Hikmat Rohman, Suryani Suryani, Yosep Iyus, Jeharsae Rohani, Widianti Efri, Hidayati Nur Oktavia, Sutini Titin, Hernawaty Taty, Sriati Aat, Rafiyah Imas
Master of Nursing Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.
Nursing department, Faculty of Health Science, Universitas 'Aisyiyah Bandung, Bandung, Indonesia.
BMC Psychiatry. 2025 May 23;25(1):527. doi: 10.1186/s12888-025-06962-6.
Schizophrenia is a complex mental health condition that affects an individual's thoughts, perceptions, emotions, and behavior. Recovery from schizophrenia is not solely defined by symptom reduction, but also by the ability to lead a meaningful and fulfilling life within the community. Recovery-oriented approaches emphasize hope, empowerment, social inclusion, and the rebuilding of identity. In Southeast Asia, community-based interventions play a crucial role in supporting individuals diagnosed with schizophrenia through culturally relevant, accessible, and holistic care.
This scoping review aims to explore the types and characteristics of community-based recovery interventions implemented for individuals diagnosed with schizophrenia in Southeast Asia, specifically in Indonesia, Malaysia, and Thailand.
A scoping review was conducted following Arksey and O'Malley's framework. Literature searches were performed in five databases: Scopus, PubMed, CINAHL, Web of Science, and Google Scholar. Keywords included "recovery", "intervention", "community-based", "schizophrenia", "psychiatric", and "psychosis". Inclusion criteria were: (1) studies involving individuals diagnosed with schizophrenia (2), studies conducted in Indonesia, Malaysia, or Thailand (3), articles published in English or Indonesian between 2014 and 2024, and (4) studies focusing on recovery-related outcomes. A qualitative descriptive analysis was used to synthesize findings.
A total of 10 eligible articles were included. The studies explored a variety of community-based recovery interventions, such as psychoeducation programs, empowerment and self-management training, forgiveness therapy, horticultural therapy, web-based cognitive training, and psychosocial interventions including relaxation techniques and mindfulness-based self-awareness. These interventions were found to enhance patients' knowledge, coping skills, social functioning, and overall quality of life.
Community-based recovery interventions in Southeast Asia show promise in supporting individuals with schizophrenia in their recovery journey. These approaches address not only clinical symptoms but also social and psychological well-being. Further research is needed to evaluate the long-term effectiveness, cultural adaptability, and sustainability of such interventions in diverse community settings.
精神分裂症是一种复杂的心理健康状况，会影响个体的思维、认知、情绪和行为。精神分裂症的康复不仅仅以症状减轻来定义，还包括在社区中过上有意义且充实生活的能力。以康复为导向的方法强调希望、赋权、社会包容以及身份重建。在东南亚，基于社区的干预措施通过具有文化相关性、可及性和整体性的护理，在支持被诊断为精神分裂症的个体方面发挥着关键作用。
本范围综述旨在探索在东南亚，特别是印度尼西亚、马来西亚和泰国，为被诊断为精神分裂症的个体实施的基于社区的康复干预措施的类型和特点。
按照阿克西和奥马利的框架进行了一项范围综述。在五个数据库中进行了文献检索：Scopus、PubMed、CINAHL、科学网和谷歌学术。关键词包括“康复”“干预”“基于社区的”“精神分裂症”“精神病学的”和“精神病”。纳入标准为：（1）涉及被诊断为精神分裂症个体的研究；（（2）在印度尼西亚、马来西亚或泰国开展的研究；（3）2014年至2024年期间以英文或印尼文发表的文章；以及（4）关注与康复相关结果的研究。采用定性描述性分析来综合研究结果。
共纳入10篇符合条件的文章。这些研究探索了多种基于社区的康复干预措施，如心理教育项目、赋权与自我管理培训、宽恕疗法、园艺疗法、基于网络的认知训练，以及包括放松技巧和正念自我意识在内的心理社会干预措施。这些干预措施被发现可提高患者的知识水平、应对技能、社会功能和总体生活质量。
东南亚基于社区的康复干预措施在支持精神分裂症患者的康复过程中显示出前景。这些方法不仅解决临床症状，还关注社会和心理健康。需要进一步研究来评估此类干预措施在不同社区环境中的长期有效性、文化适应性和可持续性。
