Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

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Abstract

Background

Delivery of recovery-oriented mental health practice is fundamental to personal recovery. Yet, there is lack of service users’ accounts on what constitutes mental health recovery in Egypt.

Objectives

The aim of this study was to explore mental health recovery meaning informed by people with personal experience of recovery.

Methods

A phenomenological research design was used. Semi-structured qualitative interviews were conducted with 17 adult community-dwelling individuals who identified as recovered/recovering from mental health issues. An inductive thematic analysis approach was used to analyses participants’ responses.

Results

Participants predominately reported personal and functional definitions of mental health recovery. Posttraumatic growth was the strongest theme comprising: relation to others, spirituality, new possibilities, identity & strengths, and appreciation of life. Themes of acceptance and forgiveness, functional and clinical recovery, and finding hope were also identified.

Conclusions

This is the first study to explore mental health recovery meaning among a sample of people with lived experience of mental health issues in Egypt. Findings suggest that developing and implementing psychosocial interventions to support posttraumatic growth among people with mental health issues is a priority.

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Most cited references 36

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Saturation in qualitative research: exploring its conceptualization and operationalization

Benjamin Saunders, Julius Sim, Tom Kingstone … (2017)

Saturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, further data collection and/or analysis are unnecessary. However, there appears to be uncertainty as to how saturation should be conceptualized, and inconsistencies in its use. In this paper, we look to clarify the nature, purposes and uses of saturation, and in doing so add to theoretical debate on the role of saturation across different methodologies. We identify four distinct approaches to saturation, which differ in terms of the extent to which an inductive or a deductive logic is adopted, and the relative emphasis on data collection, data analysis, and theorizing. We explore the purposes saturation might serve in relation to these different approaches, and the implications for how and when saturation will be sought. In examining these issues, we highlight the uncertain logic underlying saturation—as essentially a predictive statement about the unobserved based on the observed, a judgement that, we argue, results in equivocation, and may in part explain the confusion surrounding its use. We conclude that saturation should be operationalized in a way that is consistent with the research question(s), and the theoretical position and analytic framework adopted, but also that there should be some limit to its scope, so as not to risk saturation losing its coherence and potency if its conceptualization and uses are stretched too widely.

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TARGET ARTICLE: "Posttraumatic Growth: Conceptual Foundations and Empirical Evidence"

Richard Tedeschi, Lawrence Calhoun (2004)

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Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis.

Mary Leamy, Victoria Bird, Clair Le Boutillier … (2011)

No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken. To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework. Systematic review and modified narrative synthesis. Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery. The conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.

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Author and article information

Contributors

Nashwa Ibrahim:

ORCID: http://orcid.org/0000-0002-3375-7451

Nashwa_2005@mans.edu.eg

Fiona Ng: fiona.ng@nottingham.ac.uk

Abeer Selim: selima@ksau-hs.edu

Eman Ghallab: Eman.ghallab@alexu.edu.eg

Amira Ali: mercy.ofheaven2000@gmail.com

Mike Slade: m.slade@nottingham.ac.uk

Journal

Journal ID (nlm-ta): BMC Psychiatry

Journal ID (iso-abbrev): BMC Psychiatry

Title: BMC Psychiatry

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-244X

Publication date (Electronic): 12 April 2022

Publication date PMC-release: 12 April 2022

Publication date Collection: 2022

Volume: 22

Electronic Location Identifier: 255

Affiliations

[1 ]GRID grid.10251.37, ISNI 0000000103426662, Psychiatric and Mental Health Nursing Department, Faculty of Nursing, , Mansoura University, ; Mansoura, Egypt

[2 ]GRID grid.4563.4, ISNI 0000 0004 1936 8868, School of Health Sciences, Institute of Mental Health, , University of Nottingham, ; Nottingham, UK

[3 ]GRID grid.412149.b, ISNI 0000 0004 0608 0662, College of Nursing, , King Saud Bin Abdulaziz University for Health Sciences, ; Riyadh, Saudi Arabia

[4 ]GRID grid.452607.2, ISNI 0000 0004 0580 0891, King Abdullah International Medical Research Center, ; Riyadh, Saudi Arabia

[5 ]GRID grid.7155.6, ISNI 0000 0001 2260 6941, Nursing Education Department, Faculty of Nursing, , Alexandria University, ; Alexandria, Egypt

[6 ]GRID grid.136594.c, ISNI 0000 0001 0689 5974, Tokyo University of Agriculture and Technology, ; Fuchu, Japan

[7 ]GRID grid.7155.6, ISNI 0000 0001 2260 6941, Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, , Alexandria University, ; Alexandria, 21527 Egypt

[8 ]GRID grid.465487.c, Nord University, ; Postboks 474, 7801 Namsos, Norway

Author information

Nashwa Ibrahim http://orcid.org/0000-0002-3375-7451

Article

Publisher ID: 3919

DOI: 10.1186/s12888-022-03919-x

PMC ID: 9004105

PubMed ID: 35410151

SO-VID: d949c0a4-940a-4e9a-b7e4-8ed19a498786

License:

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