Departmental Bulletin Paper 初発エピソード精神病を経験した人のリカバリーに関する文献レビュー

的場, 圭

Purpose:The present study aims to review the literature about recovery of people with first-episode psychosis (FEP), and to obtain suggestions for further research questions. Method:This review was carried out using three electronic databases (Ichushi:Japan Medical Abstracts Society, MEDLINE, CINAHL). Keywords were “first-episode”, “psychosis” or “schizophrenia” and “recovery”. The reference lists of identified studies were searched for additional studies. Results:Of the twenty-four studies, none were conducted in Japan. Fourteen papers used the quantitative method and were analyzed from a clinical recovery perspective. These studies reported recovery rates from 16% to 29%, and had varying recovery criteria. Nine papers used the qualitative method and were analyzed from a personal recovery perspective. These studies revealed experiences of people with FEP regarding their disease and treatment and the promoting/inhibitory factors of a subjective perspective. Conclusion:Further studies are necessary, including those using the quantitative method from a perspective of personal recovery and those that reveal the recovery experiences of Japanese people with FEP.

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