Exploration of recovery of people living with severe mental illness (SMI) in low-income and middle-income countries (LMIC): a scoping review protocol

Gamieldien, Fadia; Galvaan, Roshan; Myers, Bronwyn; Sorsdahl, Katherine

doi:10.1136/bmjopen-2019-032912

Cited by 11 publications

(11 citation statements)

References 47 publications

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“…Additionally, Muslims believe that suffering and illness are part of life and are not meaningless [ 36 ]. According to a scoping review, Gamieldien and colleagues found that spirituality is both a facilitator and indicator of mental health recovery in people with severe mental illness in LMICs [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

Ibrahim

Selim

et al. 2022

BMC Psychiatry

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Background Delivery of recovery-oriented mental health practice is fundamental to personal recovery. Yet, there is lack of service users’ accounts on what constitutes mental health recovery in Egypt. Objectives The aim of this study was to explore mental health recovery meaning informed by people with personal experience of recovery. Methods A phenomenological research design was used. Semi-structured qualitative interviews were conducted with 17 adult community-dwelling individuals who identified as recovered/recovering from mental health issues. An inductive thematic analysis approach was used to analyses participants’ responses. Results Participants predominately reported personal and functional definitions of mental health recovery. Posttraumatic growth was the strongest theme comprising: relation to others, spirituality, new possibilities, identity & strengths, and appreciation of life. Themes of acceptance and forgiveness, functional and clinical recovery, and finding hope were also identified. Conclusions This is the first study to explore mental health recovery meaning among a sample of people with lived experience of mental health issues in Egypt. Findings suggest that developing and implementing psychosocial interventions to support posttraumatic growth among people with mental health issues is a priority.

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Section: Discussionmentioning

confidence: 99%

Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

Ibrahim

Selim

et al. 2022

BMC Psychiatry

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“…The protocol for this review 27 ( online supplemental file 1 ) provides full details on the methods followed, and the protocol title was registered with the Joanna Briggs Institute. Following Arksey and O’Malley’s 25 methodological framework, this scoping review comprised six iterative stages, namely: (1) identification of the review question; (2) identification of relevant studies; (3) selection of studies; (4) charting the data; (5) collating, summarising and reporting of results; and (6) consultation with stakeholders.…”

Section: Methodsmentioning

confidence: 99%

“…A detailed description of the inclusion and exclusion criteria for study selection has been published 27 ( online supplemental file 1 ). Only studies published between 1 January 1993 and December 2019 were included.…”

Section: Methodsmentioning

confidence: 99%

“…To assist us with accessing relevant publications, we consulted two mental health service providers working in the field of recovery while conducting an electronic search. A comprehensive search strategy 27 was developed by the first author in collaboration with two librarians (MS and DB). The search strategy and filtering methods were tested using preliminary search terms to comply with searches across different databases.…”

Section: Methodsmentioning

confidence: 99%

“…Databases described in the protocol were searched. 27 Grey literature sources were also pursued through Google Scholar searches, contacting study authors and connecting with key personnel involved in recovery-focused programmes in LMICs. Reference lists of included full-text papers were hand searched for additional sources.…”

Section: Methodsmentioning

confidence: 99%

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Exploration of recovery of people living with severe mental illness (SMI) in low/middle-income countries (LMICs): a scoping review

