Evidence map›Paper›PMID 34143247›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

A qualitative study exploring personal recovery meaning and the potential influence of clinical recovery status on this meaning 20 years after a first-episode psychosis.

Donal O'Keeffe, Ann Sheridan, Aine Kelly, Roisin Doyle, Kevin Madigan, Elizabeth Lawlor, Mary Clarke

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Mental Health Recovery in Social Psychiatric Policies: A Reflexive Thematic Analysis.International journal of environmental research and public health · 2023
    Review
  9. Article
  10. Psychological Resilience to Suicidal Experiences in People with Non-Affective Psychosis: A Position Paper.International journal of environmental research and public health · 2022
    Review
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.

Donal O'KeeffeDETECT Early Intervention in Psychosis Service, Dublin, Ireland. donal.okeeffe@sjog.ie.ORCID http://orcid.org/0000-0001-6541-996X
Ann SheridanSchool of Nursing, Midwifery, and Health Systems, University College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0003-2759-2387
Aine KellySaint John of God Hospitaller Services, Dublin, Ireland.
Roisin DoyleDETECT Early Intervention in Psychosis Service, Dublin, Ireland.
Kevin MadiganSaint John of God Community Services, Dublin, Ireland.
Elizabeth LawlorDETECT Early Intervention in Psychosis Service, Dublin, Ireland.
Mary ClarkeDETECT Early Intervention in Psychosis Service, Dublin, Ireland.

Funding

Health Research Board of Ireland HRA_HSR/2013.409
6 · The paper itself

Abstract

purposeLong-term data on recovery conceptualisation in psychotic illness are needed to support mental health services to organise themselves according to recovery-oriented frameworks. To our knowledge, no previous research has investigated how first-episode psychosis (FEP) service users (sampled across psychotic illness type) perceive recovery beyond 5 years after diagnosis. We aimed to explore personal recovery meaning with individuals 20 years after their FEP and examine the potential influence of clinical recovery status on how they defined recovery (i.e. personal recovery).

methodsTwenty participants were purposefully sampled from an epidemiologically representative FEP incidence cohort. At 20-year follow-up, semi-structured interviews were conducted with 10 cohort members who met full 'functional recovery criteria' (Clinically Recovered Group) and 10 who did not (Not Clinically Recovered Group). A thematic analysis was performed to develop shared themes and group-specific sub-themes to capture agreement and divergence between groups.

resultsFive shared themes were produced: pursuing balance in conflict, generating meaning in life, experiencing a dynamic personal relationship with time, redressing inequality while managing added challenges/vulnerability, and directing life from resilience to flourishing. The five group-specific sub-themes developed illuminate differences in the meaning ascribed to personal recovery by each group.

conclusionFindings emphasise the role of time in how personal recovery is conceptualised by service users and identify ways clinical recovery may influence personal recovery meaning in FEP at mid-later life. Mental health services failing to consider temporal changes in meaning-making and discounting clinical recovery risk ignoring key factors affecting personal recovery.

Indexed as

Mental Health ServicesPsychotic DisordersHumansQualitative ResearchRecovery of FunctionClinical recoveryFirst-episode psychosisiHOPE-20Personal recoveryQualitative research

Identifiers

PMID34143247
PMCPMC8934321

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.