{"title":"“我需要你帮助我，为什么你要打破我”：阻碍从精神障碍中恢复的因素：一项对有生活经验的人、照顾者和护士的定性描述性研究。","authors":"Tahani Hawsawi, Peter Sinclair, Amanda Wilson","doi":"10.1080/01612840.2025.2530022","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Recovery for people with lived experience (PLE) involves living a meaningful life within the community despite the limitations imposed by mental disorders. However, recovery can be hindered by factors beyond the symptoms themselves, including the stigmatising attitudes and behaviours of community members. Gaining a comprehensive understanding of these hindrances is essential for informing effective preventive strategies that can be implemented by caregivers and healthcare professionals. Despite its importance, limited research has explored the factors that impede recovery from a shared perspective of PLEs, caregivers, and nurses-highlighting a critical gap in the literature.</p><p><strong>Aim: </strong>This study explores PLEs, caregivers and registered nurses' sharing perspectives on factors hindering recovery in the collectivist society of Saudi Arabia.</p><p><strong>Method: </strong>An exploratory descriptive qualitative methodology was employed using in-depth semi-structured interviews with 16 PLEs, 10 caregivers and eight registered nurses and inductive thematic analysis of the data.</p><p><strong>Findings: </strong>Society stigma, broken family bonding, unempathetic behaviours and toxic positivity were identified as factors hindering PLEs' recovery, leading them to adopt behaviours to protect their mental wellbeing.</p><p><strong>Discussion: </strong>Regardless of the origins of stigma, resisting and protesting it may indicate that PLE overcame barriers to recovery.</p><p><strong>Recommendations: </strong>Future research should investigate the implementation of recovery-oriented language. Studies should explore the concept of toxic positivity among PLE and their caregivers. Global mental healthcare systems should establish and sustain a trauma-informed care to mitigate negative effects of factors hindering recovery. The consolidated criteria for reporting qualitative studies' 32-item checklist was followed in this study.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"867-877"},"PeriodicalIF":1.4000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"<i>\\\"I Need You to Help Me, Why You Break Me?\\\"</i>: Factors Hindering Recovering from Mental Disorders: A Qualitative Descriptive Study Among People with Lived Experience, Caregivers, and Nurses.\",\"authors\":\"Tahani Hawsawi, Peter Sinclair, Amanda Wilson\",\"doi\":\"10.1080/01612840.2025.2530022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Recovery for people with lived experience (PLE) involves living a meaningful life within the community despite the limitations imposed by mental disorders. However, recovery can be hindered by factors beyond the symptoms themselves, including the stigmatising attitudes and behaviours of community members. Gaining a comprehensive understanding of these hindrances is essential for informing effective preventive strategies that can be implemented by caregivers and healthcare professionals. Despite its importance, limited research has explored the factors that impede recovery from a shared perspective of PLEs, caregivers, and nurses-highlighting a critical gap in the literature.</p><p><strong>Aim: </strong>This study explores PLEs, caregivers and registered nurses' sharing perspectives on factors hindering recovery in the collectivist society of Saudi Arabia.</p><p><strong>Method: </strong>An exploratory descriptive qualitative methodology was employed using in-depth semi-structured interviews with 16 PLEs, 10 caregivers and eight registered nurses and inductive thematic analysis of the data.</p><p><strong>Findings: </strong>Society stigma, broken family bonding, unempathetic behaviours and toxic positivity were identified as factors hindering PLEs' recovery, leading them to adopt behaviours to protect their mental wellbeing.</p><p><strong>Discussion: </strong>Regardless of the origins of stigma, resisting and protesting it may indicate that PLE overcame barriers to recovery.</p><p><strong>Recommendations: </strong>Future research should investigate the implementation of recovery-oriented language. Studies should explore the concept of toxic positivity among PLE and their caregivers. Global mental healthcare systems should establish and sustain a trauma-informed care to mitigate negative effects of factors hindering recovery. The consolidated criteria for reporting qualitative studies' 32-item checklist was followed in this study.</p>\",\"PeriodicalId\":14664,\"journal\":{\"name\":\"Issues in Mental Health Nursing\",\"volume\":\" \",\"pages\":\"867-877\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Issues in Mental Health Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/01612840.2025.2530022\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Issues in Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01612840.2025.2530022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
"I Need You to Help Me, Why You Break Me?": Factors Hindering Recovering from Mental Disorders: A Qualitative Descriptive Study Among People with Lived Experience, Caregivers, and Nurses.
Introduction: Recovery for people with lived experience (PLE) involves living a meaningful life within the community despite the limitations imposed by mental disorders. However, recovery can be hindered by factors beyond the symptoms themselves, including the stigmatising attitudes and behaviours of community members. Gaining a comprehensive understanding of these hindrances is essential for informing effective preventive strategies that can be implemented by caregivers and healthcare professionals. Despite its importance, limited research has explored the factors that impede recovery from a shared perspective of PLEs, caregivers, and nurses-highlighting a critical gap in the literature.
Aim: This study explores PLEs, caregivers and registered nurses' sharing perspectives on factors hindering recovery in the collectivist society of Saudi Arabia.
Method: An exploratory descriptive qualitative methodology was employed using in-depth semi-structured interviews with 16 PLEs, 10 caregivers and eight registered nurses and inductive thematic analysis of the data.
Findings: Society stigma, broken family bonding, unempathetic behaviours and toxic positivity were identified as factors hindering PLEs' recovery, leading them to adopt behaviours to protect their mental wellbeing.
Discussion: Regardless of the origins of stigma, resisting and protesting it may indicate that PLE overcame barriers to recovery.
Recommendations: Future research should investigate the implementation of recovery-oriented language. Studies should explore the concept of toxic positivity among PLE and their caregivers. Global mental healthcare systems should establish and sustain a trauma-informed care to mitigate negative effects of factors hindering recovery. The consolidated criteria for reporting qualitative studies' 32-item checklist was followed in this study.
期刊介绍：
Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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