et al. 2021

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ObjectiveTo examine the literature on how recovery of people with severe mental illness (SMI) is conceptualised in low/middle-income countries (LMICs), and in particular what factors are thought to facilitate recovery.DesignScoping review.Data sources and eligibilityWe searched 14 electronic databases, hand searched citations and consulted with experts during the period May–December 2019. Eligible studies were independently screened for inclusion and exclusion by two reviewers. Unresolved discrepancies were referred to a third reviewer.Data extraction and synthesisAll bibliographical data and study characteristics were extracted using a data charting form. Selected studies were analysed through a thematic analysis emerging from extracted data.ResultsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram offers a summary of the results: 4201 titles, 1530 abstracts and 109 full-text articles were screened. Ten articles were selected for inclusion: two from Turkey, two from India, and one each from China, Swaziland, Indonesia, Egypt, South Africa and Vietnam. Although most studies used qualitative methods, data collection and sampling methods were heterogeneous. One study reported on service provider perspectives while the rest provided perspectives from a combination of service users and caregivers. Three themes emerged from the data analysis. First, studies frame recovery as a personal journey occurring along a continuum. Second, there was an emphasis on social relationships as a facilitator of recovery. Third, spirituality emerged as both a facilitator and an indicator of recovery. These themes were not mutually exclusive and some overlap exists.ConclusionAlthough there were commonalities with how high-income countries describe recovery, we also found differences in conceptualisation. These differences in how recovery was understood reflect the importance of framing the personal recovery concept in relation to local needs and contextual issues found in LMICs. This review highlighted the current sparse evidence base and the need to better understand recovery from SMI in LMICs.

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Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

Ginneken

Chin

Lim

et al. 2021

Cochrane Database of Systematic Reviews

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Background Community‐based primary‐level workers (PWs) are an important strategy for addressing gaps in mental health service delivery in low‐ and middle‐income countries. Objectives To evaluate the effectiveness of PW‐led treatments for persons with mental health symptoms in LMICs, compared to usual care. Search methods MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, ICTRP, reference lists (to 20 June 2019). Selection criteria Randomised trials of PW‐led or collaborative‐care interventions treating people with mental health symptoms or their carers in LMICs. PWs included: primary health professionals (PHPs), lay health workers (LHWs), community non‐health professionals (CPs). Data collection and analysis Seven conditions were identified apriori and analysed by disorder and PW examining recovery, prevalence, symptom change, quality‐of‐life (QOL), functioning, service use (SU), and adverse events (AEs). Risk ratios (RRs) were used for dichotomous outcomes; mean difference (MDs), standardised mean differences (SMDs), or mean change differences (MCDs) for continuous outcomes. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥0.80 large clinical effects. Analysis timepoints: T1 (<1 month), T2 (1‐6 months), T3 ( >6 months) post‐intervention. Main results Description of studies 95 trials (72 new since 2013) from 30 LMICs (25 trials from 13 LICs). Risk of bias Most common: detection bias, attrition bias (efficacy), insufficient protection against contamination. Intervention effects *Unless indicated, comparisons were usual care at T2. “Probably”, “may”, or “uncertain” indicates "moderate", "low," or "very low" certainty evidence. Adults with common mental disorders (CMDs) LHW‐led interventions a. may increase recovery (2 trials, 308 participants; RR 1.29, 95%CI 1.06 to 1.56); b. may reduce prevalence (2 trials, 479 participants; RR 0.42, 95%CI 0.18 to 0.96); c. may reduce symptoms (4 trials, 798 participants; SMD ‐0.59, 95%CI ‐1.01 to ‐0.16); d. may improve QOL (1 trial, 521 participants; SMD 0.51, 95%CI 0.34 to 0.69); e. may slightly reduce functional impairment (3 trials, 1399 participants; SMD ‐0.47, 95%CI ‐0.8 to ‐0.15); f. may reduce AEs (risk of suicide ideation/attempts); g. may have uncertain effects on SU. Collaborative‐care a. may increase recovery (5 trials, 804 participants; RR 2.26, 95%CI 1.50 to 3.43); b. may reduce prevalence although the actual effect range indicates it may have little‐or‐no effect (2 trials, 2820 participants; RR 0.57, 95%CI 0.32 to 1.01); c. may slightly red...

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Exploration of recovery of people living with severe mental illness (SMI) in low-income and middle-income countries (LMIC): a scoping review protocol

Cited by 11 publications

References 47 publications

Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

Exploration of recovery of people living with severe mental illness (SMI) in low/middle-income countries (LMICs): a scoping review

Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

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