King's College London, Health Service and Population Research Department (Box P029), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK.
Br J Psychiatry. 2011 Dec;199(6):445-52. doi: 10.1192/bjp.bp.110.083733.
No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken.
To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework.
Systematic review and modified narrative synthesis.
Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.
The conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.
目前尚无针对精神疾病个体康复的系统评价和叙述性综合研究。
将已发表的个体康复描述和模型综合为一个基于实证的概念框架。
系统评价和修改后的叙述性综合。
在确定的 5208 篇论文和 366 篇综述中，共有 97 篇论文被纳入本综述。新兴的概念框架包括：(a)康复之旅的 13 个特征；(b)包括联系、对未来的希望和乐观、身份、生活意义和赋权（简称 CHIME）在内的五个康复过程；以及 (c)与变化的跨理论模型相吻合的康复阶段描述。针对具有黑人或少数族裔（BME）背景的个体的康复研究更加注重精神性和耻辱感，同时还确定了另外两个主题：文化特异性促进因素和集体主义的康复观念。
该概念框架是对精神疾病个体康复体验的理论上合理且稳健的综合，为未来以康复为导向的研究和实践提供了实证基础。
