Effectiveness of personal recovery facilitators in adults with schizophrenia and other psychoses: A systematic review of reviews and narrative synthesis

Isaacs, Anton Neville; Brooks, Helen; Lawn, Sharon; Mohammadi, Leila; Vicary, Emily; Sutton, Keith

doi:10.1016/j.schres.2022.06.018

Cited by 10 publications

(17 citation statements)

References 69 publications

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“…Yoga, as a practice that connects a person's body, mind, and/or spiritual experience, could be a fruitful adjunct treatment for individuals with SSD, as it assists participants in accessing their personal resources. This is consistent with the paradigm shift in therapy for individuals with SSD: from a focus on disability to a focus on empowerment and recovery (155,(167)(168)(169)(170)(171).…”

Section: Clinical Implications For a Safe Yoga Practicesupporting

confidence: 81%

Mechanisms of action and processes of yoga-based group intervention for inpatients with schizophrenia spectrum disorders–A longitudinal qualitative study

Töbelmann

Hahne²,

Schulze³

et al. 2023

Front. Psychiatry

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BackgroundResearch exploring the effects of yoga therapy (YT) on individuals with schizophrenia spectrum disorders (SSD) is scarce. Therefore, the current study aimed to explore possible mechanisms of actions and processes, as well as adverse effects of a novel yoga-based group intervention (YoGI) for in-patients with SSD in a German university hospital setting.Material and methodsA longitudinal qualitative study was integrated into a rater-blinded randomized controlled trial, exploring the impact of a 4-week YoGI as add-on treatment. In-depth interviews were conducted with participants receiving YoGI (n = 19) in addition to treatment as usual (TAU) and a control group (n = 14) which only received TAU. Interviews were conducted at baseline (n = 33) and 4 weeks post-intervention (N = 28) to assess the participant’s experiences and how they changed over time. The interviews (N = 61) were audio-taped, translated, coded, and analyzed by means of inductive thematic analysis. Separate case summaries were prepared for each participant to analyze longitudinal changes within subjects. The research team members collaboratively discussed the final list of themes and subcodes. Rater-based questionnaires, such as the Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), and Personal and Social Performance Scale (PSP) were administered at baseline to assess clinical outcomes.ResultsAt baseline, participants reported a desire to improve their stress- and symptom management. A minority of participants expressed reservations toward yoga, and several psychosocial barriers were named, including worries about symptom exacerbation. At post-intervention, four mechanisms of change became evident from the interviews: (1) acquiring competence in relaxation, (2) increased interoceptive awareness, (3) feeling connected, and (4) a sense of spiritual wellbeing. A small number of participants reported difficulties with YoGI.ConclusionGenerally, YoGI positively influenced participants’ experiences of their inpatient stay, regarding distress, self- and body awareness, social connectedness, and spiritual wellbeing. However, participants also illuminated necessary adjustments to improve the intervention. YoGI will therefore be adapted and further developed in an iterative process based on a participant involvement approach. The efficacy regarding outcomes and processes needs to be investigated in a future larger-scaled randomized controlled trial.

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Section: Clinical Implications For a Safe Yoga Practicesupporting

confidence: 81%

Mechanisms of action and processes of yoga-based group intervention for inpatients with schizophrenia spectrum disorders–A longitudinal qualitative study

Töbelmann

Hahne²,

Schulze³

et al. 2023

Front. Psychiatry

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“…The SF-36 is a commonly used instrument to measure quality of life [ 26 ]. Although it is not specifically designed for quality of life in schizophrenia, it has been used in numerous studies to measure quality of life in schizophrenia [ 27 ]. The present study showed that quality of life improved after 12 months of treatment, but the degree of improvement varied, with overall improvements in quality of life being more pronounced and improvements in overall health and emotional functioning greater than medication.…”

Section: Discussionmentioning

confidence: 99%

Application Research of Humanistic Care and Situational Integration in Nursing of Schizophrenia in Recovery Period

