Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jun 23:13:876761.
doi: 10.3389/fpsyt.2022.876761. eCollection 2022.

Exploring the Personal Recovery Construct in Bipolar Disorders: Definition, Usage and Measurement. A Systematic Review

Marion Chirio-Espitalier  1   2 , Benoit Schreck  1   2 , Melanie Duval  3 , Jean-Benoit Hardouin  2 , Leila Moret  2   3 , Marie Grall Bronnec  1   2
Affiliations

Exploring the Personal Recovery Construct in Bipolar Disorders: Definition, Usage and Measurement. A Systematic Review

Marion Chirio-Espitalier et al. Front Psychiatry. .

Abstract

Personal recovery from psychiatric disorders is a journey toward a satisfying and hopeful life despite the possible persistence of symptoms. This concept has gained interest and become an increasingly important goal in mental health care programmes. Personal Recovery is well described in the context of severe mental illnesses in general, but little is known about this journey in bipolar disorders and the factors underlying it. A systematic review was conducted according to the PRISMA recommendations, focusing on studies exploring personal recovery in bipolar disorder specifically. The latter have integrated a comprehensive approach to the concept, the existing means of measurement or have explored the levers of recovery in care. Twenty-four articles were selected, including seven qualitative, 12 observational, and five interventional studies. The Bipolar Recovery Questionnaire was the only scale developed de novo from qualitative work with bipolar people. Personal recovery did not correlate very closely with symptomatology. Some elements of personal recovery in bipolar disorder were similar to those in other severe mental illnesses: meaning in life, self-determination, hope, and low self-stigma. Specific levers differed: mental relationships with mood swings, including acceptance and decrease in hypervigilance, and openness to others, including trust and closeness. The studies highlighted the role of caregiver posture and the quality of communication within care, as well as the knowledge gained from peers. The choice to exclude articles not focused on bipolar disorder resulted in the provision of very specific information, and the small number of articles to date may limit the scope of the evidence. New components of personal recovery in bipolar disorder emerged from this review; these components could be taken into account in the construction of care tools, as well as in the caregiving posture. Strengthening skills of openness to others could also be a central target of recovery-focused care.

Keywords: bipolar disorder; mental health recovery; patient-reported outcome measures; personal recovery; recovery-oriented practice; systematic review.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowchart.
Figure 2
Figure 2
Synthesis of qualitative and cross-sectional studies.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Van Eck RM, Burger TJ, Vellinga A, Schirmbeck F, de Haan L. The Relationship Between Clinical and Personal Recovery in Patients With Schizophrenia Spectrum Disorders: A Systematic Review and Meta-analysis. Schizophr Bull. (2018). 44:631018) 10.1093/schbul/sbx088 - DOI - PMC - PubMed
    1. Deegan P. Recovery: The lived experience of rehabilitation. (1988). 10.1037/h0099565 - DOI
    1. Mead S, Copeland ME. What recovery means to us: consumersn. The Relations Community Ment Health J. (2000) 36:315 Hea 10.1023/A:1001917516869 - DOI - PubMed
    1. Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the (1990s). Psychosoc Rehabil J. (1993) 16:11abil 10.1037/h0095655 - DOI
    1. Leamy M, Bird V, Le Boutillier C, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry J Ment Sci. (2011) 199:445 J M 10.1192/bjp.bp.110.083733 - DOI - PubMed

Publication types

LinkOut - more resources