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

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

*Corresponding author for this work

Research output: Contribution to journalLiterature reviewpeer-review

56 Citations (Scopus)
2 Downloads (Pure)

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 wellbeing. 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.

Original languageEnglish
Pages (from-to)9-21
Number of pages13
JournalSocial Science & Medicine
Volume92
DOIs
Publication statusPublished - Sept 2013

Keywords

  • Well-being
  • Schizophrenia
  • Psychosis
  • Measurement
  • Concept
  • Interventions
  • RANDOMIZED CONTROLLED-TRIAL
  • QUALITY-OF-LIFE
  • CASE-MANAGEMENT
  • POSITIVE PSYCHOLOGY
  • MENTAL-ILLNESS
  • SOCIAL SUPPORT
  • SCHIZOPHRENIA
  • INTERVENTION
  • RECOVERY
  • THERAPY
  • Acknowledged-BRC
  • Acknowledged-BRC-13/14

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