Zhang

2022

Contrast Media & Molecular Imaging

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Objective. To formulate corresponding nursing humanistic care measures according to the needs of patients, evaluate the intervention effect of patients, and provide reference for nursing staff to better provide nursing humanistic care for patients with schizophrenia in convalescence. Methods. Using the random number table method, 110 inpatients with convalescent schizophrenia were randomly divided into the control group (n = 55) and the experimental group (n = 55). The sample t-test was used to compare the changes of patient insight, treatment attitude, rehabilitation efficacy, and negative emotion score before and after nursing humanistic nursing intervention, and analyze the effect of nursing humanistic care intervention. Results. Nursing satisfaction: the nursing satisfaction of the experimental group increased from 84.6% to 96.2%, after intervention, satisfaction of the experimental group was 96.2% higher than that of 86.5% of the control group. Conclusion. Nursing intervention measures based on needs of nursing humanistic care can improve nursing satisfaction, insight and treatment attitude of patients, enhance recovery effect of patients, reduce negative emotions of patients, and benefit recovery of patients’ conditions.

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“…PR will refer to a positive, inner change reported by a person with lived experience of schizophrenia, for example, self-report, qualitative statements. As the process of PR has no objective outcomes, but rather individual, intermediate statuses, findings on PR will be summarised as indicators of PR more so than ‘outcomes’ of PR 33. PR indicators entail any factor used to indicate an element of PR, which presents some challenges for identifying PR.…”

Section: Methods and Analysismentioning

confidence: 99%

“…According to the National Institute for Health and Care Excellence guidelines 2020, people suffering from complex psychosis (e.g., schizophrenia) should be offered psychosocial rehabilitation services in conjunction with antipsychotic medication as the first line of treatment for clinical symptoms 32. Psychosocial intervention is an umbrella term for non-pharmacological and non-surgical interventions emphasising social and psychological factors 33 34. Psychosocial interventions might be helpful for other aspects than symptom management and reattainment of function, where positive changes to the individual’s context can aid in the well-being of the individual(e.g., positive connections, acquiring work) 23 24…”

Section: Introductionmentioning

confidence: 99%

“…Numerous studies indicate that various degrees of improvement for individuals with schizophrenia and related psychoses are attainable 20 21 30 33. Solely considering objective measures, such as symptom reduction or functional capacity, might lead to the exclusion of important phenomena relevant to the recovery journey of the individual 20 38.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial interventions promoting personal recovery in people with schizophrenia: a scoping review protocol

Quistgaard,

Myklebust,

Aure

et al. 2023

BMJ Open

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IntroductionPersonal recovery is an important aspect for many individuals diagnosed with schizophrenia, as people can live rich, fulfilling lives despite ongoing symptoms. Prior reviews have found several factors to be associated with personal recovery, but a comprehensive overview of the psychosocial interventions aimed at improving personal recovery in schizophrenia is needed.Methods and analysisKey terms relating to personal recovery and psychosocial interventions to promote personal recovery will be searched for in the following databases: PubMed, EMBASE, PsycINFO, CINAHL, MEDLINE, Google Scholar, Web of Science Core Collection and Cochrane. Additionally, a simple search for grey literature will be conducted in The Networked Digital Library of Theses and Dissertations. Two reviewers will individually screen and extract the data, and the selection of sources will be documented in a Preferred Reporting Items for Systematic reviews and Meta-Analyses flow chart. A content analysis will be conducted on the data, and the findings will be presented in tables, and narratively synthesised. Lastly, research gaps will be identified, and recommendations for future research will be proposed.Ethics and disseminationEthics approval was not required for the development or publishing of this protocol. Findings will be disseminated through conferences, meeting with patient organisations and consumers, and published in a peer-reviewed scientific journal.

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Effectiveness of personal recovery facilitators in adults with schizophrenia and other psychoses: A systematic review of reviews and narrative synthesis

Cited by 10 publications

References 69 publications

Mechanisms of action and processes of yoga-based group intervention for inpatients with schizophrenia spectrum disorders–A longitudinal qualitative study

Mechanisms of action and processes of yoga-based group intervention for inpatients with schizophrenia spectrum disorders–A longitudinal qualitative study

Application Research of Humanistic Care and Situational Integration in Nursing of Schizophrenia in Recovery Period

Psychosocial interventions promoting personal recovery in people with schizophrenia: a scoping review protocol

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