Chapter 4 94 First, we fitted a full, unconstrained model, i.e., a model containing all the paths between the full set of the specified illness-management components and the recovery variables. A simplified model was then constructed by subsequently removing all paths that did not significantly contribute to the fit of the model. The final model fitted the data well: Chi2 = 13.96; df = 11; Chi2/df = 1.27; p>0.05; CFI = 0.99; TLI = 0.98; RMSEA = 0.038 (90%CI = 0.000–0.090); SRMR = 0.028. This simplified model consisted of paths between coping, social support, clinical recovery, and functional and personal recovery. Table 3 shows all the direct and indirect path coefficients of the simplified model. Significant paths are shown in Fig 1. Coping was highly significantly, directly, and moderately associated with the degree of clinical and personal recovery. Coping was highly significantly, directly, and weakly associated with the degree of functional recovery. Via clinical recovery, coping was found to have significant indirect pathways to functional and personal recovery. However, the direct associations between coping and functional and personal recovery were much stronger than the indirect associations. The SEM showed a minor significant direct pathway between social support and functional recovery; the small path coefficient suggested a weak association. There were no significant direct or indirect paths between social support and clinical or personal recovery. This was also the case between insight, medication adherence, addiction, and any type of recovery; but this may have been because scores in these domains showed limited variance.
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