Clinical treatment interventions in personal recovery stories of patients with severe mental illness: a qualitative study

被引：0
作者：
Van Eck, Robin Michael [1 ,2 ]
Jelsma, Auke [1 ,2 ,3 ]
Blondeel, Jelle [2 ,3 ]
de Wilde-Schutten, Kimriek [2 ,3 ]
Zondervan, Jannick Vincent Rutger [2 ,3 ]
Burger, Thijs Jan [1 ,2 ]
Vellinga, Astrid [2 ]
de Koning, Mariken Beatrijs [1 ,2 ]
Schirmbeck, Frederike [1 ,4 ]
Gerritsen, Sylvia [5 ]
Kikkert, Martijn [2 ]
de Haan, Lieuwe [1 ,2 ]
机构：
[1] Amsterdam UMC, Locat Univ Amsterdam, Dept Psychiat, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[2] Arkin Inst Mental Hlth, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Amsterdam, Netherlands
[4] Heidelberg Univ, Cent Inst Mental Hlth, Med Fac Mannheim, Dept Publ Mental Hlth, Mannheim, Germany
[5] Amsterdam UMC, Dept Eth Law & Humanities, Amsterdam, Netherlands
来源：
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY | 2025年 / 60卷 / 08期
关键词：
Personal recovery; Clinical recovery; Severe mental illness (SMI); Schizophrenia; Psychosis; Side-effects; CONCEPTUAL-FRAMEWORK; SELF-ESTEEM; OF-LIFE; SCHIZOPHRENIA; PSYCHOSIS; STIGMA; EXPERIENCE; DISORDERS; CRITERIA; PEOPLE;
D O I：
10.1007/s00127-025-02872-w
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
PurposeIn quantitative research, small to medium associations were found between clinical and personal recovery in patients with severe mental illness (SMI). This finding may result from varying relationships between clinical and personal recovery depending on the individual patient. The aim of the current study was to explore the subjective experience of clinical treatment interventions in personal recovery stories of patients with severe mental illness.MethodsSemi-structured interviews were conducted with 26 patients with SMI receiving treatment of a Flexible Assertive Community Treatment team in Amsterdam, the Netherlands. Thematic analysis was used.ResultsWe found that most clinical treatment interventions can have both positive and negative impact on personal recovery: (1) receiving a diagnosis can lead to relief, but also to stigma, (2) medication has positive effects, but side-effects impair personal recovery, (3) hospitalization and (4) coercive treatment can be helpful, but can also impact the process of recovery negatively, (5) psychological treatment is experienced as beneficial.ConclusionMental healthcare practitioners' awareness of patients' diverging experiences regarding the impact of clinical treatment interventions on personal recovery is important to carry out recovery-supportive practice. Communicating a diagnosis with a hopeful narrative, developing personalized medication strategies and post-hospital reflection on the use of restraints are a good basis.
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收藏
页码：1907 / 1917
页数：11
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