Personal recovery in bipolar disorder: Systematic review and “best fit” framework synthesis of qualitative evidence : a POETIC adaptation of CHIME

Jagfeld, Glorianna and Lobban, Fiona and Marshall, Paul and Jones, Steven (2021) Personal recovery in bipolar disorder: Systematic review and “best fit” framework synthesis of qualitative evidence : a POETIC adaptation of CHIME. Journal of Affective Disorders, 292. pp. 375-385. ISSN 0165-0327

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Background Personal recovery, living a satisfying, hopeful life alongside symptoms, has become an increasingly valued aim across mental health care agendas internationally. However, there is little understanding of how people experience personal recovery alongside the mood challenges characteristic of a bipolar disorder diagnosis. Personal recovery frameworks have been developed for populations with mixed psychiatric diagnoses, predominantly psychotic disorders. Methods This systematic review of qualitative data used the widely adopted personal recovery processes Connectedness, Hope and optimism, Identity, Meaning and purpose, Empowerment (CHIME) in a “best fit” framework synthesis to understand personal recovery experiences in bipolar disorder. Included studies were coded with deductive framework analysis based on the CHIME processes and inductive thematic analysis for aspects beyond the a priori framework. Results A comprehensive search of six literature databases led to inclusion of twelve articles published 2010-2020. Deductive coding supported the fit with the CHIME framework but revealed difficulties, losses, and tensions within and across recovery processes. The proposed framework for personal recovery in bipolar disorder, Purpose and meaning, Optimism and hope, Empowerment, Tensions, Identity, Connectedness (POETIC), organises all CHIME processes around these tensions. Limitations Diversity among study participants was limited with majority middle-aged, female, Western participants. Conclusions The compact POETIC personal recovery framework tailored for bipolar disorder is directly applicable to clinical practice with personal recovery objectives. It highlights the need for professionals to introduce personal recovery in a realistic and balanced way to address recent criticism by service user organisations of personal recovery as overly optimistic.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Affective Disorders
Additional Information:
This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 292, 2021 DOI: 10.1016/j.jad.2021.05.051
Uncontrolled Keywords:
?? bipolar disorderpersonal recoveryrecoveryqualitative researchmeta-synthesisframework synthesisclinical psychologypsychiatry and mental health ??
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Deposited On:
23 Jun 2021 13:50
Last Modified:
29 Mar 2024 01:20