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      Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review

      1 , 2 , 1
      Early Intervention in Psychiatry
      Wiley

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          Abstract

          There is no standard definition of "subjective recovery" from psychosis, its nature is currently contested and debated among service-users and professionals. Individual studies have explored conceptualizations of subjective recovery from recent onset psychosis, but there have been no previously published systematic reviews on the topic. The aim of this review was to examine and synthesize quantitative and qualitative studies examining the concept of subjective recovery from recent onset psychosis and identify common factors associated with this recovery process.

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          A systematic review and meta-analysis of recovery in schizophrenia.

          Our primary aims were (a) to identify the proportion of individuals with schizophrenia and related psychoses who met recovery criteria based on both clinical and social domains and (b) to examine if recovery was associated with factors such as gender, economic index of sites, and selected design features of the study. We also examined if the proportions who met our definition of recovery had changed over time. A comprehensive search strategy was used to identify potential studies, and data were extracted for those that met inclusion criteria. The proportion who met our recovery criteria (improvements in both clinical and social domains and evidence that improvements in at least 1 of these 2 domains had persisted for at least 2 years) was extracted from each study. Meta-regression techniques were used to explore the association between the recovery proportions and the selected variables. We identified 50 studies with data suitable for inclusion. The median proportion (25%-75% quantiles) who met our recovery criteria was 13.5% (8.1%-20.0%). Studies from sites in countries with poorer economic status had higher recovery proportions. However, there were no statistically significant differences when the estimates were stratified according to sex, midpoint of intake period, strictness of the diagnostic criteria, duration of follow-up, or other design features. Based on the best available data, approximately, 1 in 7 individuals with schizophrenia met our criteria for recovery. Despite major changes in treatment options in recent decades, the proportion of recovered cases has not increased.
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            The experience of recovery from schizophrenia: towards an empirically validated stage model

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              Social Factors and Recovery from Mental Health Difficulties: A Review of the Evidence

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                Author and article information

                Journal
                Early Intervention in Psychiatry
                Early Intervention in Psychiatry
                Wiley
                1751-7885
                1751-7893
                July 31 2017
                April 2019
                June 21 2018
                April 2019
                : 13
                : 2
                : 181-193
                Affiliations
                [1 ]School of Nursing, Faculty of Health and Social SciencesThe Hong Kong Polytechnic University Kowloon Hong Kong, China
                [2 ]Nethersole School of NursingFaculty of Medicine, The Chinese University of Hong Kong Hong Kong SAR
                Article
                10.1111/eip.12698
                29927071
                c2b18afd-2076-42c8-bf42-78bcf56d019e
                © 2019

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

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