Does empowerment mediate the effects of psychological factors on mental health, well-being, and recovery in young people?

Psychology and Psychotherapy: Theory, Research and Practice

Volumn 90, Issue 3, 2017, Pages 314-335

  Grealish, Annmarie ^a   Tai, Sara ^b   Hunter, Andrew ^c   Emsley, Richard ^d   Murrells, Trevor ^a   Morrison, Anthony P ^b,e  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c NATIONAL UNIVERSITY OF IRELAND   (Ireland)

^d UNIVERSITY OF MANCHESTER   (United Kingdom)

^e GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

empowerment; mediation analysis; mental health; psychological factors; recovery; wellbeing; young people

Indexed keywords

ADOLESCENT; ADULT; COGNITION; CONTROLLED STUDY; DOCTOR PATIENT RELATION; EDUCATION; EMPLOYMENT; EMPOWERMENT; ENGLAND; FAMILY; HUMAN; INTERNET; IRELAND; MAJOR CLINICAL STUDY; MEDIATOR; MENTAL HEALTH SERVICE; MODEL; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL WELL-BEING; QUESTIONNAIRE; SELF REPORT; SOCIAL INTERACTION; SOCIAL NETWORK; UNIVERSITY; BEHAVIOR; COPING BEHAVIOR; CROSS-SECTIONAL STUDY; FEMALE; HUMAN RELATION; MALE; MENTAL HEALTH; PHYSIOLOGY; PSYCHOLOGY; SATISFACTION; SELF CONCEPT; SELF CONTROL; STUDENT; THINKING; YOUNG ADULT;

ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; ADULT; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; INTERPERSONAL RELATIONS; MALE; MENTAL HEALTH; PERSONAL SATISFACTION; POWER (PSYCHOLOGY); SELF EFFICACY; SELF-CONTROL; STUDENTS; THINKING; YOUNG ADULT;

EID: 85007545460     PISSN: 14760835     EISSN: 20448341     Source Type: Journal    
DOI: 10.1111/papt.12111     Document Type: Article

References (103)

