The Impact of Illness Identity on Recovery from Severe Mental Illness.
The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe mental illness and reviews relevant research. We propose that accepting a definition of oneself as mentally ill and assuming that mental illness means incompetence and inadequacy impact hope and self-esteem, which further impact suicide risk, coping, social interaction, vocational functioning, and symptom severity. Evidence supports most of the predictions made by the model. Implications for psychiatric rehabilitation services are discussed.
Yanos
Philip T
PT
John Jay College of Criminal Justice, City University of New York, Psychology Department.
Roe
David
D
Lysaker
Paul H
PH
Schizophr Res. 2004 Oct 1;70(2-3):277-85
15329303
Schizophr Bull. 2007 Jan;33(1):192-9
16894025
Psychiatry Res. 2004 Dec 30;129(3):257-65
15661319
Behav Modif. 2003 Jul;27(3):387-411
12841590
Arch Psychiatr Nurs. 1998 Feb;12(1):41-9
9489173
Psychiatry Res. 2008 Jan 15;157(1-3):31-8
18023881
J Health Soc Behav. 2000 Mar;41(1):68-90
10750323
Am J Public Health. 1999 Sep;89(9):1339-45
10474550
Schizophr Bull. 1989;15(2):253-65
2749188
Psychiatr Serv. 2006 Mar;57(3):393-8
16524999
J Nerv Ment Dis. 2006 Dec;194(12):917-24
17164630
Clin Psychol Rev. 2007 May;27(4):511-36
17229508
Schizophr Bull. 2007 Nov;33(6):1312-8
17255118
Psychiatr Serv. 2004 Apr;55(4):434-6
15067157
Psychiatry. 1999 Winter;62(4):370-80
10693233
Am J Community Psychol. 2000 Aug;28(4):481-94
10965387
Med Humanit. 2005 Dec;31(2):89-94
23674667
Acta Psychiatr Scand. 2006 Sep;114(3):177-86
16889588
J Consult Clin Psychol. 2001 Jun;69(3):489-501
11495178
Schizophr Res. 2007 Aug;94(1-3):12-22
17561377
Schizophr Res. 2000 Jun 16;43(2-3):147-58
10858633
Schizophr Bull. 1989;15(2):189-96
2665052
Compr Psychiatry. 2006 Jul-Aug;47(4):265-9
16769300
Work. 2005;25(4):287-96
16340105
Am J Public Health. 1999 Sep;89(9):1328-33
10474548
Am J Psychother. 2003;57(2):153-66
12817547
J Nerv Ment Dis. 2005 May;193(5):287-92
15870611
Br J Psychiatry Suppl. 1992 Oct;(18):27-37
1389039
Soc Psychiatry Psychiatr Epidemiol. 2005 May;40(5):408-16
15902412
Schizophr Bull. 2006 Jul;32(3):432-42
16461575
J Psychosoc Nurs Ment Health Serv. 2005 Dec;43(12):34-40
16422276
J Health Soc Behav. 1998 Dec;39(4):335-47
9919855
J Psychosoc Nurs Ment Health Serv. 1993 Apr;31(4):7-11
8487230
Psychiatr Rehabil J. 2007 Summer;31(1):9-22
17694711
Eur Arch Psychiatry Clin Neurosci. 2005 Jun;255(3):202-12
15995904
Schizophr Res. 2005 Dec 15;80(2-3):163-71
16125370
Psychol Med. 2001 Apr;31(3):489-98
11305857
J Rehabil Res Dev. 2005 Sep-Oct;42(5):673-82
16586193
Soc Psychiatry Psychiatr Epidemiol. 2001 Jan;36(1):13-9
11320803
Psychiatr Serv. 2007 Jul;58(7):922-8
17602007
Psychiatr Serv. 2001 Dec;52(12):1621-6
11726753
Am J Orthopsychiatry. 1989 Jul;59(3):398-409
2764074
Soc Psychiatry Psychiatr Epidemiol. 2002 Mar;37(3):97-104
11990012
J Psychopathol Behav Assess. 2001 Sep 1;23(3):133-143
21765592
J Nerv Ment Dis. 2003 Jan;191(1):45-9
12544599
Psychol Psychother. 2003 Sep;76(Pt 3):285-99
14577894
Schizophr Bull. 2001;27(2):187-95
11354586
Schizophr Res. 2003 May 1;61(1):75-88
12648738
J Nerv Ment Dis. 2006 Oct;194(10):766-73
17041289
Soc Psychiatry Psychiatr Epidemiol. 2003 Feb;38(2):76-82
12563549
Schizophr Bull. 1998;24(3):469-77
9718638
Soc Psychiatry Psychiatr Epidemiol. 2004 Nov;39(11):927-37
15549247
J Nerv Ment Dis. 2001 Oct;189(10):691-9
11708670
Psychiatr Serv. 2008 Dec;59(12):1437-42
19033171
Psychiatry Res. 2003 Nov 1;121(1):31-49
14572622
Compr Psychiatry. 2005 May-Jun;46(3):167-75
16021585
Psychiatry Res. 2007 Jan 15;149(1-3):89-95
17156853