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Conceptualising and measuring the well-being of people with psychosis: Systematic review and narrative synthesis

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  • Schrank, Beate
  • Bird, Victoria
  • Tylee, Andre
  • Coggins, Tony
  • Rashid, Tayyab
  • Slade, Mike

Abstract

Well-being has become a prominent term in the political arena in recent years. However, in research the concept and use of well-being has been unclear, especially in the context of severe mental illness such as psychosis. This systematic review aims to characterise the evidence base relating to well-being in people with psychosis, by reviewing how well-being is measured, developing a new conceptual framework, and summarising empirical evaluations of psychosocial interventions to improve well-being. We conducted a systematic review and narrative synthesis of controlled trials of interventions investigating well-being in people with psychosis. The 28 studies meeting the inclusion criteria used 20 different measures of well-being. Five dimensions of well-being emerged: non-observable, observable, proximal, distal, and self-defined. Interventions to improve well-being vary widely. The investigated interventions have been targeted at non-observable, observable and proximal levels, while evaluation measures span all five dimensions. This review offers an evidence based conceptual framework of well-being which can provide an empirical basis for organising future well-being research in psychosis. The review also shows that the evidence base for interventions is small and methodologically weak. Recommendations are made for choosing well-being measures for future research.

Suggested Citation

  • Schrank, Beate & Bird, Victoria & Tylee, Andre & Coggins, Tony & Rashid, Tayyab & Slade, Mike, 2013. "Conceptualising and measuring the well-being of people with psychosis: Systematic review and narrative synthesis," Social Science & Medicine, Elsevier, vol. 92(C), pages 9-21.
    • Handle: RePEc:eee:socmed:v:92:y:2013:i:c:p:9-21
    DOI: 10.1016/j.socscimed.2013.05.011
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    References listed on IDEAS

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    1. Toshiyuki Marutani & Sotheara Chhim & Akihiro Nishio & Akiko Nosaki & Yasuko Fuse-Nagase, 2020. "Quality of life and its social determinants for patients with schizophrenia and family caregivers in Cambodia," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-21, March.

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