Evidence map›Paper›PMID 30921432›Full record

SynthesisPloS one2019

Characteristics of mental health recovery narratives: Systematic review and narrative synthesis.

Joy Llewellyn-Beardsley, Stefan Rennick-Egglestone, Felicity Callard, Paul Crawford, Marianne Farkas, Ada Hui, David Manley, Rose McGranahan, Kristian Pollock, Amy Ramsay and 3 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05351645 (Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts), which is not on this map. Cited by 101 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05351645 nacompletednot on this mapstarted 2020, after this paper: background citation

Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts: A Randomized Controlled Trial (Testing Whether Selected Blog Posts Can Improve Well-being)

TypeinterventionalSponsorHarvard UniversityRan2020 to 2021Enrolled864ConditionsSuicidal IdeationArmsTreatment
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  11. Narratives of recovery from persistent fatigue: a stepwise learning process.Scandinavian journal of primary health care · 2026
    Article
  12. Article
  13. Peer Support Workers in Mental Health Care: Plural Positionings Beyond Transformation and Assimilation Dichotomy.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  14. How to Tell a Recovery Story 'Professionally'? Issues Related to the Transformation of Personal Stories During a Training for Becoming a Peer Support Worker.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  15. Article
  16. Review
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  19. Article
  20. DIS. Designing Interactive Systems (Conference) · 2025
    Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Joy Llewellyn-BeardsleySchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0003-0525-6358
Stefan Rennick-EgglestoneSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
Felicity CallardDepartment of Psychosocial Studies, Birkbeck University, London, United Kingdom.
Paul CrawfordSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
Marianne FarkasCollege of Health and Rehabilitation Sciences, Boston University, Boston, Massachusetts, United States of America.ORCID 0000-0002-6027-0382
Ada HuiSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
David ManleyNottinghamshire Healthcare NHS Foundation Trust, Nottingham, United Kingdom.
Rose McGranahanUnit of Social and Community Psychiatry, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Kristian PollockSchool of Health Sciences, University of Nottingham, United Kingdom.
Amy RamsayHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Knut Tore SælørFaculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, Center for Mental Health and Substance Abuse, University of South Eastern Norway, Kongsberg, Norway.
Nicola WrightSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
Mike SladeSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.

Funding

Department of Health RP-PG-0615-20016
6 · The paper itself

Abstract

backgroundNarratives of recovery from mental health distress have played a central role in the establishment of the recovery paradigm within mental health policy and practice. As use of recovery narratives increases within services, it is critical to understand how they have been characterised, and what may be missing from their characterisation thus far. The aim of this review was to synthesise published typologies in order to develop a conceptual framework characterising mental health recovery narratives.

methodA systematic review was conducted of published literature on the characteristics of mental health recovery narratives. Narrative synthesis involved identifying characteristics and organising them into dimensions and types; and subgroup analysis based on study quality, narrator involvement in analysis, diagnosis of psychosis and experience of trauma. The synthesis was informed by consultation with a Lived Experience Advisory Panel and an academic panel. The review protocol was pre-registered (Prospero CRD42018090188).

results8951 titles, 366 abstracts and 121 full-text articles published January 2000-July 2018 were screened, of which 45 studies analysing 629 recovery narratives were included. A conceptual framework of mental health recovery narratives was developed, comprising nine dimensions (Genre; Positioning; Emotional Tone; Relationship with Recovery; Trajectory; Use of Turning Points; Narrative Sequence; Protagonists; and Use of Metaphors), each containing between two and six types. Subgroup analysis indicated all dimensions were present across most subgroups, with Turning Points particularly evident in trauma-related studies.

conclusionsRecovery narratives are diverse and multidimensional. They may be non-linear and reject coherence. To a greater extent than illness narratives, they incorporate social, political and rights aspects. Approaches to supporting development of recovery narratives should expand rather than reduce available choices. Research into the narratives of more diverse populations is needed. The review supports trauma-informed approaches, and highlights the need to understand and support post-traumatic growth for people experiencing mental health issues.

Indexed as

Mental Health RecoveryNarrationHumans

Identifiers

PMID30921432
PMCPMC6438542

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.