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  • Personal recovery in bipola...
    Jagfeld, Glorianna; Lobban, Fiona; Marshall, Paul; Jones, Steven H.

    Journal of affective disorders, 09/2021, Letnik: 292
    Journal Article

    •The CHIME framework is useful for understanding personal recovery in bipolar disorder.•POETIC: Purpose, Optimism and hope, Empowerment, Tensions, Identity, Connectedness.•POETIC extends the transdiagnostic CHIME recovery framework with a Tensions domain.•All POETIC personal recovery processes capture negative and positive experiences.•Ambivalence about mania, self-management and work are important in bipolar disorder. Personal recovery, living a satisfying, hopeful life alongside symptoms, has become an increasingly valued aim across mental health care agendas internationally. However, there is little understanding of how people experience personal recovery alongside the mood challenges characteristic of a bipolar disorder diagnosis. Personal recovery frameworks have been developed for populations with mixed psychiatric diagnoses, predominantly psychotic disorders. This systematic review of qualitative data used the widely adopted personal recovery processes Connectedness, Hope and optimism, Identity, Meaning and purpose, Empowerment (CHIME) in a “best fit” framework synthesis to understand personal recovery experiences in bipolar disorder. Included studies were coded with deductive framework analysis based on the CHIME processes and inductive thematic analysis for aspects beyond the a priori framework. A comprehensive search of six literature databases led to inclusion of twelve articles published 2010-2020. Deductive coding supported the fit with the CHIME framework but revealed difficulties, losses, and tensions within and across recovery processes. The proposed framework for personal recovery in bipolar disorder, Purpose and meaning, Optimism and hope, Empowerment, Tensions, Identity, Connectedness (POETIC), organises all CHIME processes around these tensions. Diversity among study participants was limited with majority middle-aged, female, Western participants. The compact POETIC personal recovery framework tailored for bipolar disorder is directly applicable to clinical practice with personal recovery objectives. It highlights the need for professionals to introduce personal recovery in a realistic and balanced way to address recent criticism by service user organisations of personal recovery as overly optimistic. Display omitted