Author:
Ng Fiona,Ibrahim Nashwa,Franklin Donna,Jordan Gerald,Lewandowski Felix,Fang Fan,Roe David,Rennick-Egglestone Stefan,Newby Christopher,Hare-Duke Laurie,Llewellyn-Beardsley Joy,Yeo Caroline,Slade Mike
Abstract
Abstract
Background and objective
People with psychosis report experiences of highly traumatic events. Positive change or post-traumatic growth (PTG) can occur as a result of traumatic experiences. Yet there is limited attention on PTG in psychosis, possibly due to the negative impact of psychotic symptoms on functioning and quality of life. The aim of this review was to identify significant correlates and mediators of PTG in psychosis, and to develop a conceptual framework synthesising facilitators of PTG in psychosis.
Method
Ten electronic databases were searched in seven languages, and five journals and grey literature were searched in English. Quantitative studies were eligible if examining correlates, mediators, or the temporal relationship between PTG and one or more variables. Qualitative studies were eligible if describing PTG arising from experiences of psychosis. Findings from quantitative papers were grouped by analysis method, with significant correlates, mediators, and temporal relationships descriptively reported upon. Narrative synthesis was conducted on findings in qualitative papers.
Results
Thirty-seven papers were included. Significant correlates and mediators of PTG were identified. Mediators of PTG in psychosis included meaning in life, coping self-efficacy, core beliefs, and self-reported recovery. No studies describing the temporal relationship between PTG and psychosis were identified. The narrative synthesis identified seven facilitators of PTG in psychosis: Personal identity and strength, Receiving support, Opportunities and possibilities, Strategies for coping, Perspective shift, Emotional experience, and Relationships, giving the acronym PROSPER.
Conclusions
Individuals with psychosis can be supported to grow from traumatic experiences. Clinicians can support PTG through the provision of trauma-informed care that supports positively valued identity changes. For researchers, the findings provide an evidence-based theoretical framework for conceptualising PTG, which can be validated through longitudinal cohort studies and underpin the development of new clinical interventions.
Funder
Canadian Institutes of Health Research
Fonds de Recherche Québec – Santé, McGill University
Franke Program in Science and Humanities
Programme Grants for Applied Research
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference41 articles.
1. Watson P, Zhang JP, Rizvi A, Tamaiev J, Birnbaum M, Kane J. A meta-analysis of factors associated with quality of life in first episode psychosis. Schizophrenia Res. 2018;202:26–36.
2. Stain H, Galletly C, Clark S, Wilson J, Killen E, Anthes L, et al. Understanding the social costs of psychosis: The experience of adults affected by psychosis identified within the second Australian National Survey of Psychosis. Aust New Zealand J Psychiatry. 2012;46(9):879–89.
3. Rinaldi M, Killackey E, Smith J, Shepherd G, Singh S, Craig T. First episode psychosis and employment: A review. Int Review Psychiatry. 2010;22(2):148–62.
4. Smigielski L, Jagannath V, Rossler W, Walitza S, Grunblatt E. Epigenetic mechanisms in schizophrenia and other psychotic disorders: A systematic review of empirical human findings. Molecular Psychiatry. 2020;25(11):1718–48.
5. Hardy A, Emsley R, Freeman D, Bebbington P, Garety PA, Kuipers EE, et al. Psychological mechanisms mediating effects between trauma and psychotic symptoms: The role of affect regulation, intrusive trauma memory, beliefs, and depression. Schizophrenia Bulletin. 2016;42(S1):S34-S43.
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