Title:
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Validation of a Vietnamese Mental Health Recovery Scale (VRS) in a community sample of Vietnamese refugees living in the UK : a mixed methods study
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Overview Two studies and a critical reflection are presented in this thesis. In Chapter 1, a systematic review of the links between a Psychological Sense of Community (PSC) and subjective wellbeing, social relationships and community structures are investigated. Data from 20 East and Southeast (E/SE) Asian studies were explored using meta-analytic methods. This revealed medium to large effects in all categories investigated. Of particular significance was how relationship quality associated with a stronger PSC than social support, and strong community management was associated with a stronger PSC than residential features. In Chapter 2, a psychometric validation study of a Vietnamese Mental Health Recovery Scale (VRS) is presented. Thirteen Vietnamese refugees recruited from a Vietnamese mental health charity were interviewed in two focus groups. In consultation with an expert professional panel (n = 7), and guidance from existing recovery scales, these qualitative themes informed the content and wording of the VRS items. Forty-eight further service users from the same charity completed the VRS. This procedure validated a 15-item VRS that measured recovery processes such as meaningful social roles and interactions, self-management of problems, and spiritual attitudes and living. Total scores on the scale predicted self-rated wellbeing, fewer mental health symptoms, and lower professional ratings of general life functioning. In Chapter 3, the present research is critically discussed from a community and cultural psychology perspective. In particular, the social circumstances of E/SE Asia, and the social philosophies of the region such as Confucianism, Daoism and Buddhism, are reviewed.
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