Conceptualisation of Mental Health Recovery by Health Professionals and Students in Southeast Asia: A Qualitative Systematic Review and Meta-Aggregation
Rinlita Chatwiriyaphong, Ritin Fernandez, Rebecca Bosworth, Grant Kinghorn, Lorna Moxham
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引用次数: 0
Abstract
Introduction
While the recovery approach is gaining recognition in non-Western countries, it remains underexplored in Southeast Asia. This study addressed this gap by examining how health professionals and students conceptualised recovery, providing insights for enhancing mental health practices.
Aim
To synthesise how health professionals and students in Southeast Asian countries understand mental health recovery.
Methods
A search across CINAHL, MEDLINE, PsycINFO, Scopus, and the Web of Science identified ten qualitative studies (2006–2024). Data extraction, quality appraisal, and synthesis were conducted following the JBI methodology.
Results
The findings highlighted a medically driven and determined return to normal functioning for individuals living with mental illness. This was classified into six categories: return to being a ‘normal person’, symptom-free status, medication adherence, access to mental health services, living with residual symptoms, and holistic care with a psychosocial focus.
Discussion
Medical-oriented practices have dominated mental health care, creating a power imbalance. Training, education, culture, socioeconomic status, and stigma have shaped the understanding of recovery.
Implications for Practice and Recommendations
Shared decision-making and formal training prioritising lived experiences are vital to reducing power imbalances. A shift towards recovery-oriented approaches is critically needed to enhance mental health practices in Southeast Asia.
导读:虽然采油方法在非西方国家得到了认可,但在东南亚仍未得到充分开发。本研究通过检查健康专业人员和学生如何概念化康复来解决这一差距,为加强心理健康实践提供见解。目的:综合东南亚国家卫生专业人员和学生对心理健康康复的理解。方法:检索CINAHL、MEDLINE、PsycINFO、Scopus和Web of Science,确定了10项定性研究(2006-2024)。数据提取、质量评估和综合按照JBI方法进行。结果:研究结果强调了精神疾病患者在医学上的驱动和坚定的回归正常功能。这分为六类:恢复为“正常人”、无症状状态、坚持服药、获得精神卫生服务、带着残余症状生活,以及以社会心理为重点的整体护理。讨论:以医学为导向的做法主导了精神卫生保健,造成了权力不平衡。培训、教育、文化、社会经济地位和耻辱感塑造了对康复的理解。对实践和建议的启示:共同决策和优先考虑生活经验的正式培训对于减少权力不平衡至关重要。亟需转向以康复为导向的做法,以加强东南亚的精神卫生做法。
期刊介绍:
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.