Personal recovery after mental illness from a cultural perspective: A scoping review.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Juliet Panadevo, Yasuhiro Kotera, Nina Rodenberg Køcks, Lotte Dich Kring, Stine Bjerrum Møller
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Abstract

Background: Although personal recovery has become a well-known concept in most Western countries, it remains under-recognised in non-Western countries.

Aims: This scoping review aimed to investigate how culture impacts the conceptualisation of personal recovery by evaluating how well the personal recovery framework CHIME (Connectedness, Hope, Identity, Meaning and Empowerment) fits amongst individuals from non-Western ethnic origin.

Method: A scoping review with systematic searches was conducted. Studies were included in the scoping review if they examined personal recovery among individuals from non-Western cultures. Articles were excluded if the target population had no experience with mental illness or had an ethnic Western origin. The review used the CHIME framework in a 'best-fit' framework synthesis, to understand how culture impacted the understanding and experience of recovery. A comprehensive search of five databases (PsycInfo, ProQuest, EMBASE, MEDLINE and CINAHL) resulted in the inclusion of 76 studies out of the 1,641 studies identified. The search was conducted in February 2023 and updated the same month in 2024.

Results: The 76 studies demonstrated that the CHIME framework is applicable in non-Western cultures, with few adjustments to the subcategories. Generally, there was a greater emphasis on connectedness with others across all categories of CHIME, and religion was more frequently used as source to achieve the components of CHIME more often in non-Western cultures. Socio-structural factors influenced how personal recovery can be experienced, and important factors such as welfare benefits impacts recovery.

Conclusion: Special attention should be given to the importance of relationships, especially family, in achieving recovery and religion should be recognised as a crucial element to experiencing connectedness, hope, identity, meaning and empowerment. To enhance the CHIME framework, integrating the sub-components shared responsibility and shared control would be beneficial. Socio-structural factors should be considered when using the CHIME framework.

从文化角度看精神疾病后的个人康复:范围综述。
背景:虽然个人康复在大多数西方国家已经成为一个众所周知的概念,但在非西方国家仍未得到充分认识。目的:本综述旨在通过评估个人康复框架CHIME(连通性、希望、身份、意义和赋权)在非西方种族血统个体中的适用性,研究文化如何影响个人康复的概念化。方法:进行系统检索的范围综述。如果研究对象是来自非西方文化的个体,那么这些研究也会被纳入范围审查。如果目标人群没有精神疾病的经历或具有西方种族血统,则排除文章。该综述在“最适合”的框架综合中使用了CHIME框架,以了解文化如何影响对康复的理解和体验。对五个数据库(PsycInfo、ProQuest、EMBASE、MEDLINE和CINAHL)进行全面检索,从1,641项研究中纳入了76项研究。搜索于2023年2月进行,并于2024年同月更新。结果:76项研究表明,CHIME框架适用于非西方文化,对子类别进行了少量调整。一般来说,在所有类别的CHIME中,人们更强调与他人的联系,而在非西方文化中,宗教更经常被用作实现CHIME组成部分的来源。社会结构因素影响个人如何经历恢复,而福利待遇等重要因素影响恢复。结论:在实现康复过程中,应特别注意人际关系,尤其是家庭关系的重要性,宗教应被视为体验联系、希望、身份、意义和赋权的关键因素。为了增强CHIME框架,集成子组件、共享责任和共享控制将是有益的。在使用CHIME框架时,应考虑社会结构因素。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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