinical studies; Biological and medical sciences; Cross-Sectional Studies; Female; Humans; Male; Medical sciences; Models, Psychological; Original Paper; Personal Autonomy; Psychology. Psychoanalysis. Psychiatry; Psychopathology; Psychopathology. Psychiatry; Psychoses; Quality of Life; Role; Schizophrenia; Schizophrenic Psychology; Self awareness; Self Efficacy; Social Stigma; Psychoses; Self-agency; Structural modeling; Psychosis; Agency; Consumer; Schizophrenia; Recovery
• ISSN: 0254-4962; 1423-033X
• DOI: 10.1159/000345834

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.