Recovery in Psychosis from a Service User Perspective: A Systematic Review and Thematic Synthesis of Current Qualitative Evidence

Community Ment Health J. 2018 Aug;54(6):793-804. doi: 10.1007/s10597-017-0185-9. Epub 2017 Nov 29.

Abstract

There is a growing number of qualitative accounts regarding recovery from psychosis from a service user perspective. The aim of this study was to conduct a systematic review of these qualitative accounts. A thematic synthesis was utilised to synthesise and analyse seventeen studies included in the review. Studies were included if they used a qualitative methodology to explore service users' experiences of recovery from psychosis as a primary research question. All included studies were subjected to a quality assessment. The analysis outlined three subordinate themes: the recovery journey, facilitators of recovery (e.g. faith and spirituality, personal agency and hope), and barriers to recovery (e.g. stigma and discrimination, negative effects of mental health services and medication). Recovery is an idiosyncratic process but includes key components which are important to people who experience psychosis. These should be explored within clinical practice.

Keywords: Psychosis; Recovery; Systematic review; Thematic synthesis.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health*
  • Child
  • Female
  • Humans
  • Male
  • Mental Health Services
  • Middle Aged
  • Patient Satisfaction
  • Psychotic Disorders / psychology*
  • Psychotic Disorders / rehabilitation*
  • Qualitative Research
  • Recovery of Function
  • Religion and Psychology
  • Self Concept
  • Social Stigma
  • Social Support
  • Young Adult