Tuvesson Hanna, Gunnarsson A Birgitta, Sjösten Markus, Carlsson Viktor, Holmberg Sara, Wagman Petra, Fagerström Cecilia, Hörberg Ulrica
Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Department of Research and Development, Region Kronoberg, Växjö, Sweden.
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2516915. doi: 10.1080/17482631.2025.2516915. Epub 2025 Jun 12.
Prolonged stress leading to sick leave is a serious health problem, and it is crucial to find ways to support recovery. The aim of this review was to synthesize the results from qualitative research about what people with stress-related disorders experience as supportive for recovery.
The systematic review was designed as a qualitative meta-synthesis following the recommendations by Walsh and Downe. Our search across PubMed, CINAHL, and PsycInfo identified 20 articles that met the inclusion criteria. These articles were subsequently assessed for quality and analysed.
Three themes were identified that describe what people with stress-related disorders experience as supportive for recovery: ´Engaging and authentic atmospheres-an essentiality for recovery, ´Pursuing an empowered and hopeful self, and ´Embracing the continuous demanding quest for personal growth`. Recovery from stress-related disorders can be supported by giving each person the opportunity to grow and pursue an empowered and hopeful self. This requires time and support in an engaging and authentic atmosphere. Having the possibility for existential reflection, learning and exploring through various activities is important.
Our findings show the importance of formal support that patiently stimulates existential reflection and learning in a non-demanding environment. Implementing activities in clinical practice that stimulate such a process, and which can be adapted to each person's needs and preferences could be beneficial.
长期压力导致病假是一个严重的健康问题，找到支持康复的方法至关重要。本综述的目的是综合定性研究的结果，了解与压力相关疾病患者认为有助于康复的因素。
按照沃尔什和唐的建议，将系统综述设计为定性元分析。我们在PubMed、CINAHL和PsycInfo数据库中进行检索，共识别出20篇符合纳入标准的文章。随后对这些文章进行质量评估和分析。
确定了三个主题，描述了与压力相关疾病患者认为有助于康复的因素：“参与性和真实的氛围——康复的关键要素”、“追求有力量和充满希望的自我”以及“接受对个人成长的持续追求”。让每个人都有机会成长并追求有力量和充满希望的自我，有助于从与压力相关的疾病中康复。这需要在参与性和真实的氛围中投入时间并获得支持。有机会进行存在主义反思、通过各种活动学习和探索很重要。
我们的研究结果表明，在无压力的环境中耐心激发存在主义反思和学习的正式支持很重要。在临床实践中开展能够激发这一过程且可根据个人需求和偏好进行调整的活动可能会有所帮助。
