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International differences in understanding recovery: systematic review.
Epidemiology and Psychiatric Sciences
|July 17, 2012
Summary
International mental health recovery concepts are mainly from English-speaking countries, often based on qualitative studies. Further research is needed in diverse cultures and populations to broaden understanding.
Area of Science:
- Mental Health Research
- Sociology of Health
- International Policy Analysis
Background:
- International mental health policies show varied support for recovery.
- Existing conceptual frameworks for recovery require validation and characterization.
- Understanding the global distribution and foundations of recovery conceptualizations is crucial.
Purpose of the Study:
- To validate an existing conceptual framework for mental health recovery.
- To characterize the distribution, scientific foundations, and emphasis of published recovery conceptualizations by country.
- To analyze the global landscape of recovery conceptualizations.
Main Methods:
- Systematic review and narrative synthesis of published recovery conceptualizations.
- Inclusion of 105 conceptualizations from 115 papers after quality assessment.
- Validation of the conceptual framework with 18 new papers.
Main Results:
- Recovery conceptualizations were identified from 11 countries, predominantly English-speaking (USA 47%, UK 25%).
- Scientific foundations were mainly qualitative research (53%), literature reviews (24%), and position papers (12%).
- A similar distribution of key recovery processes was observed across countries.
Conclusions:
- Current English-language recovery conceptualizations rely heavily on qualitative studies and position papers from English-speaking nations.
- The validated conceptual framework supports existing understanding.
- A research priority is developing recovery conceptualizations using diverse research designs across different cultures and non-majority populations.
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