Bipolar Disorder · Journal article
Annals of Medicine · August 18, 2026
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This cross-sectional study of 115 mothers with schizophrenia or bipolar disorder reports positive correlations between perceived maternal role dimensions and subjective recovery motivation, with parental investment identified as an independent predictor in multivariable regression. The findings are correlational and observational; causality cannot be inferred, and external validity to broader populations is unclear.
Cross-sectional observational study. Mothers aged 18–65 years diagnosed with schizophrenia (n=40) or bipolar disorder (n=75) receiving services from community mental health centres in Güngören and Bağcılar, Istanbul, Türkiye.. Intervention: None; observational study of maternal role perception and recovery motivation. Compared with: Between-group comparison of schizophrenia (n=40) and bipolar disorder (n=75) cohorts. n = 115. Güngören and Bağcılar, Istanbul, Türkiye.
Women with bipolar disorder demonstrated higher median SubRAS score (62) compared with schizophrenia (54) Significant positive relationship between recovery motivation and parental investment (r=0.331), total SPPR score (r=0.413), and functioning (PSP: r=0.463) Psychiatric symptom severity (BPRS) was negatively correlated with recovery scores (r=–0.394)
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The findings suggest that incorporating maternal identity and parenting role perception into recovery-oriented mental health services may be clinically relevant, but the cross-sectional design and modest sample limit conclusions about effectiveness or mechanism. Replication in prospective or intervention studies is needed before implementation changes.
Cross-sectional observational study with modest sample size (n=115) examining associations between maternal role perception and recovery motivation in women with severe mental illness; correlational findings require replication and do not establish causation or clinical utility.
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The findings suggest that incorporating maternal identity and parenting role perception into recovery-oriented mental health services may be clinically relevant, but the cross-sectional design and modest sample limit conclusions about effectiveness or mechanism. Replication in prospective or intervention studies is needed before implementation changes.
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Objective. This study aimed to examine the association between maternal role perceptions and subjective recovery motivation among women with severe mental illness and to explore whether these relationships differ between schizophrenia and bipolar disorder (BD).Methods. In this cross-sectional study, 115 mothers with a schizophrenia diagnosis (n = 40) or bipolar disorder (n = 75) who were receiving services from community mental health centres were included. Maternal role perceptions and subjective recovery motivation were evaluated using the Self-Perception of Parental Role Scale (SPPR) and the Subjective Recovery Assessment Scale (SubRAS), respectively. The evaluation of psychiatric symptom severity, functional status, and cognitive insight was performed by using standardized clinical instruments, including the Brief Psychiatric Rating Scale (BPRS) and Personal and Social Performance Scale (PSP).Results. Women with BD demonstrated a higher median SubRAS score compared with those with schizophrenia (62 vs. 54). A significant positive relationship was observed between subjective recovery motivation and SPPR role satisfaction (r = 0.296), parental efficacy (r = 0.276), parental investment (r = 0.331), role balance (r = 0.240), and total SPPR score (r = 0.413) (all FDR-adjusted p < 0.05). Recovery scores were also positively associated with functioning (PSP: r = 0.463) and cognitive insight (r = 0.320), while negatively correlated with psychiatric symptom severity (BPRS: r=-0.394). Multivariable regression analyses revealed that parental investment was an independent predictor of recovery motivation (p = 0.049), with lower BPRS scores showing an association with higher recovery scores (p = 0.028).Conclusion. Positive perceptions of the maternal role are associated with greater subjective recovery motivation among women with severe mental illness. These findings highlight the potential importance of incorporating parenting roles and maternal identity into recovery-oriented mental health services.
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