Greater Manchester West Mental Health NHS Foundation Trust, Manchester, UK.
Psychol Psychother. 2013 Sep;86(3):245-61. doi: 10.1111/j.2044-8341.2011.02059.x. Epub 2012 Feb 14.
Recovery from psychosis has been greatly studied, especially in relation to outcome. However, it is still a poorly defined concept and there has been minimal impact of service user definitions of recovery. It is a term that is being increasingly used in relation to mental health policies and guidelines; hence it is important to ensure that recovery is well defined and guided by service users' experience of recovery. Therefore, the aim of this study was to examine what factors are important to service users in recovery from psychosis.
A Q-method approach was adopted to allow a wide qualitative exploration of recovery.
An opportunity sample (N= 40) was recruited, aged between 18 and 65, who experienced symptoms of psychosis for at least 1 year within mental health services in the North West of England.
Analysis revealed four distinct perspectives in relation to recovery from psychosis. The first placed importance on collaborative support and understanding, the second on emotional change through social and medical support, the third group emphasized regaining functional and occupational goals, and the last group identified self-focused recovery as being important factors.
Although recovery from psychosis may have common elements, there are a number of idiosyncratic perspectives that should be taken into account when conceptualizing recovery and this should be reflected in service provision.
精神病康复已经得到了广泛的研究，特别是与结果相关的研究。然而，它仍然是一个定义不明确的概念，而且服务使用者对康复的定义几乎没有产生任何影响。这个术语在与心理健康政策和准则的关系中被越来越多地使用；因此，确保康复有明确的定义，并以服务使用者的康复经验为指导，这一点非常重要。因此，本研究的目的是探讨对精神病康复而言，哪些因素对服务使用者很重要。
采用 Q 方法学方法，以允许对康复进行广泛的定性探索。
在英格兰西北部的心理健康服务机构中，招募了年龄在 18 至 65 岁之间、至少有 1 年精神病史的机会样本（N=40）。
分析显示，在精神病康复方面存在四种不同的观点。第一种观点强调协作支持和理解，第二种观点强调通过社会和医疗支持来改变情绪，第三种观点强调恢复功能和职业目标，最后一种观点认为自我关注的康复是重要因素。
尽管精神病康复可能有共同的要素，但在概念化康复时，还存在许多特殊的观点，在服务提供中应该考虑到这些观点。
