研究背景與目的：復元是目前各國之精神醫療服務的目標，而華人地區針對精神障礙者復元的研究相對匱乏，同時近年澳門確立了以融合社區精神健康服務的精神衛生政策，故本研究藉著調查澳門地區精神障礙者之復元與自我污名現況及其他因素，了解其相互關係，同時透過地區精神障礙者之復元樣態，藉以反思地區政策對精神障礙者的成效。

方法：本研究為橫斷式研究，以澳門非牟利機構利民會之服務使用者為研究對象，共有92名精神障礙者參與。研究使用「個人基本資料」、「復元階段量表」及「精神疾病污名感受量表12題短版」作為調查工具，並將所資料以SPSS14.0統計套裝軟體進行分析。

結果：復元階段量表之平均得分為87.72 ± 24.34、精神疾病污名感受量表12題短版平均得分為33.52 ± 8.62。不同人口背景變項間與精神障礙之復元程度之間在t檢定與單因子變異數分析中無顯著差異；自我污名感受度與年齡（r = 0.275, p = 0.008）及患病年數（r = 0.217, p = 0.038）有顯著低度正相關；復元程度與自我污名感受度有顯著低度負相關（r = -0.275, p = 0.008）。

結論：逾九成精神障礙者仍處於邁向復元的路上，研究顯示著復元是一個深層個人且獨特的歷程，提高精神障礙者接受復康治療服務的程度，可能是促進復元的重要因素。其次，澳門地區精神障礙者的自我污名感受相較台灣地區高，除了與患者的復元程度相關，亦阻礙患者尋找專業幫助的意向，澳門地區政府可更著重在青少年的層面進行「教育」介入，加強對於精神疾病的認知，消弭公眾對精神疾病之污名，以利精神障礙者復元。

Objective：Recovery-oriented service is the goal of mental health services throughout the world nowadays, but there are few studies about the research on the recovery in Asia and Chinese regions (especially in Macao SAR). On the other hand, Macao SAR has established a mental health policy which integrated Clinical treatment and community rehabilitation in recent years. Therefore, this study examined the relative contributions of recovery, psychiatric stigma and other factors, and understanding the recovery situation in Macao SAR, in order to reflect on the effectiveness of regional mental health policy.

Method：This cross-sectional, correlational study was conducted on a convenience sample in Richmond Fellowship of Macau, a self-governing non-profit organization which shares the common aim of promoting good community care practice in the field of mental health. 92 participants with mental illness were recruited and assessed using three instruments, including ‘Personal Basic Information’, ‘Stage of Recovery Scale, SRS’ and ‘Perceived Psychiatric Stigma Scale, short version, PPSS-12’. Data were analyzed by Statistical product and Service Solutions (SPSS) 14.0 statistical software.

Results：SRS total mean score is 87.72 ± 24.34, and PPSS-12 total mean score is 33.52 ± 8.62. There is no significant difference in the total scores of SRS among different demographic variables in Independent Sample t test and One-way ANOVA. PPSS-12 was positive correlated with age（r = 0.275, p = 0.008）and length of time with mental illness diagnosed（r = 0.217, p = 0.038）. The total scores of SRS was negatively correlated with PPSS-12（r = -0.275, p = 0.008）.

Conclusions：More than 90% of participants with mental illness are still under the process of recovery. This study shows that recovery is a deeply personal and unique process, thus, enhancing participants’ extent of rehabilitation service use is a significant factor for recovery. Secondly, PPSS-12 mean score shows that the perception of psychiatric stigma in Macau is higher than that in Taiwan, psychiatric stigma may affect personal recovery and decreased treatment seeking, therefore, ‘Education’ intervention should focus more on teenagers in Macao region, in order to minimize perceived stigmatization and to facilitate their recovery.

第一章　緒論　1
第一節　研究背景與動機　1
第二節　研究目的　3
第二章　文獻探討　5
第一節　精神醫療服務的趨勢演變　5
第二節　精神疾病的復元　7
第三節　復元與污名化　11
第四節　澳門地區背景及精神衛生概況　12
第三章　研究方法　15
第一節　研究架構　15
第二節　研究對象　15
第三節　研究流程　16
第四節　研究工具　17
第五節　研究資料處理與分析　19
第四章　研究結果　21
第一節　研究參與者之復元程度及污名感受之現況　21
第二節　人口變項於復元程度及污名感受之差異與相關　25
第三節　復元程度與污名感受之相關分析　29
第五章　討論與建議　1
第一節　澳門地區精神障礙者之復元概況　31
第二節　澳門地區精神障礙者之精神疾病污名感受　34
第三節　復元程度與精神疾病污名感受　36
第四節　澳門地區狀況的反思與建議　36
第五節　研究限制　39

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