The Meaning of Recovery: The Lived Experience of Patients with Bipolar Disorder in Turkey (original) (raw)
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Psychiatric Annals
C M E 1. Understand what recovery means to people with BD. 2. Describe the difference between the traditional medical definition of "recovery" and the definition of recovery identified by people with BD. 3. Discuss the importance of quality of life in relation to the concept of recovery as it relates to BD.
Journal of Mental Health, 2012
Background: Bipolar disorder (BD) is a chronic and recurrent affective disorder. Recovery is defined as the process by which people can live fulfilling lives despite experiencing symptoms. Aims: To explore how an opportunistically recruited group of service users with BD experience recovery and self-management to understand more about how a service users' recovery may be supported. Method: Twelve service users with BD took part in a series of focus groups. Service users' responses to questions about their personal experiences of self-management and recovery were analysed. Focus groups were transcribed verbatim and thematic analysis . Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101]) was employed to identify common themes in the data. Results: Four key themes were identified: (1) Recovery is not about being symptom free; (2) Recovery requires taking responsibility for your own wellness; (3) Self-management: building on existing techniques; (4) Overcoming barriers to recovery: negativity, stigma and taboo. Conclusion: Service users with BD have provided further support for the concept of recovery and have suggested a number of ways recovery can be supported. A self-management approach informed by the recovery literature has been proposed as a way to support service users' recovery. J Ment Health Downloaded from informahealthcare.com by 194.80.32.9 on 12/05/11 For personal use only. Supported recovery in bipolar disorder 3 J Ment Health Downloaded from informahealthcare.com by 194.80.32.9 on 12/05/11 For personal use only. Supported recovery in bipolar disorder 11 J Ment Health Downloaded from informahealthcare.com by 194.80.32.9 on 12/05/11
This study explored recovery from bipolar I disorder through a semi-structured interview. Eleven individuals over the age of 30 with a history of bipolar disorder were selected on the basis of having remained free from relapse, and without hospitalization for at least 2 years, as confirmed by a diagnostic interview (SCID-I). An Interpretative Phenomenological Analysis of the interviews revealed two overarching themes formed from four themes each. Ambivalent coping referred to approaches that participants felt had both positive and negative consequences: avoidance of mania, taking medication, prior illness versus current wellness, and sense of identity following diagnosis. Helpful coping referred to approaches that were seen as universally helpful: understanding, lifestyle fundamentals, social support and companionship, and social change. These themes were then interpreted in the light of the existing literature and an integrative cognitive model of bipolar disorder ). Limitations and future research directions are discussed.
Psychological mechanisms and the ups and downs of personal recovery in bipolar disorder
The British journal of clinical psychology, 2017
Personal recovery is recognized as an important outcome for individuals with bipolar disorder (BD) and is distinct from symptomatic and functional recovery. Recovery-focused psychological therapies show promise. As with therapies aiming to delay relapse and improve symptoms, research on the psychological mechanisms underlying recovery is crucial to inform effective recovery-focused therapy. However, empirical work is limited. This study investigated whether negative beliefs about mood swings and self-referent appraisals of mood-related experiences were negatively associated with personal recovery. Cross-sectional online survey. People with a verified research diagnosis of BD (n = 87), recruited via relevant voluntary sector organizations and social media, completed online measures. Pearson's correlations and multiple regression analysed associations between appraisals, beliefs, and recovery. Normalizing appraisals of mood changes were positively associated with personal recovery...
Resilience Process in Bipolar Disorder from the Views of Patients and Health Professionals
REVISTA ARGENTINA DE CLINICA PSICOLOGICA, 2019
Research about resilience in bipolar disorders (BD) is scarce, or lacking in reference to qualitative studies.A qualitative phenomenological study was performed to understand the intrapersonal process of resilience as experienced by patients in remission from BD and from the perspectives of clinicians experts in BD. A total of 15 participants in remission from BD (mean age = 42.88 and SD = 11.99) participated in individual interviews or in a focus group. Six mental health clinicians attended two focus groups. Data were transcribed for thematic analysis. All participants reported a meaningful experience of resilience during the remission journey from BD, identifying seven main themes. Although data were retrospective and sensitive to memory bias, findings are relevant for interventions in BD.
Qualitative Health Research, 2012
In this article, we discuss processes of recovery in bipolar disorder. We utilized a hermeneutical-phenomenological approach developed within a reflexive-collaborative framework to examine what individuals do to promote improvement and positive change in their own lives. The study was designed and carried out in collaboration with an expert-byexperience group of 12 coresearchers with firsthand experiences of mental distress and recovery. In-depth interviews were conducted with 13 participants who acknowledged having lived and dealt with a bipolar disorder. Four core themes were drawn from our analysis: (a) handling ambivalence about letting go of manic states; (b) finding something to hang on to when the world is spinning around; (c) becoming aware of signals from self and others; and (d) finding ways of caring for oneself. Interrelationships between the four themes, along with limitations, strengths, and implications of the study are discussed.
Developing a model of recovery in mental health
BMC Health Services Research, 2009
The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot extend what has been learned about the process of recovery to other types of mental problem. In the meantime, the prevalence of anxiety, affective and borderline personality disorders continues to increase, imposing a significant socioeconomic burden on the Canadian healthcare system and on the patients, their family and significant other . The aim of this study is to put forward a theoretical model of the recovery process for people with mental health problem schizophrenic, affective, anxiety and borderline personality disorders, family members and a significant care provider.
Renegotiating Identities: Experiences of Loss and Recovery for Women With Bipolar Disorder
Qualitative health research, 2014
Along with major changes in mood, people living with bipolar disorder (BD) often experience recurrent hospital admissions, feelings of failure and hopelessness, social stigma, underemployment, and a loss of independence. In this study we explored the experiences of loss, coping, and recovery in a community sample of women living with BD. Ten women each participated in a semistructured interview. We used the constant comparative method to analyze the data. We identified three themes from the data: identity bound by the diagnostic label, multidimensional effects of the bipolar disorder identity, and strategies for renegotiating identity. For these women, recovery involved an ongoing process of balancing their sick self with their healthy self. The findings contribute to conceptualizations of loss, coping mechanisms for dealing with loss, and the relevance of loss in recovery for people living at the margins with BD.