Bejerholm Ulrika, Roe David
a Department of Health Sciences/Mental Health, Activity and Participation , Lund University , Lund , Sweden.
b Center for Evidence-based Psychosocial Interventions (CEPI) , Lund University , Lund , Sweden.
Nord J Psychiatry. 2018 Aug;72(6):420-430. doi: 10.1080/08039488.2018.1492015. Epub 2018 Nov 1.
One goal within positive psychiatry is to support the personal recovery of persons with mental illness and providing opportunities for well-being.
The current article aims to introduce readers to the concept of personal recovery and the potential and importance of recovery-oriented services and measures.
A literature review was conducted to help consider the domains of 'personal recovery', 'recovery-oriented services/interventions', and 'measures'. A database search was complemented with a web-based search. Both medical subject heading (MESH) terms and free-text search terms were used.
Literature from research journals, grey literature, and websites were included. Within this context, recovery does not refer to a cure but involves a process in which a person acts as an agent to develop new goals and meaning in life, despite and beyond limitations posed by the illness and its consequences. A positive focus on recovery is in sharp contrast to historical deterministic and pessimistic concepts of mental illnesses. Recovery-oriented services such as peer support, assertive community treatment, supported employment/education/housing, illness self-management, and decreasing self-stigma are highlighted. A review of 27 measures that focus on personal recovery and promotion of well-being are also discussed.
The literature overview presents perspectives and knowledge of how to develop positive psychiatry, how mental health services and their partner organizations may become more recovery oriented and help persons reach well-being and a better quality of life. This study is limited to a narrative review and may precede future systematic reviews.
积极精神病学的一个目标是支持精神疾病患者的个人康复,并为其提供实现幸福的机会。
本文旨在向读者介绍个人康复的概念以及以康复为导向的服务和措施的潜力与重要性。
进行了一项文献综述,以考量“个人康复”“以康复为导向的服务/干预措施”和“测量方法”等领域。数据库检索辅以网络搜索。同时使用了医学主题词(MESH)和自由文本搜索词。
纳入了研究期刊文献、灰色文献和网站文献。在此背景下,康复并非指治愈,而是一个过程,在此过程中,一个人作为主体,尽管面临疾病及其后果带来的限制并超越这些限制,仍能制定新的目标并赋予生活新的意义。对康复的积极关注与精神疾病的历史决定论和悲观概念形成鲜明对比。强调了以康复为导向的服务,如同伴支持、积极社区治疗、支持性就业/教育/住房、疾病自我管理以及减少自我污名化。还讨论了对27项聚焦于个人康复和促进幸福的测量方法的综述。
文献综述呈现了关于如何发展积极精神病学、精神卫生服务及其合作伙伴组织如何更以康复为导向以及如何帮助人们实现幸福和提高生活质量的观点和知识。本研究仅限于叙述性综述,可能先于未来的系统综述。