University of Twente Student Theses


Exploring criteria for recovery from depression : the patient’s perspective

Meyer, J.J. (2018) Exploring criteria for recovery from depression : the patient’s perspective.

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Abstract:Background: Recovery from depression is usually measured as pathology change based on experienced symptoms. However, there is a rising voice of (recovered) patients as well as from researchers and professionals, who are stressing the importance of additional, positive mental health related criteria, for measuring recovery. Nevertheless there is not yet a consensus about what criteria are important for people that recover from depression. One recovery model that aims to include those personal recovery criteria is the CHIME model, consisting out of Connectedness, Hope and optimism, Identity, Meaning and purpose and Empowerment. The aim of this study was to analyze what criteria are considered as essential to recovery from depression from the patient’s perspective and to examine the appropriateness of the CHIME model in relation to recovery from depression. Methods: A systematic literature review with a meta-analytic approach was used. Six studies with individuals in recovery or already recovered were included. Other criteria for inclusion were, that they reported on criteria of recovery from depression, used a qualitative study design, were available in printed or downloadable form and 5) were available in English. When patient reported psychotic or manic symptoms, they were excluded. The result sections of the papers were searched for statements that referred to recovery from depression. Those statements were ordered into criteria for recovery and the frequency and intensity effect sizes of those were examined. Results: The CHIME model seems to capture successfully the personal recovery from depression, with its five categories. Most essential criteria for recovery from depression were found to be Identity and Empowerment according to the patient perspective. Further concretizing the categories might be helpful, for a more nuanced picture of personal recovery. Conclusions: The concept of personal recovery is essential to measure and capture for the practice. As the CHIME model seems to cover essential patient-driven criteria of recovery, it has potential to become a useful tool for measurement in practice.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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