1. Abramowitz, J. S., Whiteside, S., Kalsy, S. A., & Tolin, D. F. (2003). Thought control strategies in obsessive-compulsive disorder: A replication and extension. Behaviour Research and Therapy, 41(5), 529–540. doi:10.1016/S0005-7967(02)00026-8
2. Addington, J., Penn, D. L., Woods, S. W., Addington, D., & Perkins, D. O. (2008). Social functioning in individuals at clinical high risk for psychosis. Schizophrenia Research, 99(1–3), 119–124. doi:10.1016/j.schres.2007.10.001
3. Anderson, J., & Adams, C. (1996). Family interventions in schizophrenia. BMJ, 313(7056), 505–506. doi:10.1136/bmj.313.7056.505
4. Bandura, A. (1994). Self-efficacy. In R. J. Corsini (Ed.), Encyclopedia of psychology (2nd ed., Vol. 3, pp. 368–369). New York, NY: Wiley.
5. Ben-Zur, H., & Yagil, D. (2005). The relationship between empowerment, aggressive behaviours of customers, coping, and burnout. European Journal of Work and Organizational Psychology, 14(1), 81–99. doi:10.1080/13594320444000281
6. Berry, K., Wearden, A., Barrowclough, C., & Liversidge, T. (2006). Attachment styles, interpersonal relationships and psychotic phenomena in a non-clinical student sample. Personality and Individual Differences, 41(4), 707–718. doi:10.1016/j.paid.2006.03.009
7. Bonney, S., & Stickley, T. (2008). Recovery and mental health: A review of the British literature. Journal of Psychiatric and Mental Health Nursing, 15(2), 140–153. doi:10.1111/j.1365-2850.2007.01185
8. Brenner, H., Roder, V., Hodel, B., Kienzle, N., Reed, D., & Liberman, R. (1994). Integrated psychological therapy for schizophrenic patients. Seattle, WA: Hogrefe & Huber.
9. Brosnan, L. (2012). Power and participation: An examination of the dynamics of mental health service-user involvement in Ireland. Studies in Social Justice, 6(1), 45–66.
10. Campbell, A., & Knowles, S. (2007). A confirmatory factor analysis of the GHQ12 using a large Australian sample. European Journal of Psychological Assessment, 23(1), 2–8. doi:10.1027/1015-5759.23.1.2
11. Cano, A., Sprafkin, R. P., Scaturo, D. J., Lantinga, L. J., Fiese, B. H., & Brand, F. (2001). Mental health screening care: A comparison of 3 brief measures of psychological distress. The Primary Care Companion to the Journal of Clinical Psychiatry, 3(5), 206–210.
12. Cargo, M., Grams, G. D., Ottoson, J. M., Ward, P., & Green, L. W. (2003). Empowerment as fostering positive youth development and citizenship. American Journal of Health Behaviour, 27(1), S66–S79.
13. Carver, C. S. (1997). You want to measure coping but your protocol's too long: Consider the brief COPE. International Journal of Behavioural Medicine, 4(1), 92–100. doi:10.1207/s15327558ijbm0401_6
14. Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies–a theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267–283. doi:10.1037/0022-3514.56.2.267
15. Cattaneo, L. B., & Chapman, A. (2010). The process of empowerment: A model for use in research and practice. The American Psychologist, 65(7), 646–659. doi:10.1037/a0018854
16. Chinman, M. J., & Linney, J. A. (1998). Toward a model of adolescent empowerment: Theoretical and empirical evidence. Journal of Primary Prevention, 18, 393–413. doi:10.1023/A:1022691808354
17. Compas, B. E., Conner-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87–127 doi:10.1037//0033-2909.127.1.87
18. Conger, J. A., & Kanungo, R. N. (1988). The empowerment process: Integrating theory and practice. Academy of Management Review, 13(3), 471–482. doi:10.5465/AMR.1988.4306983
19. Department for Education and Skills (2003). Every child matters: Change for children. London, UK: DfES.
20. Department for Educational and Schools (2006). Youth matters: Next steps. London, UK: HMT.
21. Department of Health (2004). National Service Framework for Children, Young People and Maternity Services: The mental health and psychological wellbeing of children and young people. London, UK: HMSO.
22. Department of Health (2006). Promoting the mental health and psychological well-being of children and young people: Report on the implementation of Standard 9 of the National Service Framework for Children, Young People and Maternity Services. London, UK: HMSO.
23. Department of Health and Department for Children, School and Families (2009). Healthy lives, brighter futures – the strategy for children and young people's health. London, UK: The Stationery Office.
24. Dogra, N., Parkin, A., Gale, F., & Frake, C. (2002). A multi-disciplinary handbook of child and adolescent mental health for front-line professionals. London, UK: Jessica Kingsley Publishers.
25. Emsley, R., Graham, D., & White, I. R. (2010). Mediation and moderation of treatment effects in randomised controlled trials of complex interventions. Statistical Methods in Medical Research, 19(3), 237–270. doi:10.1177/0962280209105014
