Personal Recovery Among People at Risk for Developing Serious Mental Health Problems: A Qualitative Systematic Review

被引:1
|
作者
Jordan, Gerald [1 ]
Bassetto, Stella [2 ]
DeLuca, Joseph [3 ,4 ]
Dobbs, Matthew F. [3 ]
Florence, Ana [5 ,6 ]
Allemang, Brooke [7 ]
O'Keeffe, Donal [8 ]
Basile, Mikaela [9 ]
Funaro, Melissa C. [10 ]
Davidson, Larry [11 ]
Ben-David, Shelly [9 ]
Shah, Jai [2 ]
机构
[1] Univ Birmingham, Inst Mental Hlth, Ctr Urban Wellbeing, Sch Psychol, Birmingham, England
[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[3] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY USA
[4] Fairfield Univ, Dept Psychol & Brain Sci, Fairfield, CT USA
[5] Columbia Univ, New York State Psychiat Inst, New York, NY USA
[6] Columbia Univ, Dept Psychiat, New York, NY USA
[7] Univ Calgary, Fac Social Work, Calgary, AB, Canada
[8] Mental Hlth Ireland, ARCHES Recovery Coll, Dublin, Ireland
[9] Univ British Columbia, Sch Social Work, Kelowna, BC, Canada
[10] Yale Univ, Harvey Cushing John Hay Whitney Med Lib, New Haven, CT USA
[11] Yale Univ, Dept Psychiat, Yale Program Recovery & Community Hlth, New Haven, CT USA
关键词
ULTRA-HIGH RISK; YOUNG-PEOPLE; SUBJECTIVE EXPERIENCE; AT-RISK; PSYCHOSIS; INDIVIDUALS; SERVICE; YOUTH; EXPLORATION; FRAMEWORK;
D O I
10.1176/appi.ps.20230133
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: Personal recovery refers to a person's pursuit of a full, meaningful life despite the potentially debilitating impact of a mental illness. An evidence base describing personal recovery among people at risk for developing a mental illness is lacking, limiting the potential for mental health services to support personal recovery. To address this gap, the authors synthesized the extant research describing personal recovery among people at risk for developing a mental illness. Methods: A systematic search of several literature databases (MEDLINE, Embase, APA PsycInfo, Web of Science Core Collection, and Cochrane Library) was conducted to retrieve qualitative and case studies and first-person accounts. The Joanna Briggs Institute guidelines for systematic reviews were followed. Included studies reported on participants at variable risk for developing a schizophrenia spectrum, bipolar, major depressive, or borderline personality disorder. Articles were retrieved through a librarian- assisted search and through use of additional strategies (e.g., expert consultation). Abstracts were screened by the research team, and themes were developed by using thematic synthesis. Results: The 36 included articles were synthesized, and six themes were generated: difficulties and challenges; establishing an understanding of, and finding ways to cope with, one's mental health challenges; reestablishing a sense of agency and personhood; receiving support from people and services, as well as restoring relationships; reestablishing hope, meaning, and purpose; and overcoming stigma and destigmatizing mental illness in others. Conclusions: These findings provide a conceptual foundation that can guide future research on personal recovery and clinical interventions that foster it among people at risk for mental illness.
引用
收藏
页码:778 / 788
页数:11
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