个人康复,过着令人满意的生活,充满希望的生活伴随着症状,已成为国际精神卫生保健议程中日益受到重视的目标。然而,人们很少了解人们如何经历个人康复以及双相情感障碍诊断所特有的情绪挑战。已经为患有混合精神病诊断的人群开发了个人康复框架,主要是精神病。
对定性数据的系统审查使用了广泛采用的个人恢复流程连通性,希望和乐观,Identity,意义和目的,授权(CHIME)在“最佳适合”框架综合中,以了解双相情感障碍的个人康复经验。纳入的研究采用基于CHIME过程的演绎框架分析和先验框架之外的归纳主题分析进行编码。
通过对六个文献数据库的全面搜索,收录了2010-2020年发表的12篇文章。演绎编码支持与CHIME框架的配合,但揭示了困难,损失,以及恢复过程内部和之间的紧张关系。拟议的双相情感障碍个人康复框架,目的和意义,乐观和希望,赋权,紧张,Identity,连通性(POETIC),围绕这些紧张局势组织所有的CHIME进程。
研究参与者的多样性有限,大多数是中年人,女性,西方参与者。
为双相情感障碍量身定制的紧凑POETIC个人康复框架直接适用于具有个人康复目标的临床实践。它强调了专业人士需要以现实和平衡的方式引入个人康复,以解决服务用户组织最近对个人康复过于乐观的批评。
Personal recovery, living a satisfying, hopeful life alongside symptoms, has become an increasingly valued aim across mental health care agendas internationally. However, there is little understanding of how people experience personal recovery alongside the mood challenges characteristic of a bipolar disorder diagnosis. Personal recovery frameworks have been developed for populations with mixed psychiatric diagnoses, predominantly psychotic disorders.
This systematic
review of qualitative data used the widely adopted personal recovery processes Connectedness, Hope and optimism, Identity, Meaning and purpose, Empowerment (CHIME) in a \"best fit\" framework synthesis to understand personal recovery experiences in bipolar disorder. Included studies were coded with deductive framework analysis based on the CHIME processes and inductive thematic analysis for aspects beyond the a priori framework.
A comprehensive search of six literature databases led to inclusion of twelve articles published 2010-2020. Deductive coding supported the fit with the CHIME framework but revealed difficulties, losses, and tensions within and across recovery processes. The proposed framework for personal recovery in bipolar disorder, Purpose and meaning, Optimism and hope, Empowerment, Tensions, Identity, Connectedness (POETIC), organises all CHIME processes around these tensions.
Diversity among study participants was limited with majority middle-aged, female, Western participants.
The compact POETIC personal recovery framework tailored for bipolar disorder is directly applicable to clinical practice with personal recovery objectives. It highlights the need for professionals to introduce personal recovery in a realistic and balanced way to address recent criticism by service user organisations of personal recovery as overly optimistic.