26. Eysenbach, G. (2004). Improving the quality of Web surveys: The checklist for reporting results of internet e-surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34. doi:10.2196/jmir.6.3.e34
27. Fisher, B. J., & Gosselink, C. A. (2008). Enhancing the efficacy and empowerment of older adults through group formation. Journal of Gerontological Social Work, 51(1–2), 2–18. doi:10.1080/01634370801967513
28. Fowler, D. G., Freeman, D., Smith, B., Kuipers, E. K., Bashforth, H., Coker, S., … Garety, P. A. (2006). The Brief Core Schema Scales (BCSS): Psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36(7), 749–759. doi:10.1017/S0033291706007355
29. Frame, K. (2003). Empowering preadolescents with ADHD: Demons or delights. Advances in Nursing Science, 26(2), 131–139.
30. Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., … Dunn, G. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186(5), 427–435. doi:10.1192/bjp.186.5.427
31. Freire, P. (1970). Pedagogy of the oppressed. New York, NY: Continuum.
32. Garcia, I., Vasiliou, C., & Penketh, K. (2007). Listen up! Person-centred approaches to help young people experiencing mental health and emotional problems. London, UK: Mental Health Foundation.
33. Goldberg, D. P., Gater, R., Satorius, N., Üstün, T. B., Piccinelli, M., Gureje, O., & Rutter, M. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27(1), 191–197.
34. Goldberg, J. O., Wheeler, H., Lubinsky, T., & Van Exan, J. (2007). Cognitive coping tool kit for psychosis: Development of a group-based curriculum. Cognitive and Behavioral Practice, 14(1), 98–106.
35. Goldberg, D. P., & Williams, P. (1988). A user's guide to the General Health Questionnaire. Windsor, UK: NFER-Nelson.
36. Grant, P., & Beck, A. (2009). Defeatist beliefs as a mediator of cognitive impairment, negative symptoms, and functioning in schizophrenia. Schizophrenia Bulletin, 35(4), 798–806.
37. Grealish, A. (2014) The Development of the Youth Empowerment Scale (YES) (Unpublished Ph.D Thesis). University of Manchester, Manchester, UK.
38. Grealish, A., Tai, S., Hunter, A., & Morrison, T. (2013). Qualitative exploration of empowerment from the perspective of adolescents with psychosis. Clinical Psychology and Psychotherapy, 20(2), 136–148. doi:10.1002/cpp.785
39. Gutierrez, L., & Nurius, P. (1994). Education and research for empowerment practice (Monograph No. 7). Seattle, WA: University of Washington, School of Social Work.
40. Hansson, L., & Björkman, T. (2005). Empowerment in people with a mental illness: Reliability and validity of the Swedish version of an empowerment scale. Scandinavian Journal of Caring Sciences, 19(1), 32–38. doi:10.1111/j.1471-6712.2004.00310.x
41. Harper, D., & Speed, E. (2012). Uncovering recovery: The resistible rise of recovery and resilience. Studies in Social Justice, 6(1), 9–25.
42. Hutton, P., Morrison, A. P., Wardle, M., & Wells, A. (2014). Metacognitive therapy in treatment resistant psychosis: A multiple-baseline study. Behavioural and Cognitive Psychotherapy, 42(2), 166–185. doi:10.1017/S1352465812001026
43. Joseph Rowntree Foundation (2006). Power to the people. London, UK: The Power Inquiry.
44. Kelleher, I., Connor, D., Clarke, M. C., Devlin, N., Harley, M., & Cannon, M. (2012). Prevalence of psychotic symptoms in childhood and adolescence: A systematic review and meta-analysis of population-based studies. Psychological Medicine, 42(9), 1857–1863. doi:10.1017/S0033291711002960
45. Kenward, M. G., & Molenberghs, G. (1998). Likelihood based frequentist inference when data are missing at random. Statistical Science, 13(3), 236–247.
46. Kim, S., Crutchfield, C., Williams, C., & Hepler, N. (1998). Toward a new paradigm in substance abuse and other problem behaviour prevention for youth: Youth development and empowerment approach. Journal of Drug Education, 28(1), 1–17.
47. Kinderman, P., Schwannauer, M., Pontin, E., & Tai, S. (2011). The development and validation of a general measure of well-being: The BBC well-being scale. Quality of Life Research, 20(7), 1035–1042. doi:10.1007/s11136-010-9841-z
48. Koelen, M. A., & Lindstorm, B. (2005). Making healthy choices easy choices: The role of empowerment. European Journal of Clinical Nutrition, 59(Suppl 1), S10–S16. doi:10.1038/sj.ejcn.1602168
49. Leksell, J., Funnell, M., Sandberg, G., Smide, B., Wiklund, G., & Wikblad, K. (2007). Psychometric properties of the Swedish diabetes empowerment scale. Scandinavian Journal of Caring Sciences, 21(2), 247–252. doi:10.1111/j.1471-6712.2007.00463.x
50. Logan, M. S., & Ganster, D. C. (2007). The effects of empowerment on attitudes and performance: The role of social support and empowerment beliefs. Journal of Management Studies, 44(8), 1523–1550.
51. Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., Brown, B. W., Bandura, A., … Holman, H. R. (2001). Chronic disease self-management program: 2-year health status and health care utilization outcomes. Medical Care, 39(11), 1217–1223.
