Is personal recovery a transdiagnostic concept? Testing the fit of the CHIME framework using narrative experiences.

Autor:	Lases MN; Lentis Research, Lentis Psychiatric Institute, Groningen, the Netherlands.; Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, the Netherlands., Bruins J; Lentis Research, Lentis Psychiatric Institute, Groningen, the Netherlands.; Rob Giel Research Centre, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands., Scheepers FE; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands., van Sambeek N; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands., Ng F; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK., Rennick-Egglestone S; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK., Slade M; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.; Faculty of Nursing and Health Sciences, Health and Community Participation Division, Nord University, Bodø, Norway., van Balkom IDC; Rob Giel Research Centre, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.; Autism Team Northern-Netherlands, Jonx Department of (Youth) Mental Health and Autism, Lentis Psychiatric Institute, Groningen, the Netherlands., Castelein S; Lentis Research, Lentis Psychiatric Institute, Groningen, the Netherlands.; Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, the Netherlands.; Rob Giel Research Centre, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of mental health (Abingdon, England) [J Ment Health] 2024 Jun 30, pp. 1-9. Date of Electronic Publication: 2024 Jun 30.
DOI:	10.1080/09638237.2024.2361225
Abstrakt:	Background: Personal recovery is operationalized in the CHIME framework (connectedness, hope, identity, meaning in life, and empowerment) of recovery processes. CHIME was initially developed through analysis of experiences of people mainly with psychosis, but it might also be valid for investigating recovery in mood-related, autism and other diagnoses. Aims: To examine whether personal recovery is transdiagnostic by studying narrative experiences in several diagnostic groups. Methods: Thirty recovery narratives, retrieved from "Psychiatry Story Bank" (PSB) in the Netherlands, were analyzed by three coders using CHIME as a deductive framework. New codes were assigned using an inductive approach and member checks were performed after consensus was reached. Results: All five CHIME dimensions were richly reported in the narratives, independent of diagnosis. Seven new domains were identified, such as "acknowledgement by diagnosis" and "gaining self-insight". These new domains were evaluated to fit well as subdomains within the original CHIME framework. On average, 54.2% of all narrative content was classified as experienced difficulties. Conclusions: Recovery stories from different diagnostic perspectives fit well into the CHIME framework, implying that personal recovery is a transdiagnostic concept. Difficulties should not be ignored in the context of personal recovery based on its substantial presence in the recovery narratives.
Databáze:	MEDLINE
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