Investigating personal and clinical recovery processes in people with first episode psychosis

2021 ◽  
Author(s):  
Stephen F. Austin ◽  
Carsten Hjorthøj ◽  
Helle Baagland ◽  
Erik Simonsen ◽  
Jesper Dam
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Clinical Recovery ◽  
Recovery Processes ◽  
Episode Psychosis

“With a little help from my friends” social predictors of clinical recovery in first-episode psychosis

2017 ◽  
Vol 255 ◽  
pp. 209-214 ◽  
Author(s):  
Jone Bjornestad ◽  
Wenche ten Velden Hegelstad ◽  
Inge Joa ◽  
Larry Davidson ◽  
Tor Ketil Larsen ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Social Predictors ◽  
Clinical Recovery ◽  
Episode Psychosis

The central role of self-agency in clinical recovery from first episode psychosis

Psychosis ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 140-148 ◽  
Author(s):  
Jone Bjornestad ◽  
Kolbjorn Bronnick ◽  
Larry Davidson ◽  
Wenche ten Velden Hegelstad ◽  
Inge Joa ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Clinical Recovery ◽  
Episode Psychosis

Early clinical recovery in first-episode psychosis: Symptomatic remission and its correlates at 1-year follow-up

2017 ◽  
Vol 254 ◽  
pp. 118-125 ◽  
Author(s):  
Carmen Simonsen ◽  
Ann Faerden ◽  
Kristin Lie Romm ◽  
Akiah Ottesen Berg ◽  
Thomas Bjella ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Clinical Recovery ◽  
Episode Psychosis ◽  
Symptomatic Remission

scholarly journals A qualitative study exploring personal recovery meaning and the potential influence of clinical recovery status on this meaning 20 years after a first-episode psychosis

2021 ◽  
Author(s):  
Donal O’Keeffe ◽  
Ann Sheridan ◽  
Aine Kelly ◽  
Roisin Doyle ◽  
Kevin Madigan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
First Episode Psychosis ◽  
First Episode ◽  
Service Users ◽  
Personal Recovery ◽  
Potential Influence ◽  
Psychotic Illness ◽  
Clinical Recovery ◽  
Episode Psychosis

Abstract Purpose Long-term data on recovery conceptualisation in psychotic illness are needed to support mental health services to organise themselves according to recovery-oriented frameworks. To our knowledge, no previous research has investigated how first-episode psychosis (FEP) service users (sampled across psychotic illness type) perceive recovery beyond 5 years after diagnosis. We aimed to explore personal recovery meaning with individuals 20 years after their FEP and examine the potential influence of clinical recovery status on how they defined recovery (i.e. personal recovery). Methods Twenty participants were purposefully sampled from an epidemiologically representative FEP incidence cohort. At 20-year follow-up, semi-structured interviews were conducted with 10 cohort members who met full ‘functional recovery criteria’ (Clinically Recovered Group) and 10 who did not (Not Clinically Recovered Group). A thematic analysis was performed to develop shared themes and group-specific sub-themes to capture agreement and divergence between groups. Results Five shared themes were produced: pursuing balance in conflict, generating meaning in life, experiencing a dynamic personal relationship with time, redressing inequality while managing added challenges/vulnerability, and directing life from resilience to flourishing. The five group-specific sub-themes developed illuminate differences in the meaning ascribed to personal recovery by each group. Conclusion Findings emphasise the role of time in how personal recovery is conceptualised by service users and identify ways clinical recovery may influence personal recovery meaning in FEP at mid-later life. Mental health services failing to consider temporal changes in meaning-making and discounting clinical recovery risk ignoring key factors affecting personal recovery.

scholarly journals 110. “With a Little Help from My Friends” Social Predictors of Clinical Recovery in First-Episode Psychosis

2017 ◽  
Vol 43 (suppl_1) ◽  
pp. S57-S57
Author(s):  
Jone Bjornestad ◽  
Wenche ten Velden Hegelstad ◽  
Inge Joa ◽  
Larry Davidson ◽  
Tor Ketil Larsend ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Social Predictors ◽  
Clinical Recovery ◽  
Episode Psychosis

scholarly journals The iHOPE-20 study: Relationships between and prospective predictors of remission, clinical recovery, personal recovery and resilience 20 years on from a first episode psychosis

2019 ◽  
Vol 53 (11) ◽  
pp. 1080-1092 ◽  
Author(s):  
Donal O’Keeffe ◽  
Ailish Hannigan ◽  
Roisin Doyle ◽  
Anthony Kinsella ◽  
Ann Sheridan ◽  
...  
Keyword(s):  
Mental Health ◽  
First Episode Psychosis ◽  
Psychotic Symptoms ◽  
First Episode ◽  
Full Time ◽  
Personal Recovery ◽  
Clinical Recovery ◽  
Episode Psychosis

Objective: Knowledge of outcome in psychotic illness is limited by the paucity of very long-term epidemiologically representative studies of incidence first episode psychosis (FEP) cohorts that measure and compare outcomes reflecting modern clinical practice, mental health policy and research agendas. Our study aimed to address this gap. Method: iHOPE-20 is a prospective 20-year follow-up study of a FEP incidence cohort ( N = 171) conducted between 2014 and 2017 in Ireland. Data from previous studies and medical records were used to recruit cohort members. We assessed remission, clinical recovery, personal recovery and resilience at 20 years; explored the relationships between these outcomes and examined the predictive value of baseline characteristics in determining them. Results: At follow-up, 20 out of 171 cohort members (11.70%) were deceased. We assessed 80 out of 151 alive cohort members (53% recruitment rate); 65% were in remission; 35.2% were in Full Functional Recovery and 53.7% confirmed they were fully recovered according to their personal definition of recovery. A complex array of relationships between outcomes was found. Outcomes were better for people who had a short duration of untreated psychosis, displayed higher premorbid social adjustment (between the ages of 5–11) and at baseline, were older, not living alone, in full-time employment, given a non-affective diagnosis, and had lower Global Assessment of Functioning scores. Conclusion: Among participants, full remission of psychotic symptoms and personally defined recovery was not just possible but likely in the very long term. However, attaining positive functional outcomes and building resilience in FEP remain key challenges for mental health services.

scholarly journals Clinical Recovery in First-Episode Psychosis

2008 ◽  
Vol 35 (2) ◽  
pp. 362-369 ◽  
Author(s):  
L. Wunderink ◽  
S. Sytema ◽  
F. J. Nienhuis ◽  
D. Wiersma
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Clinical Recovery ◽  
Episode Psychosis

Gender differences in response to metacognitive training in people with first-episode psychosis.

2020 ◽  
Vol 88 (6) ◽  
pp. 516-525 ◽  
Author(s):  
Miriam Salas-Sender ◽  
Raquel López-Carrilero ◽  
Ana Barajas ◽  
Esther Lorente-Rovira ◽  
Esther Pousa ◽  
...  
Keyword(s):  
Gender Differences ◽  
First Episode Psychosis ◽  
First Episode ◽  
Metacognitive Training ◽  
Episode Psychosis

Cognitive clusters in first-episode psychosis: Overlap with healthy controls and relationship to concurrent and prospective symptoms and functioning.

2017 ◽  
Vol 31 (7) ◽  
pp. 787-797 ◽  
Author(s):  
Jacqueline Uren ◽  
Susan M. Cotton ◽  
Eoin Killackey ◽  
Michael M. Saling ◽  
Kelly Allott
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Healthy Controls ◽  
Episode Psychosis
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