Gerald Jordan1, Kathleen MacDonald1, Megan A Pope1, Emily Schorr1, Ashok K Malla1, Srividya N Iyer1. 1. Mr. Jordan is with the Department of Psychiatry, Douglas Mental Health University Institute, Montreal. Ms. MacDonald and Ms. Pope are with the Department of Psychiatry, McGill University, Montreal. Ms. Schorr is with the Department of Psychiatry, King's College London School of Medical Education, London. Dr. Malla is with the Department of Psychiatry and Dr. Iyer is with the Department of Psychiatry, Douglas Hospital Research Centre, McGill University, Montreal.
Abstract
OBJECTIVE: Although the negative consequences associated with first-episode psychosis (FEP) have been well investigated, relatively less is known about positive changes that people may experience after FEP. Existing literature is disparate and in need of synthesis. Such a synthesis can inform the design of mental health services that foster strengths, hope, and optimism. The objective of this study was to synthesize the literature on how positive change is experienced after FEP by affected persons and their families and friends and to delineate the individual, social, and structural factors facilitating positive change. METHODS: A librarian-assisted systematic review of quantitative, qualitative, and mixed-methods studies published in English between 1970 and 2015 was conducted. Articles identified from three databases (PubMed, PsycINFO, and Embase) and through additional search strategies were screened. Results sections were open coded and analyzed by using thematic synthesis. RESULTS: Of the 2,777 studies identified, 40 were retained. The synthesis of findings showed that after FEP, service users and their families and friends experienced positive changes at the individual (for example, more insight and clarity), interpersonal (for example, improved relationships), and spiritual levels (for example, greater religiosity). In addition to being facilitated by mental health services, these positive changes were enabled by personal (for example, motivation), social (for example, family support), and spiritual (for example, prayer) factors. CONCLUSIONS: Suffering is a core experience of FEP from which a range of positive changes can follow among service users and their families and friends. It may be beneficial for mental health services to specifically strive to promote these positive changes.
OBJECTIVE: Although the negative consequences associated with first-episode psychosis (FEP) have been well investigated, relatively less is known about positive changes that people may experience after FEP. Existing literature is disparate and in need of synthesis. Such a synthesis can inform the design of mental health services that foster strengths, hope, and optimism. The objective of this study was to synthesize the literature on how positive change is experienced after FEP by affected persons and their families and friends and to delineate the individual, social, and structural factors facilitating positive change. METHODS: A librarian-assisted systematic review of quantitative, qualitative, and mixed-methods studies published in English between 1970 and 2015 was conducted. Articles identified from three databases (PubMed, PsycINFO, and Embase) and through additional search strategies were screened. Results sections were open coded and analyzed by using thematic synthesis. RESULTS: Of the 2,777 studies identified, 40 were retained. The synthesis of findings showed that after FEP, service users and their families and friends experienced positive changes at the individual (for example, more insight and clarity), interpersonal (for example, improved relationships), and spiritual levels (for example, greater religiosity). In addition to being facilitated by mental health services, these positive changes were enabled by personal (for example, motivation), social (for example, family support), and spiritual (for example, prayer) factors. CONCLUSIONS: Suffering is a core experience of FEP from which a range of positive changes can follow among service users and their families and friends. It may be beneficial for mental health services to specifically strive to promote these positive changes.
Entities:
Keywords:
First episode psychosis; Posttraumatic growth; Recovery; Systematic mixed studies review; early intervention services
Authors: Dora M Raymaker; Tamara Sale; Mariam Rija; Nicholas Buekea; Nybelle Caruso; Ryan Melton; Natalie Cohrs; Veronica Gould; Christina Wall; Mirah Scharer Journal: Prog Community Health Partnersh Date: 2020
Authors: Gerald Jordan; Laura Burke; Julia Bailey; Sof Kreidstein; Myera Iftikhar; Lauren Plamondon; Courtney Young; Larry Davidson; Michael Rowe; Chyrell Bellamy; Amal Abdel-Baki; Srividya N Iyer Journal: Front Psychiatry Date: 2022-05-18 Impact factor: 5.435
Authors: Mike Slade; Stefan Rennick-Egglestone; Laura Blackie; Joy Llewellyn-Beardsley; Donna Franklin; Ada Hui; Graham Thornicroft; Rose McGranahan; Kristian Pollock; Stefan Priebe; Amy Ramsay; David Roe; Emilia Deakin Journal: BMJ Open Date: 2019-06-28 Impact factor: 2.692
Authors: Donal O'Keeffe; Ailish Hannigan; Roisin Doyle; Anthony Kinsella; Ann Sheridan; Aine Kelly; Kevin Madigan; Elizabeth Lawlor; Mary Clarke Journal: Aust N Z J Psychiatry Date: 2019-02-06 Impact factor: 5.744
Authors: Lee Valentine; Carla McEnery; Imogen Bell; Shaunagh O'Sullivan; Ingrid Pryor; John Gleeson; Sarah Bendall; Mario Alvarez-Jimenez Journal: JMIR Ment Health Date: 2020-07-28
Authors: Fiona Ng; Nashwa Ibrahim; Donna Franklin; Gerald Jordan; Felix Lewandowski; Fan Fang; David Roe; Stefan Rennick-Egglestone; Christopher Newby; Laurie Hare-Duke; Joy Llewellyn-Beardsley; Caroline Yeo; Mike Slade Journal: BMC Psychiatry Date: 2021-12-06 Impact factor: 3.630