Department of Health Outcomes and Health Services Research, London Health Sciences Centre, London, Ontario, Canada.
Psychiatr Serv. 2012 Jun;63(6):548-53. doi: 10.1176/appi.ps.201100424.
There is little understanding of service users' conceptions of recovery in the early phase of psychotic disorders. An enhanced understanding of personal notions of recovery may help with the development and evaluation of interventions that address the concerns of service users. This study examined personal definitions of recovery among individuals recently treated in a specialized early-intervention service in Canada.
Semistructured interviews were carried out with 30 individuals three to five years after initial treatment of a first episode of psychosis. Interpretative phenomenological analysis was used to examine participants' personal meanings of recovery. A typology of recovery definitions was constructed.
A majority of individuals considered themselves to be recovered. Responses indicated that recovery is a multidimensional experience and is often a personalized and achievable goal at this early stage in treatment. Individuals described recovery as improvement in one or more of three domains: illness recovery, psychological and personal recovery, and social and functional recovery. There was variation in the extent to which individuals perceived that recovery involved alleviation of symptoms and elimination of underlying vulnerability to illness.
There were several components of the personal meanings of recovery from a first episode of psychosis and variations in the emphasis that individuals placed on each component. An overall positive outlook may be a function of younger age, shorter duration of illness, and receipt of client-centered comprehensive and phase-specific treatment. Improved understanding of personal notions of recovery can guide clinical practices to address service users' recovery goals.
在精神障碍早期阶段，人们对服务使用者康复概念的理解甚少。增强对个人康复观念的理解可能有助于开发和评估针对服务使用者关注的干预措施。本研究调查了加拿大专门的早期干预服务中最近接受治疗的个体的个人康复定义。
对 30 名首次出现精神病性障碍的个体进行了三次至五年的半结构化访谈。采用解释现象学分析来检查参与者对康复的个人意义。构建了康复定义的类型学。
大多数个体认为自己已经康复。回应表明，康复是一种多维度的体验，在治疗的早期阶段通常是个性化和可实现的目标。个体将康复描述为在一个或多个三个领域的改善：疾病康复、心理和个人康复以及社会和功能康复。个体对康复是否涉及减轻症状和消除潜在疾病易感性的程度存在差异。
从首次出现精神病性障碍中康复的个人意义有几个组成部分，个体对每个组成部分的重视程度存在差异。整体积极的前景可能是年龄较小、疾病持续时间较短以及接受以客户为中心的全面和特定阶段的治疗的结果。对个人康复观念的理解的提高可以指导临床实践，以满足服务使用者的康复目标。
