Hostname: page-component-84c44f86f4-t57w2 Total loading time: 0 Render date: 2025-10-14T13:50:47.824Z Has data issue: false hasContentIssue false

Assessing demographic and clinical determinants of resilience, personal recovery, and quality of life for psychiatric in-patients before hospital discharge

Published online by Cambridge University Press:  26 August 2025

E. Owusu*
Affiliation:
Psychiatry, University of Alberta, Edmonton
W. Mao
Affiliation:
Psychiatry, University of Alberta, Edmonton
R. Shalaby
Affiliation:
Psychiatry, University of Alberta, Edmonton
H. Elgendy
Affiliation:
Psychiatry, University of Alberta, Edmonton
B. Agyapong
Affiliation:
Psychiatry, University of Alberta, Edmonton
E. Eboreime
Affiliation:
Psychiatry, Dalhousie University, Halifax
M. A. Lawal
Affiliation:
Psychiatry, University of Alberta, Edmonton
N. Nkire
Affiliation:
Psychiatry, University of Alberta, Edmonton
C. T. Hilario
Affiliation:
Nursing, University of British Columbia, Okanagan
P. Silverstone
Affiliation:
Psychiatry, University of Alberta, Edmonton
P. Chue
Affiliation:
Psychiatry, University of Alberta, Edmonton
X.-M. Lin
Affiliation:
Psychiatry, University of Alberta, Edmonton
Y. Wei
Affiliation:
Psychiatry, University of Alberta, Edmonton
W. Vuong
Affiliation:
Addiction and Mental Health, Alberta Health Services
A. Ohinmaa
Affiliation:
School of Public Health, University of Alberta, Edmonton
V. Taylor
Affiliation:
Psychiatry, University of Calgary, Calgary, Canada
A. J. Greenshaw
Affiliation:
Psychiatry, University of Alberta, Edmonton
V. I. Agyapong
Affiliation:
Psychiatry, University of Alberta, Edmonton Psychiatry, Dalhousie University, Halifax
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Many patients with mental health and emotional problems often see the transition period in the community after hospital discharge as a test of their resilience and a threat to their recovery. Most often, some doubt their ability to cope with the everyday challenges that may confront them in the community.

Objectives

This paper assesses how demographic and clinical characteristics predicted resilience, personal recovery and quality of life.

Methods

Data were collected from psychiatric inpatients prior to their discharge into the community using the REDCap, an online survey platform. Resilience, personal recovery, and quality of life were assessed using the Brief Resilience Scale (BRS), Recovery Assessment Scale (RAS), and EQ-Visual Analogue Scale (EQ-VAS), respectively. One-way analysis of covariance between groups (ANCOVA) was conducted to compare the relationships between groups. The dependent variables comprised mean scores of BRS, RAS and EQ-VAS. Demographic and clinical variables such as age, gender, ethnicity, and mental health diagnosis groups were independent variables, and covariates comprised demographic/clinical factors such as gender, ethnicity, and mental health diagnosis

Results

The survey results indicate that males had significantly higher resilience scores compared to females ( Mdiff = 0.270, CI= 0.144– 0.397, p=.<.001) and others (Mdiff =0.470, 0.093- 0.846, p=<.001); Black people indicated significantly higher quality of life than Caucasians (Mdiff = 8.79, 2.73- 14.85, P= <.001), and Indigenous people (Mdiff = 14.50, 6.45 - 22.51, p=<.001), respectively. In terms of relative recovery, participants with depression had significantly lower recovery compared to those with bipolar disorder (Mdiff = -10.25, -14.40- -6.10, p=<.001), schizophrenia (Mdiff f = -8.60, -13.20- -3.99, p=<.001), and substance use disorder (Mdiff = -8.30, -15.50- -1.42, p=<.005).

Conclusions

The present results indicate that women, younger adults, and Indigenous peoples may be more challenged in adapting to the challenges of post-discharge life in the community. Our data may be helpful in communicating to policymakers and providers of funds the need to implement and evaluate outcomes of inpatient and community programs focusing on supporting resilience to improve recovery outcomes after discharge from the patient setting.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.