Recovery and its correlates among patients with bipolar disorder: A study from a tertiary care centre in North India.
OBJECTIVE
The goal of treatment in mental illness has evolved from a symptom-based approach to a personal recovery-based approach. The aim of this study was to evaluate the predictors of personal recovery among patients with bipolar disorder.


METHODS
A total of 185 patients with bipolar disorder, currently in remission, were evaluated on Recovery Assessment Scale (RAS), Internalized Stigma of Mental Illness Scale (ISMIS), Brief Religious coping scale (RCOPE), Duke University Religiosity Index (DUREL), Religiousness Measures Scale, Hamilton depression rating scale (HDRS), Young Mania rating scale (YMRS) and Global Assessment of Functioning (GAF) scale.


RESULTS
The mean age of the sample was 40.5 (standard deviation (SD), 11.26) years. Majority of the participants were male, married, working, Hindu by religion and belonged to extended/joint families of urban background. In the regression analysis, RAS scores were predicted significantly by discrimination experience, stereotype endorsement and alienation domains of ISMIS, level of functioning as assessed by GAF, residual depressive symptoms as assessed by HDRS and occupational status. The level of variance explained for total RAS score and various RAS domains ranged from 36.2% to 46.9%.


CONCLUSIONS
This study suggests that personal recovery among patients with bipolar disorder is affected by stigma, level of functioning, residual depressive symptoms and employment status of patients with bipolar disorder.
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India drsandeepg2002@yahoo.com.
Sandeep
S
Grover
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Nandita
N
Hazari
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Jitender
J
Aneja
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Subho
S
Chakrabarti
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Sunil
S
Sharma
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Ajit
A
Avasthi
D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012074:Remission Induction / Q000379:methods; D013240:Stereotyping; D062606:Tertiary Care Centers; D055815:Young Adult
Personal recovery; Recovery Assessment Scale; bipolar disorder; stigma