Article type
Abstract
Background: The personal recovery, emphasizing values and experiences beyond clinical remission, has garnered attention. Yet, interventions addressing this aspect are limited, likely due to the complexity of identifying contributing factors.
Objective: This review aims to assess the intricate interplay of internalized self-stigma, cognitive insight, social support, and quality of life in individuals with schizophrenia, with a specific focus on their personal recovery.
Inclusion Criteria: Studies included in this review investigate factors associated with personal recovery in individuals with schizophrenia. Papers focusing solely on different recovery types are excluded unless personal recovery is a significant component of their outcomes.
Methods: Following the JBI methodology for etiological and risk reviews, this study's protocol was registered in PROSPERO (ID: CRD42020179623). The scope of the search was justified by the paper's protocol specific to Asian countries. Five databases, including PubMed, PsycINFO, CINAHL, JBI database, and Cochrane Library, were searched, along with grey literature sources such as Google Scholar, theses, and dissertations. The study covered publications in Thai and English from 1990 to 2021. Two independent reviewers utilized standardized JBI tools for study selection, appraisal, and data extraction. Discrepancies were resolved through discussion. MedCalc® Statistical Software version 20.104 was employed for data analysis.
Results: Only five of 16 eligible studies met the review's methodological quality criteria. Meta-analysis revealed a negative correlation between internalized self-stigma and personal recovery (R = -.409; CI=-.549, -.246; n=681). Due to heterogeneity, a narrative synthesis was employed for other outcomes.
Conclusions: The findings underscore the significance of addressing internalized self-stigma among individuals with schizophrenia to enhance personal recovery, offering valuable insights for healthcare professionals, particularly psychiatric healthcare teams. However, the implications should be approached cautiously, given the low quality of the included studies. These results prompt further research and the development of targeted interventions to advance the personal recovery of individuals with schizophrenia.
Keywords: internalized self-stigma, personal recovery, schizophrenia, systematic review, meta-analysis
Objective: This review aims to assess the intricate interplay of internalized self-stigma, cognitive insight, social support, and quality of life in individuals with schizophrenia, with a specific focus on their personal recovery.
Inclusion Criteria: Studies included in this review investigate factors associated with personal recovery in individuals with schizophrenia. Papers focusing solely on different recovery types are excluded unless personal recovery is a significant component of their outcomes.
Methods: Following the JBI methodology for etiological and risk reviews, this study's protocol was registered in PROSPERO (ID: CRD42020179623). The scope of the search was justified by the paper's protocol specific to Asian countries. Five databases, including PubMed, PsycINFO, CINAHL, JBI database, and Cochrane Library, were searched, along with grey literature sources such as Google Scholar, theses, and dissertations. The study covered publications in Thai and English from 1990 to 2021. Two independent reviewers utilized standardized JBI tools for study selection, appraisal, and data extraction. Discrepancies were resolved through discussion. MedCalc® Statistical Software version 20.104 was employed for data analysis.
Results: Only five of 16 eligible studies met the review's methodological quality criteria. Meta-analysis revealed a negative correlation between internalized self-stigma and personal recovery (R = -.409; CI=-.549, -.246; n=681). Due to heterogeneity, a narrative synthesis was employed for other outcomes.
Conclusions: The findings underscore the significance of addressing internalized self-stigma among individuals with schizophrenia to enhance personal recovery, offering valuable insights for healthcare professionals, particularly psychiatric healthcare teams. However, the implications should be approached cautiously, given the low quality of the included studies. These results prompt further research and the development of targeted interventions to advance the personal recovery of individuals with schizophrenia.
Keywords: internalized self-stigma, personal recovery, schizophrenia, systematic review, meta-analysis