What does recovery from psychosis mean? Perceptions of young first-episode patients

Department of Psychiatry, The University of Hong Kong, Hong Kong.
International Journal of Social Psychiatry (Impact Factor: 1.15). 11/2011; 57(6):580-7. DOI: 10.1177/0020764010374418
Source: PubMed


This study explored the experience of first-episode psychosis from the patients' perspective and the meanings they attach to the illness and their recovery.
A qualitative methodology was used based on a focus group. Audio tapes were transcribed verbatim and three researchers participated in a content analysis that identified four major themes: the meaning of psychosis and psychotic experience; the meaning of recovery; stigma; and having an optimistic view of recovery.
Participants' view of recovery was broader than that often held by psychiatrists, extending beyond symptom control and medication compliance, and they identified positive features that the experience of illness had brought. Their concerns included the side effects of medication and the fear of their illness being disclosed (to employers, university authorities, acquaintances, etc.) in the face of societal stigma.
Ideas about what constitutes recovery need to take account of patients' views and experience in order to emphasize therapeutic optimism rather than pessimism, and to inform treatment contexts and the views of medical staff.

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    • "For personal use only. Lam et al. (2011) Focus groups "
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    ABSTRACT: Abstract Background Research is required to better understand the psychosocial factors that influence the recovery of individuals with schizophrenia . Objective To conduct a systematic review and thematic synthesis and identify the factors which influence recovery. Methods Major electronic databases were searched from inception until February 2014. Qualitative articles were included that considered the concept of recovery from individuals with schizophrenia, their caregivers or health care professionals. Methodological quality was assessed and studies were thematically synthesised. Results Twenty articles involving 585 individuals with schizophrenia, 298 primary care givers or close sources of support and 47 health care professionals were included. The results identified and detailed the psychosocial factors and processes that influenced recovery. The factors which promoted recovery included: (1) adjustment, coping and reappraisal (2) responding to the illness (3) social support, close relationships and belonging. The factors which challenged recovery included: (1) negative interactions and isolation (2) internal barriers (3) uncertainty and hopelessness. Conclusion Health care professionals and researchers will benefit from a greater understanding of the psychosocial factors which influence recovery for individuals with schizophrenia. Implications are discussed within the text.
    Journal of Mental Health 02/2015; DOI:10.3109/09638237.2014.998811 · 1.40 Impact Factor
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    • "Qualitative explorations of the concept of recovery in Hong Kong suggest that recovery is multidimensional and includes not only symptom control and medication compliance but also more positive features of regaining previous functions, both cognitive (e.g., being able to concentrate, thinking clearly, and being responsive) and social (e.g., having positive relationships , being respected and respecting others, and independent living; Lam et al., 2011; Ng et al., 2008). These qualitative explorations appear quite consistent with the Western views of recovery from a consumer perspective. "
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    ABSTRACT: Objectives: The concept of recovery has begun shifting mental health service delivery from a medical perspective toward a client-centered recovery orientation. This shift is also beginning in Hong Kong, but its development is hampered by a dearth of available measures in Chinese. Method: This article translates two measures of recovery (mental health recovery measure and the recovery subscale of peer outcomes protocol) and one measure of recovery-promoting environments (recovery self-assessment) into Chinese and investigates their psychometric properties among 206 Hong Kong Chinese people with severe mental illness. Result: Multifactor solutions from earlier studies were not replicated; our evidence pointed to one-factor solutions. Since all recovery measures demonstrated high internal consistency reliability (.92 to .96), we analyzed total scale scores. Conclusion: Moderately high correlations among the recovery measures (.33 to .56) provide some support for construct validity, yet further investigation of recovery measures in a Chinese population is needed.
    Research on Social Work Practice 05/2013; 23(3):311-325. DOI:10.1177/1049731512471861 · 1.53 Impact Factor
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    ABSTRACT: Despite considerable growth in treatments, interventions, services and research of young people with a first episode of psychosis, little attention has been given to the priorities of these young people, in particular, gaining employment. A literature review was undertaken with the aim of investigating: 1) whether young people with a first episode of psychosis want to work, 2) what challenges they experience regarding work, 3) what is understood about employment outcomes, 4) what the most effective interventions to enable them to gain employment may be, and 5) what the associated costs may be. The review found that these young people appear to want to work yet face a range of psychological and social challenges to achieving this. Typically by the time they first come into contact with mental health services a proportion are already falling out of education and employment, and this decline continues with contact with services. However, there are specific interventions that can support them to gain employment. The Individual Placement and Support approach, adapted to include support to fulfil educational goals, has demonstrated that a mean of 69% of young people with a first episode of psychosis can gain education and employment compared to 35% of controls.
    International Review of Psychiatry 01/2010; 22(2):148-62. DOI:10.3109/09540261003661825 · 1.80 Impact Factor
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