52. Lorig, K. R., Sobel, D. S., Ritter, P. L., Lauren, T. D., & Hobbs, M. (2001). Effect of a self-management program on patients with chronic disease. Effective Clinical Practice, 4(6), 256–262.
53. MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593–614. doi:10.1146/annurev.psych.58.110405.085542
54. MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39(1), 99–128. doi:10.1207/s15327906mbr3901_4
55. Marmot, M. (2007). Achieving health equity: From root causes to fair outcomes. Lancet, 370(9593), 1153–1163. doi:10.1016/S0140-6736(07)61385-3
56. Marmot, M., Friel, S., Bell, R., Houweling, T. A., & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet, 372(9650), 1661–1669. doi:10.1016/S0140-6736(08)61690-6
57. Melnyk, B. M., Alpert-Gillis, L., Feinstein, N. F., Crean, H. F., Johnson, J., Fairbanks, E., … Corbo-Richert, B. (2004). Creating opportunities for parent empowerment: Program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics, 113(6), e597–e607.
58. Moattari, M., Ebrahimi, M., Sharifi, N., & Rouzbeh, J. (2012). The effect of empowerment on the self-efficacy, quality of life and clinical and laboratory indicators of patients treated with hemodialysis: A randomized controlled trial. Health and Quality of Life Outcomes, 10, 115. doi:10.1186/1477-7525-10-115
59. Moffitt, T. E., Caspi, A., Taylor, A., Kokaua, J., Milne, B. J., Polanczyk, G., & Poulton, R. (2010). How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment. Psychological Medicine, 40(6), 899–909. doi:10.1017/S0033291709991036
60. Morrison, A. P. (2001). The interpretation of intrusions in psychosis: An integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29(3), 257–276. doi:10.1017/S1352465801003010
61. Morrison, A. P., Frame, L., & Larkin, W. (2003). Relationships between trauma and psychosis: A review and integration. The British Journal of Clinical Psychology, 42(Pt 4), 331–353. doi:10.1348/014466503322528892
62. Morrison, A. P., & Wells, A. (2007). Relationships between worry, psychotic experiences and emotional distress in patients with schizophrenia spectrum diagnoses and comparisons with anxious and non-patient groups. Behaviour Research and Therapy, 45(7), 1593–1600. doi:10.1016/j.brat.2006.11.010
63. Muthén, B. (2011). Applications of causally defined direct and indirect effects in mediation analysis using SEM in Mplus. Los Angeles, CA. Retrieved from http://statmodel2.com/download/causalmediation.pdf
64. Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user's guide. (7th ed.). Los Angeles, CA: Muthén & Muthén.
65. National Institute for Clinical Excellence (2009). Schizophrenia Clinical Guidelines 82 (update): Core interventions in the treatment and management of schizophrenia in primary and secondary care. London, UK: Author.
66. Neil, S. T., Kilbride, M., Pitt, L., Nothard, S., Welford, M., Sellwood, W., & Morrison, A. P. (2009). The questionnaire about the process of recovery (QPR): A measurement tool developed in collaboration with service users. Psychosis, 1(2), 145–155. doi:10.1080/17522430902913450
67. Nuechterlein, K. (1987). Vulnerability models: State of the art. In H. Hafner, W. Gattaz & W. Jangerik (Eds.), Search for the causes of schizophrenia (pp. 297–316). Berlin, Germany: Springer Verlag.
68. Pitt, L., Kilbride, M., Nothard, S., Welford, M., & Morrison, A. P. (2007). Researching recovery from psychosis: A user-led project. Psychiatric Bulletin, 31(2), 55–60. doi:10.1192/pb.bp.105.008532
69. Power, M. J., Champion, L. A., & Aris, S. J. (1988). The development of a measure of social support; the Significant Others Scale. The British Journal of Clinical Psychology, 27(pt4), 349–358. doi:10.1111/j.2044-8260.1988.tb00799.x
70. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi:10.3758/BRM.40.3.879
71. Rappaport, J. (1987). Terms of empowerment/exemplars of prevention: Toward a theory for community psychology. American Journal of Community Psychology, 15(2), 121–148.
72. Roder, V., Mueller, D. R., & Schmidt, S. J. (2011). Effectiveness of integrated psychological therapy (IPT) for schizophrenia patients: A research update. Schizophrenia Bulletin, 37(Suppl 2), S71–S79. doi:10.1093/schbul/sbr072
73. Rogers, S. E., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A consumer constructed scale to measure empowerment among users of mental health services. Psychiatric Services, 48(8), 1042–1047. doi:10.1176/ps.48.8.1042
74. Rosenfield, S. (1992). Factors contributing to the subjective quality of life of the chronic mentally ill. Journal of Health and Social Behaviour, 33(4), 299–315.
75. Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80(1), 171–214.
