Predictors of subjective recovery from recent-onset psychosis in a developing country: a mixed-methods study
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ORIGINAL PAPER
Predictors of subjective recovery from recent‑onset psychosis in a developing country: a mixed‑methods study Worku Animaw Temesgen1 · Wai Tong Chien2 · Maritta Anneli Valimaki1 · Daniel Bressington1 Received: 10 October 2019 / Accepted: 28 February 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose This study was conducted to: (a) investigate the levels and progress of subjective recovery from recent-onset psychosis; (b) examine its predictive factors and; (c) describe perceived challenges and opportunities affecting recovery. The findings were expected to help inform recovery-oriented psychiatric care in low-income, particularly African, countries. Methods This sequential explanatory mixed-methods study involved 263 service users with recent-onset psychosis from Northwestern Ethiopia. For the quantitative part, a 9-month longitudinal study approach was employed with three time point measurements over 9 months. Predictor variables for subjective recovery from recent-onset psychosis were identified by hierarchical multiple linear regression tests. Following the quantitative survey, individual qualitative interviews were conducted with 19 participants. Interview data were transcribed and thematically analysed. Results High mean subjective recovery scores were recorded throughout the study (Questionnaire about the Process of Recovery score ranging from 44.17 to 44.65). Quality of life, internalized stigma, disability, hopelessness, satisfaction with social support, and central obesity were significant predictors of subjective recovery across the three time points. Participants’ perceived challenges and opportunities affecting their recovery were categorized into four themes. Conclusion In Ethiopia, a low percentage of individuals with SMIs initiate psychiatric treatment and many discontinue this to attend spiritual healing. In this study, the Ethiopian SMI patients engaged consistently in psychiatric treatment indicated high mean subjective recovery scores. Devising mechanisms to integrate the psychiatric treatment and spiritual healing sectors are suggested. Approaches to improve quality of life, functioning, hope, internalized stigma and provide need-based social support are suggested. Keywords Subjective recovery · Recent-onset psychosis · Low-income country · Mixed-methods study
Background Recovery from severe mental illness is a priority for patients, families and health care providers [1, 2]. Recovery is often viewed from different perspectives, for example clinical, Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00127-020-01853-5) contains supplementary material, which is available to authorized users. * Worku Animaw Temesgen [email protected] 1
School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, SAR, China
Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N
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