The effectiveness of peer support on the recovery and empowerment of people with schizophrenia: A systematic review and meta-analysis

IF 3.6 2区医学 Q1 PSYCHIATRY

Schizophrenia Research Pub Date : 2024-10-17 DOI:10.1016/j.schres.2024.10.006

Sharon Midzi Jambawo , Rasaq Owolewa , Trevor Tinarwo Jambawo

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引用次数: 0

Abstract

Background

People with schizophrenia have a shorter life span and high mortality and morbidity rates. Peer support is an important strategy that can improve outcomes for people with schizophrenia. Peer support involves people with a lived experience of recovery who help and support others experiencing mental health problems.

Aims

The main aim of this systematic literature review was to examine the effectiveness of peer support on the recovery and empowerment outcomes of service users with schizophrenia disorders. The objectives were to contribute to evidence-based practice and promote peer support interventions in mental health services.

Data sources

We searched for randomised controlled trials (RCTs) on peer support in MEDLINE, CINAHL, AMED, Academic Search Premier, PubMed, PsycArticles, PsycINFO, Cochrane, and Psychology and Behavioural Sciences Collection. We identified additional trials from the citations of previous studies.

Methods

We assessed the trials' methodological quality and biases using the risk of bias (RoB) and grading of recommendations, assessment, development, and evaluation (GRADE) tools. We performed a meta-analysis in the RevMan application and extracted data from the clinical trials using narrative synthesis. This systematic review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) procedures.

Results

A total of 17 trials with 5974 participants were included in this review. The most common peer support was peer-led self-management interventions. The RE model (SMD = 0.29, 95 % CI = 0.13 to 0.45, p-value = 0.0004) shows that peer support interventions significantly improved the recovery outcome compared to standard care provided to service users with schizophrenia. The RE model (SMD = 0.22, 95 % CI = 0.11 to 0.33, p-value = 0.0001) also shows that peer support interventions significantly empowered service users with schizophrenia. However, the positive effects were small. A sub-group analysis found moderate effects on the recovery outcome among the emerging peer support interventions. The quality of the evidence was moderate.

Conclusions

Peer support interventions effectively improved the recovery and empowerment outcomes. Current clinical trials indicate that peer support is an essential psychosocial intervention in improving empowerment and recovery in service users with schizophrenia.

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同伴互助对精神分裂症患者康复和赋权的有效性：系统回顾与荟萃分析

背景精神分裂症患者的寿命较短，死亡率和发病率较高。同伴互助是一种可以改善精神分裂症患者治疗效果的重要策略。这项系统性文献综述的主要目的是研究同伴支持对精神分裂症患者的康复和赋权结果的有效性。数据来源我们在 MEDLINE、CINAHL、AMED、Academic Search Premier、PubMed、PsycArticles、PsycINFO、Cochrane 和 Psychology and Behavioural Sciences Collection 中检索了有关同伴支持的随机对照试验 (RCT)。我们使用偏倚风险（RoB）和建议、评估、开发和评价分级（GRADE）工具评估了试验的方法学质量和偏倚。我们在 RevMan 应用程序中进行了荟萃分析，并通过叙事综合法从临床试验中提取了数据。本系统综述以系统综述和荟萃分析首选报告项目（PRISMA）程序为指导。最常见的同伴支持是同伴引导的自我管理干预。RE模型（SMD = 0.29, 95 % CI = 0.13 to 0.45, p值 = 0.0004）显示，与向精神分裂症患者提供的标准护理相比，同伴支持干预能显著改善患者的康复效果。RE 模型（SMD = 0.22，95 % CI = 0.11 至 0.33，p 值 = 0.0001）也表明，同伴支持干预能显著增强精神分裂症服务使用者的能力。然而，积极效果很小。一项分组分析发现，新出现的同伴支持干预措施对康复结果的影响适中。结论同伴支持干预能有效改善康复和赋权结果。目前的临床试验表明，同伴支持是一种重要的社会心理干预措施，可提高精神分裂症服务使用者的能力并促进其康复。

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来源期刊

Schizophrenia Research 医学-精神病学

CiteScore

7.50

自引率

8.90%

发文量

429

审稿时长

10.2 weeks

期刊介绍： As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership! Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue. The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.