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精神分裂症患者康复的个人意义。

Personal meaning of recovery among persons with schizophrenia.

机构信息

School of Social Work, St. Joseph's College (Autonomous), Bengaluru, Karnataka, India.

Department of Psychiatric Social Work, National Institute of Mental Health and Neuro-Sciences (NIMHANS), Bengaluru, Karnataka, India.

出版信息

Int J Soc Psychiatry. 2023 Feb;69(1):78-85. doi: 10.1177/00207640211068370. Epub 2021 Dec 31.

Abstract

BACKGROUND

Recovery in mental illness is not synonymous with cure. Personal recovery approach consider recovery as a process and not as an outcome. This approach takes into account the subjective meaning of recovery by assessing how a person has learned to accommodate and live with an illness.

AIM

To study the personal meaning of recovery among persons with schizophrenia.

METHOD

This article presents the findings of a qualitative study about what 'recovery' means to persons with schizophrenia. A semi structured interview schedule was prepared based on literature review and expert opinion. Twenty participants who met the inclusion criteria and personally consider themselves recovering/recovered from schizophrenia were selected for the in-depth qualitative interviews. Data was analyzed using Interpretative Phenomenological Analysis (IPA). Meaning of recovery from each participant's perspective was recorded.

FINDINGS

The results indicate factors that patients deem important for their recovery are, absence of symptoms, regaining functioning, being able to work, having adequate emotional stability and not being on medicines. The findings are examined in the background of the previous studies and suggestions for clinical practice and research is also discussed.

CONCLUSION

Recovery is far more than remission of symptoms. Persons with mental illness has their own criteria of recovery, which could be very distinct from the clinical definition. Current study findings can help in identifying meaning of recovery through the perspectives of persons with mental illness and in developing and implementing recovery-oriented services.

摘要

背景

精神疾病的康复并不等同于治愈。个人康复方法将康复视为一个过程,而不是一个结果。这种方法通过评估一个人如何学会适应和与疾病共存来考虑康复的主观意义。

目的

研究精神分裂症患者的个人康复意义。

方法

本文介绍了一项关于精神分裂症患者对“康复”的个人意义的定性研究结果。根据文献回顾和专家意见,编制了一份半结构式访谈提纲。选择了 20 名符合纳入标准并自认为从精神分裂症中康复/康复的参与者进行深入的定性访谈。使用解释现象学分析(IPA)进行数据分析。记录了每位参与者对康复意义的看法。

结果

结果表明,患者认为对其康复重要的因素是没有症状、恢复功能、能够工作、有足够的情绪稳定和不需要药物治疗。研究结果以以往研究为背景进行了检查,并讨论了临床实践和研究的建议。

结论

康复远不止是症状的缓解。精神疾病患者有自己的康复标准,这可能与临床定义有很大的不同。本研究结果可以帮助通过精神疾病患者的角度来确定康复的意义,并为制定和实施以康复为导向的服务提供参考。

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