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Self-Efficacy and Social Adjustment of Patients With Mood Disorder

Virginia Commonwealth University, School of Nursing, Richmond, Virginia, cgcutler{at}vcu.edu

BACKGROUND. Social adjustment is often a problem for patients with both bipolar disorder and major depression, particularly after hospital discharge, often contributing to relapse. Bandura (1982) described self-efficacy as addressing the interaction of cognitive, behavioral, and social characteristics that influence health behavior. OBJECTIVE. This study examined the relationship between self-efficacy and social adjustment after hospitalization for patients with a mood disorder. STUDY DESIGN. A descriptive, correlational study with predictive components was conducted. RESULTS. Self-efficacy explained 17% of the variance in social adjustment at the time of discharge and 49% of the variance 2 months posthospitalization in patients with mood disorder. CONCLUSIONS. Self-efficacy influenced social adjustment, particularly after hospital discharge, in this sample of 45 patients treated for mood disorder. Self-efficacy is important for individual’s integration in social networks and role functioning and contributes to community adjustment for those with mood disorder.

Key Words: mood disorder • self-efficacy • social adjustment

Journal of the American Psychiatric Nurses Association, Vol. 11, No. 5, 283-289 (2005)
DOI: 10.1177/1078390305282335


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