Post-traumatic growth in psychosis: a systematic review and narrative synthesis

BMC Psychiatry

Fan Fang¹  David Roe²  Donna Franklin³  Nashwa Ibrahim⁴  Laurie Hare-Duke⁵  Mike Slade⁵  Stefan Rennick-Egglestone⁵  Caroline Yeo⁵  Joy Llewellyn-Beardsley⁵  Fiona Ng⁵  Christopher Newby⁶  Gerald Jordan⁷  Felix Lewandowski⁸ 

[1] Department of Clinical Psychology, Kwai Chung Hospital;Department of Community Mental Health, University of Haifa;NEON Lived Experience Advisory Panel;Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University;School of Health Sciences, Institute of Mental Health, University of Nottingham;School of Medicine, Institute of Mental Health, University of Nottingham;School of Medicine, Yale University;School of Psychology, University of Nottingham;

关键词: Post-traumatic growth;    Positive changes;    Psychosis;    Systematic review;    Narrative synthesis;   

DOI  :  10.1186/s12888-021-03614-3

来源: DOAJ

【 摘 要 】

Abstract Background and objective People with psychosis report experiences of highly traumatic events. Positive change or post-traumatic growth (PTG) can occur as a result of traumatic experiences. Yet there is limited attention on PTG in psychosis, possibly due to the negative impact of psychotic symptoms on functioning and quality of life. The aim of this review was to identify significant correlates and mediators of PTG in psychosis, and to develop a conceptual framework synthesising facilitators of PTG in psychosis. Method Ten electronic databases were searched in seven languages, and five journals and grey literature were searched in English. Quantitative studies were eligible if examining correlates, mediators, or the temporal relationship between PTG and one or more variables. Qualitative studies were eligible if describing PTG arising from experiences of psychosis. Findings from quantitative papers were grouped by analysis method, with significant correlates, mediators, and temporal relationships descriptively reported upon. Narrative synthesis was conducted on findings in qualitative papers. Results Thirty-seven papers were included. Significant correlates and mediators of PTG were identified. Mediators of PTG in psychosis included meaning in life, coping self-efficacy, core beliefs, and self-reported recovery. No studies describing the temporal relationship between PTG and psychosis were identified. The narrative synthesis identified seven facilitators of PTG in psychosis: Personal identity and strength, Receiving support, Opportunities and possibilities, Strategies for coping, Perspective shift, Emotional experience, and Relationships, giving the acronym PROSPER. Conclusions Individuals with psychosis can be supported to grow from traumatic experiences. Clinicians can support PTG through the provision of trauma-informed care that supports positively valued identity changes. For researchers, the findings provide an evidence-based theoretical framework for conceptualising PTG, which can be validated through longitudinal cohort studies and underpin the development of new clinical interventions.

【 授权许可】

Unknown