Is personal recovery a transdiagnostic concept? Testing the fit of the CHIME framework using narrative experiences.

IF 2.9 4区医学 Q2 PSYCHIATRY

Journal of Mental Health Pub Date : 2024-06-30 DOI:10.1080/09638237.2024.2361225

Mitch N Lases, Jojanneke Bruins, Floortje E Scheepers, Nienke van Sambeek, Fiona Ng, Stefan Rennick-Egglestone, Mike Slade, Ingrid D C van Balkom, Stynke Castelein

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引用次数: 0

Abstract

Background: Personal recovery is operationalized in the CHIME framework (connectedness, hope, identity, meaning in life, and empowerment) of recovery processes. CHIME was initially developed through analysis of experiences of people mainly with psychosis, but it might also be valid for investigating recovery in mood-related, autism and other diagnoses.

Aims: To examine whether personal recovery is transdiagnostic by studying narrative experiences in several diagnostic groups.

Methods: Thirty recovery narratives, retrieved from "Psychiatry Story Bank" (PSB) in the Netherlands, were analyzed by three coders using CHIME as a deductive framework. New codes were assigned using an inductive approach and member checks were performed after consensus was reached.

Results: All five CHIME dimensions were richly reported in the narratives, independent of diagnosis. Seven new domains were identified, such as "acknowledgement by diagnosis" and "gaining self-insight". These new domains were evaluated to fit well as subdomains within the original CHIME framework. On average, 54.2% of all narrative content was classified as experienced difficulties.

Conclusions: Recovery stories from different diagnostic perspectives fit well into the CHIME framework, implying that personal recovery is a transdiagnostic concept. Difficulties should not be ignored in the context of personal recovery based on its substantial presence in the recovery narratives.

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个人康复是一个跨诊断的概念吗？利用叙事经验测试 CHIME 框架的契合度。

背景：个人康复在康复过程的 CHIME 框架（连通性、希望、身份、生活意义和赋权）中进行操作。CHIME最初是通过分析主要是精神病患者的经历而发展起来的，但它可能也适用于调查与情绪相关、自闭症和其他诊断的康复情况。目的：通过研究几个诊断群体的叙事经历，考察个人康复是否具有跨诊断性：方法：从荷兰的 "精神病学故事库"（PSB）中提取了 30 篇康复叙事，由三位编码员使用 "CHIME "作为演绎框架进行分析。采用归纳法分配新代码，并在达成共识后进行成员检查：结果：所有五个 CHIME 维度在叙述中都有丰富的报告，与诊断无关。发现了七个新的领域，如 "通过诊断获得认可 "和 "获得自我洞察力"。经评估，这些新领域非常适合作为 CHIME 原始框架中的子领域。平均而言，54.2%的叙述内容被归类为经历过的困难：结论：不同诊断视角下的康复故事都能很好地融入 CHIME 框架，这意味着个人康复是一个跨诊断的概念。在个人康复的背景下，困难不应被忽视，因为它在康复叙述中占有重要地位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

6.40

自引率

3.00%

发文量

117

期刊介绍： The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.