76. Rotter, J. B. (1975). Some problems and misconceptions related to the construct of internal versus external control of reinforcement. Journal of Consulting and Clinical Psychology, 43(1), 56–67. doi:10.1037/h0076301
77. Rotter, J. B. (1982). The development and applications of social learning theory. New York, NY: Praeger.
78. Royal College of Psychiatrist (2010). No health without public mental health: The case for action. London, UK: Author.
79. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale; construction and validation. Psychological Reports, 51(2), 663–671.
80. Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. doi:10.1037//1082-989X.7.4.422
81. Small, N., Bower, P., Chew-Graham, C. A., Whalley, D., & Protheroe, J. (2013). Patient empowerment in long-term conditions: Development and preliminary testing of a new measure. BMC Health Services Research, 13, 263. doi:10.1186/1472-6963-13-263
82. Starkey, F. (2003). The ‘empowerment debate’: Consumerist, professional and liberational perspectives in health and social care. Social Policy & Society, 2(4), 273–284. doi:10.1017/S1474746403001404
83. Syme, S. L. (2004). Social determinants of health: The community as an empowered partner. Preventing Chronic Disease, 1(1), 1–5.
84. Tarrier, N. (2000). The use of coping strategies in self-regulation in the treatment of psychosis. In A. P. Morrison (Ed.), A case- book for cognitive therapy (pp. 79–107). Hove, UK: Routledge.
85. Thomas, K. W., & Velthouse, B. S. (1990). Cognitive elements of empowerment: An “interpretative” model of intrinsic task motivation. Academy of Management Review, 15(4), 312–330. doi:10.5465/AMR.1990.4310926
86. van Os, J. (2003). Is there a continuum of psychotic experiences in the general population? Epidemiologia e Psichiatria Sociale, 12(4), 242–252.
87. van Os, J., Hanssen, M., Bijl, R. V., & Ravelli, A. (2000). Strauss (1969) revisited: A psychosis continuum in the general population? Schizophrenia Research, 45(1–2), 11–20. doi:10.1016/S0920-9964(99)00224-8
88. van Os, J., Linscott, R. J., Myin-Germeys, I., Delespaul, P., & Krabbendam, L. (2008). A systematic review and meta-analysis of the psychosis continuum: Evidence for a psychosis proneness persistence impairment model of psychotic disorder. Psychological Medicine, 39(2), 179–195. doi:10.1017/S0033291708003814
89. Varese, F., Barkus, E., & Bentall, R. P. (2012). Dissociation mediates the relationship between childhood trauma and hallucination proneness. Psychological Medicine, 42(5), 1025–1036. doi:10.1017/S0033291711001826
90. Walker, J. S., & Child, B. (2008). Involving youth in planning for their education, treatment, and services: Research tells us we should be doing better. Portland, OR: Research and Training Center on Family Support and Children's Mental Health, Portland State University.
91. Walker, J., & Donaldson, C. (2011). Intervening to improve outcomes for vulnerable young people: A review of the evidence. London, UK: Department for Education.
92. Wallerstein, N. (1993). Empowerment and health: The theory and practice of community change. Community Development Journal, 28(3), 218–227.
93. Wallerstein, N. (2006). What is the effectiveness of empowerment to improve health?. Copenhagen, Denmark: WHO Regional Office for Europe.
94. Weissman, A. N., & Beck, A. T. (1978). Development and validation of the dysfunctional attitude scale. Paper presented at the Annual meeting of the Association for the Advanced Behavior Therapy, Chicago, IL, November
95. Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2007). Clinician's quick guide to interpersonal psychotherapy. New York, NY: Oxford University Press.
96. Wells, A., & Davies, M. I. (1994). The thought control questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32(8), 871–878.
97. Wood, L., Price, J., Morrison, A., & Haddock, G. (2010). Conceptualisation of recovery from psychosis: A service-user perspective. The Psychiatrist Online, 34(11), 465–470. doi:10.1192/pb.bp.109.027409
98. Woodall, J., Raine, G., South, J., & Warwick-Booth, L. (2010). Empowerment & health and well-being: Evidence review. Leeds, UK: Centre for Health Promotion Research, Leeds Metropolitan University.
99. World Health Organisation (2009). Policies and practices for mental health in Europe–meeting the challenges. Copenhagen, Denmark: WHO Regional Office for Europe.
100. World Health Organisation (2010). Empowerment in mental health. Statement by the World Health Organization Regional Office for Europe. Copenhagen, Denmark: WHO Regional Office for Europe.
101. Zeidner, M., & Endler, N. S. (1996). Handbook of coping: Theory, research, applications. New York, NY: Wiley.
102. Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23(5), 581–599. doi:10.1007/BF02506983
103. Zimmerman, M. A., & Rappaport, J. (1988). Citizen participation, perceived control and psychological empowerment. American Journal of Community Psychology, 16(5), 725–750.