Evidence map›Paper›PMID 32989443›Full record

SynthesisSchizophrenia bulletin2021

Understanding Identity Changes in Psychosis: A Systematic Review and Narrative Synthesis.

Maev Conneely, Philip McNamee, Veenu Gupta, John Richardson, Stefan Priebe, Janelle M Jones, Domenico Giacco

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Schizophrenia bulletin, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
60.8field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  15. The Self-Concept Is Represented in the Medial Prefrontal Cortex in Terms of Self-Importance.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
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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

7 authors at 3 institutions in 1 country.

Maev ConneelyUnit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK.
Philip McNameeUnit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK.
Veenu GuptaDepartment of Primary Care and Mental health, Institute of Population Health, University of Liverpool, Liverpool, UK.
John RichardsonUnit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK.
Stefan PriebeUnit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK.
Janelle M JonesDepartment of Biological and Experimental Psychology, School of Biological and Chemical Sciences, Queen Mary University of London, London, UK.
Domenico GiaccoUnit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK.
Queen Mary University of London · GBUniversity of Liverpool · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveExperiencing psychosis can be associated with changes in how people see themselves as individuals and in relation to others (ie, changes in their identity). However, identity changes receive little attention in treatment, possibly due to a lack of clarity or consensus around what identity change means in people with psychosis. We aimed to create a conceptual framework synthesizing how identity changes are understood in the psychosis literature.

methodsElectronic databases were searched up to April 2020. Studies about identity changes among people with psychotic disorders were analyzed using narrative synthesis by a collaborative review team, including researchers from different disciplines, clinicians, and people who have experienced psychosis.

resultsOf 10 389 studies screened, 59 were eligible. Identity changes are understood in 5 ways as (1) characteristics of psychosis, (2) consequences of altered cognitive functioning, (3) consequences of internalized stigma, (4) consequences of lost roles and relationships, and (5) reflections of personal growth. These 5 understandings are not mutually exclusive. Across a heterogeneous literature, identity changes were mostly framed in terms of loss.

conclusionsOur conceptual framework, comprising 5 understandings, highlights the complexity of studying identity changes and suggests important implications for practice and research. For clinicians, this framework can inform new therapeutic approaches where the experience and impact of identity changes are acknowledged and addressed as part of treatment. For researchers, the conceptual framework offers a way of locating their understandings of identity changes when undertaking research in this area.

Indexed as

Schizophrenic PsychologySelf ConceptSocial StigmaCognitive DysfunctionHumansPsychotic DisordersSchizophreniaidentitypsychosisschizophreniaselfself-disorderself-experience

Identifiers

PMID32989443
PMCPMC7965068
OpenAlexW3085049977

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.